PMID: 1993776Mar 1, 1991

Multicenter registry of angioplasty therapy of cardiogenic shock: initial and long-term survival

Journal of the American College of Cardiology
L LeeW W O'Neill

Abstract

This retrospective multicenter study reviews the role of acute percutaneous transluminal coronary angioplasty in the treatment of cardiogenic shock complicating acute myocardial infarction to determine whether early reperfusion affects in-hospital and long-term survival. From 1982 to 1985, 69 patients were treated with emergency angioplasty to attempt reperfusion of the infarct-related artery. Balloon angioplasty was unsuccessful in 20 patients (group 1) and successful in 49 patients (group 2). Initial clinical and angiographic findings in the groups with unsuccessful and successful angioplasty were similar with respect to age (60.5 +/- 2.3 versus 57 +/- 1.8 years), infarct location (65% versus 65% anterior) and gender (65% versus 67% male). Hemodynamic variables in the two groups, including systolic blood pressure (68 +/- 4.3 versus 73 +/- 1.6 mm Hg), left ventricular end-diastolic pressure (24.4 +/- 2.4 versus 27 +/- 1.0 mm Hg) and initial ejection fraction (28.5 +/- 4% versus 32 +/- 2%), were also similar. Twenty-nine patients received thrombolytic therapy with streptokinase; the overall rate of reperfusion was 34%. Group 1 patients had a short-term survival rate of 20%, compared with 69% in group 2 patients (p less than 0.0...Continue Reading

References

Oct 1, 1996·Catheterization and Cardiovascular Diagnosis·M el SetihaR Michels
Aug 31, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Behzad TaghizadehAugustin DeLago
Nov 1, 1995·Catheterization and Cardiovascular Diagnosis·J W Kinn, W W O'Neill
Mar 1, 1993·Clinical Cardiology·J S Alpert, R C Becker
Mar 10, 1998·Clinical Cardiology·W L Barry, I J Sarembock
Dec 1, 1993·Cardiovascular Drugs and Therapy·S H Taylor
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·M Rihner, R W Smalling
Apr 1, 1992·Journal of the American College of Cardiology·A R MoosviS Goldstein
Apr 1, 1992·Journal of the American College of Cardiology·W W O'Neill
Dec 1, 1992·Journal of the American College of Cardiology·J R BengtsonR M Califf
Sep 1, 1993·Journal of the American College of Cardiology·J B BedottoG O Hartzler
Mar 1, 1996·Journal of the American College of Cardiology·T A LieuW W Parmley
Jan 1, 1996·The American Journal of Cardiology·S B LasterG O Hartzler
Apr 6, 1999·The American Journal of Cardiology·N Pérez-CastellanoJ L Delcán
Jul 1, 1995·The American Journal of Cardiology·T AhmadA Dodek
May 23, 1997·International Journal of Cardiology·R IliaA Battler
Mar 11, 1992·Journal of the American College of Cardiology·M D HibbardB J Gersh
Mar 1, 1992·Journal of the American College of Cardiology·L W Klein
Jul 1, 1997·Journal of the American College of Cardiology·J M JuliardP G Steg
Dec 31, 1997·Journal of the American College of Cardiology·T A LieuW W Parmley
Jun 16, 1994·The New England Journal of Medicine·R M Califf, J R Bengtson
Apr 15, 1999·The New England Journal of Medicine·R J GoldbergJ M Gore
Mar 31, 1999·The Journal of Cardiovascular Nursing·E S McErlean
Jul 1, 1993·British Heart Journal·K Chatterjee, P Collins
May 1, 1995·British Heart Journal·D R Ramsdale, E D Grech
May 1, 1992·Postgraduate Medical Journal·C F Shakespeare, D J Coltart
May 1, 1996·Postgraduate Medical Journal·E D Grech, D R Ramsdale
Sep 29, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Francesco TomassiniFerdinando Varbella
Oct 23, 2004·The Journal of Emergency Medicine·Philip D AndersonJames A Feldman
Nov 10, 2004·Annales de cardiologie et d'angéiologie·A SudreJ M Lablanche

Citations

Mar 1, 1978·The American Journal of Cardiology·A L GutovitzR Roberts
Jul 1, 1968·Progress in Cardiovascular Diseases·M H Weil, H Shubin
Jul 15, 1971·The New England Journal of Medicine·D L PageC A Sanders
Jun 1, 1981·Scandinavian Journal of Clinical and Laboratory Investigation·F K Rømer, H J Kornerup
Sep 1, 1957·American Heart Journal·C M AGRESS, M J BINDER
Mar 1, 1961·Circulation·C K FRIEDBERG

Related Concepts

Arterial System
Systolic Blood Pressure Measurement
Transluminal Route of Drug Administration
Myocardial Infarction
Entire Coronary Artery
Streptokinase
Coronary Artery
Heart
Physiological Reperfusion
Hemodynamics

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.