Nonroutine Use of Intra-Aortic Balloon Pump in Cardiogenic Shock Complicating Myocardial Infarction With Successful and Unsuccessful Primary Percutaneous Coronary Intervention

JACC. Cardiovascular Interventions
Michał HawranekMariusz Gąsior

Abstract

The authors sought to compare outcomes of patients with myocardial infarction and cardiogenic shock (CS) treated with percutaneous coronary intervention (PCI) with or without intra-aortic balloon pump (IABP) support according to final epicardial flow in the infarct-related artery. A routine use of IABP is contraindicated in patients with myocardial infarction and CS. There are no data regarding the subpopulation of patients who may benefit from such support besides patients with mechanical complications of myocardial infarction. Prospective nationwide registry data of patients with myocardial infarction and CS treated with PCI between 2003 and 2014 were analyzed. Patients were initially stratified into 2 groups according to final infarct-related artery Thrombolysis In Myocardial Infarction (TIMI) flow grade after PCI: those with successful primary PCI (TIMI flow grades 2 or 3) and those with unsuccessful primary PCI (TIMI flow grades 0 or 1). Outcomes of patients with or without IABP treatment in each group were analyzed and compared. In the unsuccessful PCI group, patients in whom IABP was applied had lower in-hospital, 30-day, and 12-month mortality. IABP support in this group of patients was an independent predictor of lower...Continue Reading

Citations

Apr 28, 2020·British Journal of Hospital Medicine·Jonny CoppelEdward Gilbert-Kawai
Sep 2, 2020·Current Heart Failure Reports·Jesse R KimmanCorstiaan A den Uil
Feb 27, 2019·Korean Circulation Journal·Matt RyanDivaka Perera
Dec 20, 2018·Critical Care : the Official Journal of the Critical Care Forum·Sandro GelsominoRoberto Lorusso
Aug 31, 2021·European Heart Journal Supplements : Journal of the European Society of Cardiology·Roberta RossiniDomenico Gabrielli

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