PMID: 9180104Jun 1, 1997Paper

Thrombolysis plus aortic counterpulsation: improved survival in patients who present to community hospitals with cardiogenic shock

Journal of the American College of Cardiology
P J KovackR J Stomel

Abstract

We sought to explore the potential benefit of combining intraaortic balloon counterpulsation (IABP) with thrombolysis for acute myocardial infarction (MI) complicated by cardiogenic shock. In community hospitals, this condition is usually managed with thrombolysis alone. We reviewed the charts of 335 patients from two community hospitals who presented with acute MI and had cardiogenic shock between 1985 and 1995. Of 46 patients who underwent thrombolysis within 12 h of acute infarction with confirmed cardiogenic shock, 27 underwent IABP and 19 did not. Age, systolic blood pressure with shock, pulmonary artery catheter use, pulmonary capillary wedge pressure and the incidence of diabetes mellitus and anterior MI did not differ between groups. Patients treated with IABP were somewhat more likely to have prior MI and had a significantly greater cardiac index (2.0 vs. 1.5 liters/min per m2, p = 0.04). Although no deaths occurred within 2 h of presentation, patients not treated with IABP tended to die earlier (6.8 +/- 5 vs. 23.8 +/- 19 h, p = 0.13). Patients treated with IABP had a significantly higher rate of community hospital survival (93% vs. 37%, p = 0.0002), and more of them were transferred for revascularization (85% vs. 37%)...Continue Reading

References

Dec 1, 1992·Journal of the American College of Cardiology·J R BengtsonR M Califf
Jun 1, 1981·Scandinavian Journal of Clinical and Laboratory Investigation·F K Rømer, H J Kornerup
Sep 2, 1993·The New England Journal of Medicine·UNKNOWN GUSTO investigators
Feb 1, 1993·Journal of the American College of Cardiology·M J KernK Walter
Feb 1, 1996·The Annals of Thoracic Surgery·J N NanasS D Moulopoulos
Jun 1, 2011·Current Treatment Options in Cardiovascular Medicine·Abdulfattah SaidiFeras Bader

❮ Previous
Next ❯

Citations

Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·M Rihner, R Smalling
Mar 17, 2004·Current Treatment Options in Cardiovascular Medicine·Naji F. Yazbek, Neal S. Kleiman
Jan 13, 2006·Current Treatment Options in Cardiovascular Medicine·Troy C EllisNeal S Kleiman
Mar 31, 2004·Resuscitation·Milo Engoren, Robert H Habib
Jul 13, 1999·International Journal of Cardiology·S D KumbasarN Değer
Oct 17, 2002·Heart·Venu Menon, Judith S Hochman
Nov 12, 2010·Critical Care : the Official Journal of the Critical Care Forum·Matthew E Cove, Graeme MacLaren
Jan 20, 2004·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·T P Wharton, N S McNamara
Jan 24, 2004·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Branko Gligić, Radoslav Romanović
Jan 8, 2004·Emergency Medicine Clinics of North America·Alessandra Conforto, Ismael Nuño
Feb 15, 2014·International Journal of Cardiology·Chris J KapeliosJohn N Nanas
May 10, 2012·Therapeutic Advances in Cardiovascular Disease·Suzanne de WahaHolger Thiele
Aug 3, 2005·Journal of Intensive Care Medicine·Claire S Duvernoy, Eric R Bates
Mar 15, 2008·Critical Pathways in Cardiology·Nancy Sinclair McNamaraDana Deboard
Apr 30, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Dale T AshbyJeffrey W Moses
May 14, 2017·Circulation. Cardiovascular Interventions·Aditya Mandawat, Sunil V Rao
Aug 13, 2003·Circulation·Edmond W ChenUNKNOWN Investigators in the National Registry of Myocardial Infarction 2
Mar 31, 2015·The Cochrane Database of Systematic Reviews·Susanne UnverzagtRoland Prondzinsky
Apr 2, 2014·Current Opinion in Cardiology·Chris J KapeliosJohn N Nanas
Mar 31, 2015·JAMA Internal Medicine·Yousif AhmadDarrel P Francis
Sep 16, 2003·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Joseph DensStefan Janssens
Jan 13, 2015·Anaesthesia and Intensive Care·M SiriwardenaA M Richards
Mar 23, 2021·Interventional Cardiology Clinics·Alejandro LemorMir B Basir

❮ Previous
Next ❯

Related Concepts

Related Feeds

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.

Cardiology Journals

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

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.