Document Detail


Percutaneous transluminal coronary angioplasty in acute cardiogenic shock: an overview of the current strategy with a case illustration.
MedLine Citation:
PMID:  1488675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiogenic shock from severe left ventricular dysfunction remains the most common cause of death in patients with acute myocardial infarction despite the advent of inotropic agents and intra-aortic balloon support. Lytic agents have not convincingly reduced mortality when administered in a shock scenario. Recently, observational studies have demonstrated survival benefit when mechanical revascularisation, particularly balloon angioplasty, is performed early in such patients. In this article, we report a case of an extensive anterior myocardial infarction with cardiogenic shock who underwent successful acute balloon angioplasty and prolonged intracoronary thrombolysis and use it to illustrate the current evolving interventional approach in the treatment of such a complex clinical syndrome.
Authors:
K W Lau; A Tan; A Johan
Related Documents :
9202345 - Timing and mechanism of death determined clinically after primary angioplasty for acute...
3815765 - Coronary hemodynamics and myocardial metabolism of lactate, free fatty acids, glucose, ...
9507545 - Safety of transvenous low energy cardioversion of atrial fibrillation in patients with ...
18181915 - Atrial activation occurring immediately after successful cardioversion of atrial fibril...
14534845 - Carotid artery stenting in a community setting: experience outside of a clinical trial.
17493475 - Annular-to-leaflet mismatch and the need for reductive annuloplasty in patients undergo...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  33     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-02-24     Completed Date:  1993-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  620-2     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Singapore General Hospital.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Angioplasty, Transluminal, Percutaneous Coronary*
Humans
Male
Middle Aged
Myocardial Infarction / complications
Shock, Cardiogenic / etiology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Submucous resection for deviated nasal septum: a critical appraisal.
Next Document:  The mental diseases hospital, Singapore (the first 100 years)--a short history (Part III).