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    
Abstract/OtherAbstract:
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.
Authors:
E R Bates; R J Stomel; J S Hochman; E M Ohman
Related Documents :
19492035 - Ventricular pacing thresholds following high-energy implantable cardioverter defibrilla...
7449055 - Effect of direct-current countershocks on regional myocardial contractility and perfusi...
6736465 - Evaluation of a new defibrillation pathway: tongue-epigastric/tongue-apex route. ii. im...
7847435 - Increase of myocardial inhibitory g-proteins in catecholamine-refractory septic shock o...
8636545 - Identification of severe and extensive coronary artery disease by automatic measurement...
24743145 - Cardiac fibroblast-derived microrna passenger strand-enriched exosomes mediate cardiomy...
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    
Affiliation:
Division of Cardiology, University of Michigan Medical Center, Ann Arbor 48109, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Hemodynamics
Humans
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


Previous Document:  Thrombolysis in acute myocardial infarction improves prognosis and prolongs life but will increase t...
Next Document:  Prevention of congestive heart failure by early, prehospital thrombolysis in acute myocardial infarc...