Document Detail


Treatment of post-myocardial infarction angina by intra-aortic ballon pumping and emergency revascularization.
MedLine Citation:
PMID:  301968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-one patients with postinfarction angina (2 to 15 days after acute myocardial infarction) unresponsive to medical therapy were treated by intra-aortic balloon pumping (IABP). Anginal pain and electrocardiographic (ECG) ST-segment changes were prevented in all patients. Coronary angiograms were obtained during IABP without complication and confirmed severe coronary artery disease. Of the four nonoperated patients, three had reinfarction and two died of cardiogenic shock. Seventeen patients underwent aorta-coronary bypass grafting, associated with aneurysmectomy in two patients and closure of a ventricular septal defect in one. Sixteen patients survived the operation. All survivors are in clinically improved condition and 14 are pain free from 9 to 28 months postoperatively, but three have mild heart failure.
Authors:
J Bardet; M Rigaud; J C Kahn; J F Huret; I Gandjbakhch; J P Bourdarias
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  74     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1977 Aug 
Date Detail:
Created Date:  1977-09-17     Completed Date:  1977-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  299-306     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina Pectoris / radiography,  surgery*
Assisted Circulation*
Blood Pressure
Coronary Angiography
Coronary Artery Bypass*
Electrocardiography
Female
Humans
Intra-Aortic Balloon Pumping*
Male
Middle Aged
Myocardial Infarction / surgery*
Postoperative Complications / radiography
Preoperative Care

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


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