Effects of Intraaortic Balloon Pumping on Acute Myocardial Infarction in 64 Cases of Cardiogenic Shock, Severe Heart Failure and Mechanical Heart Failure : SYMPOSIUM ON ARTIFICIAL CONTROL OF CIRCULATION : EXPERIMENTAL RESULTS AND CLINICAL APPLICATIONS
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概要
- 論文の詳細を見る
OF the patients treated in the CCU of Nippon Medical School for acute myocardial infarction in the past 5 years and 8 months, 44 with cardiogenic shock, 11 with severe heart failure, 7 with ventricular septal perforation and 2 with mitral regurgitation were treated by IABP. The peak effect f IABP on the hemodynamics of patients with cardiogenic shock was noted 24 hours after starting on IABP. When hemodynamics were compared between surviving and dead groups, there was a significant difference in stroke volume index between the two groups. When left ventricular function was compared between them, it was suggested that patients whose left ventricular function does not respond to IABP for 48 hours or longer are more likely to die than responders. Twenty-four of 44 patients became independent of IABP, but no more than 13 patients (30%) survived for 6 months or longer. Isosorbide dinitrate (ISDN) was combined with IABP in 7 patients who had a persistence of heart failure in spite of IABP. Combination therapy with IABP and ISDN elicited a significant increase in cardiac index, a significant decrease in pulmonary capillary wedge pressure, mean pulmonary arterial pressure and total peripheral resistance and a pronounced improvement in left ventricular function, and all 7 patients became independent of IABP. In the patients with acute myocardial infarction complicated with ventricular septal perforation, the mean systolic arterial pressure was 87.7±8.3 mmHg, mean pulmonary capillary wedge pressure 20.3±7.4 mmHg and pulmonary-to-systemic flow ratio, 3.12±0.95 before starting on IABP. When the hemodynamics at 3 hours of IABP were compared to the pre-IABP values, the right atrial pressure, pulmonary capillary wedge pressure and pulmonary-to-systemic flow ratio had a tendency to decline, but the changes were not statistically significant, except for the peak arterial pressure which showed a significant elevation at 3 hours of IABP. Three of the 7 patients became dependent on IABP, and 2 of the 3 patients were saved by emergency operation.
- 社団法人日本循環器学会の論文
- 1984-03-20
著者
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Imaizumi Takahiro
Division Of Intensive And Coronary Care Unit Chiba Hokusoh Hospital Nippon Medical School
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Ida Takao
Sakakibara Heart Institute
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Takano Teruo
Nippon Medical School
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Ida Takao
Division Of Cardiology Inadanoborito Hospital Kawasaki
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Takano Teruo
Department Of Internal Medicine Nippon Medical School
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Tadokoro Hiroyuki
Second Department Of Surgery Nippon Medical School
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Tanaka Keiji
Nippon Medical School
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Ikeshita Masatoshi
The Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medic
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YAMATE NOBORU
the Department of Thoracic and Cardiovascular Surgery, CCU
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OSAKA SHINICHI
the Department of Thoracic and Cardiovascular Surgery, CCU
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TAKEI HIROSHI
the Department of Thoracic and Cardiovascular Surgery, CCU
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SHOJI TASUKU
the Department of Thoracic and Cardiovascular Surgery, CCU
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Shoji Tasuku
Department Of Thoracic And Cardiovascular Surgery Nippon Medical School
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Shoji Tasuku
2nd Surg. Dept. Nihon Med. School
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Yamate Noboru
The Third Department Of Surgery St.marianna University School Of Medicine
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Yamate Noboru
Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medicine
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Takei Hiroshi
Division Of Thoracic And Cardiovascular Surgery Showa University Fujigaoka Hospital
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Osaka Shinichi
The Department Of Thoracic And Cardiovascular Surgery Ccu
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Ikeshita Masatoshi
The Third Department Of Surgery St.marianna University School Of Medicine
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Yamate Noboru
2nd Surg. Dept. Nihon Med. School
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Yamate Noboru
Division Of Cardiovascular Surgery Third Department Of Surgery St. Marianna University School Of Med
-
Yamate Noboru
The Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medic
-
Takei Hiroshi
Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medicine
-
Yamate Noboru
Department Of Thoracic And Cardiovascular Surgery
-
Shoji Tasuku
Department Of Cardiovascular Surgery Nippon Medical School
-
Ikeshita Masatoshi
Department Of Thoracic And Cardiovascular Surgery
-
Shoji Tasuku
Thoracic & Cardiovascular Surgery Nippon Medical School
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Ikeshita Masatoshi
The Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medic
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