Document Detail

The use of intraaortic balloon counterpulsation as an adjunct to reperfusion therapy in cardiogenic shock.
MedLine Citation:
PMID:  9706825     Owner:  NLM     Status:  MEDLINE    
Modern coronary care unit interventions have not reduced the high mortality rate associated with cardiogenic shock due to acute myocardial infarction. Results with thrombolytic therapy have also been disappointing because of poor infarct artery patency rates in a low coronary flow state. Percutaneous transluminal coronary angioplasty appears to be a beneficial intervention, but the technique is not available at most hospitals. Intraaortic balloon counterpulsation provides temporary hemodynamic and clinical improvement in the majority of patients with cardiogenic shock. The use of intraaortic counterpulsation to augment patency rates with thrombolytic therapy or to stabilize patients for transfer to a hospital with angioplasty services appears to be a promising strategy for hospitals without an interventional cardiac catheterization laboratory.
E R Bates; R J Stomel; J S Hochman; E M Ohman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International journal of cardiology     Volume:  65 Suppl 1     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-10-08     Completed Date:  1998-10-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  S37-42     Citation Subset:  IM    
Division of Cardiology, University of Michigan Medical Center, Ann Arbor 48109, USA.
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MeSH Terms
Clinical Trials as Topic
Intra-Aortic Balloon Pumping*
Myocardial Infarction / complications*,  drug therapy,  physiopathology
Shock, Cardiogenic / etiology,  mortality,  physiopathology,  therapy*
Survival Analysis
Thrombolytic Therapy*
Treatment Outcome

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

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