Abstract
Little is known about circulatory support in cardiogenic shock (CS) from other causes than the acute coronary syndrome or after cardiotomy. We evaluated the effects of first-line intra-aortic balloon pump (IABP) support in this subpopulation of CS patients. A retrospective study was performed in 27 patients with CS from end-stage cardiomyopathy supported firstly by IABP in the years 2011-2016. At 24 h, lactate decreased from 3.2 (2.1-6.8) to 1.8 (1.2-2.2) mmol/L (p < 0.001). Eighteen patients (67%) defined as IABP responders were successfully bridged to either recovery (n = 7), left ventricular assist device (n = 5), or heart transplantation (n = 6). IABP failed in 9 patients (non-responders, 33%) who either died (n = 7) or needed support by extracorporeal membrane oxygenation (n = 2). At 24 h of IABP support, urinary output was higher (2,660 [1,835-4,440] vs. 1,200 [649-2,385] mL; p = 0.02) and fluid balance more negative (-1,564 [-2,673 to -1,086] vs. -500 [-930 to +240] mL; p < 0.001) in responders than non-responders. Overall survival at 1 year was 63%. In most patients, first-line support by IABP in end-stage cardiomyopathy is associated with improvement in organ perfusion and clinical stabilisation for at least 24 h allow...Continue Reading
References
Nov 3, 2001·Journal of the American College of Cardiology·J J FergusonE M Ohman
Dec 13, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Richard A Santa-CruzE Magnus Ohman
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Ieva NorkieneVytautas Sirvydis
Feb 3, 2009·Perfusion·E SlothCj Jakobsen
Jun 12, 2009·European Journal of Heart Failure·Ola GjesdalSvein Simonsen
Jul 21, 2009·European Heart Journal·Jin M ChengPatrick W Serruys
Oct 19, 2010·Journal of the American College of Cardiology·Biswajit KarPranav Loyalka
Mar 12, 2011·Critical Care : the Official Journal of the Critical Care Forum·Sofie GevaertMichel De Pauw
Apr 12, 2012·Circulation·Biswajit KarPranav Loyalka
Dec 26, 2012·Journal of the American College of Cardiology·Jennifer CowgerMark S Slaughter
Jan 4, 2013·The New England Journal of Medicine·Holger ThieleKarl Werdan
Jan 4, 2013·The New England Journal of Medicine·Sushma Rekhraj, Awsan Noman
Sep 10, 2013·Lancet·Holger ThieleUNKNOWN Intraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators
Nov 1, 2013·The New England Journal of Medicine·Jean-Louis Vincent, Daniel De Backer
Jan 28, 2014·European Journal of Heart Failure·Alina A ConstantinescuAggie H M M Balk
Mar 31, 2015·European Journal of Heart Failure·Veli-Pekka HarjolaUNKNOWN GREAT network
Jul 15, 2015·Journal of Cardiac Failure·Marc A SintekSusan M Joseph
Sep 16, 2015·Intensive Care Medicine·A MebazaaJ Januzzi
Nov 2, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
May 28, 2016·European Heart Journal. Acute Cardiovascular Care·Arun KrishnamoorthyManesh R Patel
Sep 12, 2016·JACC. Heart Failure·Luigi AdamoDouglas L Mann
Oct 25, 2016·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Roger D YusenUNKNOWN International Society for Heart and Lung Transplantation
Nov 30, 2016·Revista Española De Cardiología·Piotr PonikowskiPeter van der Meer
Citations
Jun 13, 2017·Cardiology·Phillip J Habib, Susan M Joseph
Jun 29, 2018·Future Cardiology·Alice Le Huu, Dominique Shum-Tim
May 31, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Corstiaan A den UilAlina A Constantinescu
Sep 2, 2020·Current Heart Failure Reports·Jesse R KimmanCorstiaan A den Uil
Aug 24, 2021·ESC Heart Failure·Jean M HaurandPatrick Horn
Oct 29, 2021·Circulation. Heart Failure·Luca BaldettiAlberto Maria Cappelletti