Predictors of intra-aortic balloon pump hemodynamic failure in non-acute myocardial infarction cardiogenic shock

American Heart Journal
Steven HsuSteven P Schulman

Abstract

To characterize patient profile and hemodynamic profile of those undergoing intra-aortic balloon pump (IABP) for cardiogenic shock and define predictors of hemodynamic failure of IABP support. Clinical characteristics of IABP support in cardiogenic shock not related to acute myocardial infarction (AMI) remain poorly characterized. We retrospectively studied a cohort of 74 patients from 2010 to 2015 who underwent IABP insertion for cardiogenic shock complicating acute decompensated heart failure not due to AMI. In the overall cohort, which consisted primarily of patients with chronic systolic heart failure (89%), IABP significantly augmented cardiac index and lowered systemic vascular resistance (P<.05). Despite this improvement, 28% of these patients died (24%) or require urgent escalation in mechanical circulatory support (MCS) (4%). Multivariable regression revealed that baseline left ventricular cardiac power index (LVCPI), a measure of LV power output derived from cardiac index and mean arterial pressure (P=.01), and history of ischemic cardiomyopathy (P=.003) were significantly associated with the composite adverse-event endpoint of death or urgent MCS escalation. An IABP Failure risk score using baseline LVCPI <0.28 W/m2 ...Continue Reading

References

Jan 10, 2003·The International Journal of Artificial Organs·T G PapaioannouS F Stamatelopoulos
Jul 21, 2004·Journal of the American College of Cardiology·Rupert FinckeUNKNOWN SHOCK Investigators
Dec 13, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Richard A Santa-CruzE Magnus Ohman
Aug 28, 2012·The New England Journal of Medicine·Holger ThieleUNKNOWN IABP-SHOCK II Trial Investigators
Sep 10, 2013·Lancet·Holger ThieleUNKNOWN Intraaortic Balloon Pump in cardiogenic shock II (IABP-SHOCK II) trial investigators
Sep 10, 2013·European Heart Journal·Karl WerdanJudith S Hochman
May 2, 2015·European Heart Journal. Acute Cardiovascular Care·David D BergDavid A Morrow
Dec 29, 2015·The American Journal of Cardiology·Lokien X van NunenNico H J Pijls
Mar 18, 2016·Critical Care : the Official Journal of the Critical Care Forum·Kiran ShekarJohn F Fraser
Nov 5, 2016·Journal of the American College of Cardiology·Dagmar M OuweneelJosé P S Henriques
Nov 5, 2016·Journal of the American College of Cardiology·Dagmar M OuweneelJosé P S Henriques
Jan 4, 2017·The American Journal of Cardiology·Mir B BasirWilliam W O'Neill

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Citations

Apr 27, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mir B BasirUNKNOWN National Cardiogenic Shock Initiative Investigators
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
Oct 21, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Navin K Kapur, Colin S Hirst
Sep 4, 2020·The Annals of Thoracic Surgery·Hidefumi NishidaTakeyoshi Ota
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Mercedes Rivas-LasarteAlessandro Sionis
Jun 19, 2021·IJC Heart & Vasculature·Nuccia MoriciArthur Reshad Garan
Aug 15, 2021·Journal of Cardiac Failure·Steven HsuBarry A Borlaug
Jun 10, 2020·British Journal of Anaesthesia·Mathieu JozwiakDenis Chemla
Sep 8, 2021·The International Journal of Artificial Organs·Toru KondoToyoaki Murohara

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