Clinical Usefulness of Intraaortic Balloon Pumping in Acute Myocardial Infarction Complicated with Cardiogenic shock, Ventricular Septal Perforation and Mitral Regurgitation : The Effectiveness and Limitations of Coronary Care Unit
スポンサーリンク
概要
- 論文の詳細を見る
The effects of intraaortic balloon pumping (IABP) were studied in 91 patients with acute myocardial infarction complicated with cardiogenic shock (75 pts), ventricular septal perforation (VSP) (12 pts), and/or mitral regurgitation (MR) (4 pts). Out of 44 pts with cardiogenic shock in whom IABP was performed, 14 pts could not recover from cardiogenic shock, 6 pts became dependent on IABP and 13 pts survived (29.5%). In contrast, out of the remaining 31 pts with cardiogenic shock who did not undergo IABP because of inability to insert IABP catheter or other reasons and were treated medically, only 3 pts survived (9.7%, p<0.05). After the initiation of IABP, BPd, CI, SVI, SWI, TMG increased significantly, and HR, CVP, PCWP, TPR decreased significantly. comparison of hemodynamic parameters after the initiation of IABP showed that SVI and SWI at 24 hours were higher and CVP lower in survivors. Out of 7 pts with VSP who underwent IABP 2 pts were operated and survived. In conclusion: (1) short-term mortality in pts with cardiogenic shock was significantly lower in IABP-treated group, (2) hemodynamic parameters impoved after IABP, (3) survivors from cardiogenic shock had higher SVI, SWI, BPd, and lower CVP than non-survivors, (4) patients with VSP and MR had worse prognosis in spite of IABP.
- 社団法人日本循環器学会の論文
- 1984-07-20
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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Imaizumi Takahiro
Coronary Care Unit And First Department Of Medicine Nippon Medical School
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Ida Takao
Sakakibara Heart Institute
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Endo Takao
First Department Of Internal Medicine Nippon Medical School
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Hayakawa Hirokazu
The First Department Of Medicine Nippon Medical School
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Hayakawa Hirokazu
Internal Medicine Department Of Cardiology Nippon Medical School
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Ida Takao
Division Of Cardiology Inadanoborito Hospital Kawasaki
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Hayakawa Hirokazu
Department Of Physiological Laboratory Nippon Medical School
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Ikeshita Masatoshi
Department of Cardiovascular Surgery, Nippon medical school
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ENDO TAKAO
Nippon Medical School Hospital
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Tanaka Keiji
CCU, Nippon Medical School
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Takano Teruo
CCU, Nippon Medical School
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ENDO TAKAO
CCU, 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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OSAKA SHINICHI
the Department of Thoracic and Cardiovascular Surgery, CCU
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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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Yamate Noboru
Department Of Pharmacy St.marianna University School Of Medicine
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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
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Yamate Noboru
The Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medic
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SAITO HIROKAZU
CCU, Nippon Medical School,
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IDA TAKAO
CCU, Nippon Medical School,
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OSAKA SHINICHI
CCU, Nippon Medical School,
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Yamate Noboru
Department Of Thoracic And Cardiovascular Surgery
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Saito Hirokazu
Ccu Nippon Medical School
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Hayakawa Hirokazu
Department Of Cardiology Nippon Medical School
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Ikeshita Masatoshi
Department Of Thoracic And Cardiovascular Surgery
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Ikeshita Masatoshi
The Division Of Cardiovascular Surgery Department Of Surgery St. Marianna University School Of Medic
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