Document Detail

Treatment of cardiogenic shock in myocardial infarction by intraaortic balloon counterpulsation surgery.
MedLine Citation:
PMID:  300989     Owner:  NLM     Status:  MEDLINE    
Thirty-seven patients in cardiogenic shock due to acute myocardial infarction were treated with intraaortic balloon counterpulsation and/or surgery. Eighteen of these patients were treated with counterpulsation alone; eight survived and five were in functional class I or II at the time of follow-up; two were in functional class III, and one was in functional class IV. Nineteen patients were treated surgically, eight survived and seven were in functional class I or II at the time of follow-up; one was in functional class III. Good functional recovery with counterpulsation alone is most common with inferior infarction. With surgery, functional recovery depends not only on the extent of the infarction and the coronary anatomy, but also on the ability to perform surgery within 12 hours of infarction or to support the patient with mechanical means for 10 to 14 days after the infarction and then perform surgery.
S A Johnson; P J Scanlon; H S Loeb; J M Moran; R Pifarre; R M Gunnar
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  62     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-06-30     Completed Date:  1977-06-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  687-92     Citation Subset:  AIM; IM    
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MeSH Terms
Assisted Circulation*
Coronary Artery Bypass
Intra-Aortic Balloon Pumping*
Middle Aged
Myocardial Infarction / complications*,  surgery
Shock, Cardiogenic / etiology,  surgery,  therapy*

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

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