Document Detail


The use of intra aortic baloon pump in patients undergoing coronary artery bypass grafting at the Aga Khan University Hospital, Karachi.
MedLine Citation:
PMID:  10770039     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the experience in the use of Intra Aortic Balloon Pump (IABP) in patients undergoing Coronary Artery Bypass Grafting (CABG) at a tertiary care hospital with a new Open Heart surgery program. DESIGN: Retrospective study. SETTING: The Aga Khan University Hospital, Karachi. PATIENTS: Medical records of all patients undergoing CABG between November 1994 and July 1997 were reviewed and those in whom IABP device was used, were included in this study. RESULTS: A total of 15 patients had IABP support during the study period. Four surgeries were done urgently while two were emergencies. There were three mortalities. Ejection fractions in all but one patient were impaired. Among the surviving patients, the average pre-IABP Cardiac Index was 2.6 litres/min/meter2 which registered an average increase of 21.15% after the initiation of the IABP. The Pulmonary Artery Wedge Pressure also showed an average reduction of 29.11% from the pre IABP levels reflecting an increase in the cardiac output with the use of the IABP. CONCLUSION: This series represents the early experience of a new cardiac surgery center in Pakistan in the use of IABP. Although the numbers in this study are too small to derive any conclusions, the overall morbidity and mortality in this short series are within acceptable limits in the high risk patients included.
Authors:
A M Jafarey; M Amanullah; S A Khan; S B Hasan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  50     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-05-04     Completed Date:  2000-05-04     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  PAKISTAN    
Other Details:
Languages:  eng     Pagination:  3-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Aga Khan University Hospital, Karachi.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Artery Bypass*
Coronary Disease / physiopathology,  surgery*
Female
Humans
Intra-Aortic Balloon Pumping*
Male
Middle Aged
Pakistan
Retrospective Studies
Stroke Volume

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


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