EFFICACY OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION COMPLICATED BY CARDIOGENIC SHOCK
スポンサーリンク
概要
- 論文の詳細を見る
Cardiogenic shock still remains a highly lethal complication of acute myocardial infarction (AMI). This study reviews our hospital experience in treating AMI complicated by cardiogenic shock to evaluate whether coronary angioplasty improves survival or not. We have treated 523 AMI patients from 1985 to 1990, and among these, 26 patients with AMI complicated by cardiogenic shock who underwent percutaneous transluminal coronary angioplasty (PTCA) compose the study group. In 16 patients, PTCA was successful (Groups S) and in 10 patients, unsuccessful (Group F). There were no statistical differences between the Groups with respect to clinical background, intraaortic balloon counterpulsation (IABP) or emergency coronary bypass graft surgery. Before PTCA, hemodynamic variables including cardiac index, pulmonary capillary wedge pressure and systolic blood pressure were similar in the 2 groups. After PTCA, cardiac index in Group S patients was better than in Group F patients (2.18±0.61 versus 1.62±0.65, p<0.05). Thirty day and 1 year survivals were also better in Group S than in Group F (30 day survival: Group S 56.2%, Group F 10%, 1 year survival: Group S 31.2%, Group F 0%, p<0.05). Multi-variate analysis showed that age under 75 years old, systolic blood pressure over 90 mmHg after PTCA and successful PTCA were independent predictors of 30 day survival (p<0.05). It was suggested that PTCA was an effective procedure to reduce mortality in patients with cardiogenic shock.
- 社団法人日本循環器学会の論文
- 1992-08-20
著者
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Sumii Kotaro
Mazda Hospital
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Hayashi Yasuhiko
Division Of Cardiology Cardiovascular Center Akane Foundation Tsuchiya General Hospital
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Yamamoto Hideya
Division of Cardiology, Mazda Hospital, Hiroshima Prefecture
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Tsuchiya Taro
Division Of Cardiology Akanekai Tsuchiya General Hospital
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Tsuchiya Taro
Department Of Cardiovascular Medicine Akanekai Tsuchiya Hospital
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Maeda Yasuo
From The Department Of Cardiology Tsuchiya General Hospital
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Watanabe Mitsuaki
From The Department Of Cardiology Tsuchiya General Hospital
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TANIGUCHI CHIE
From the Department of Cardiology, Tsuchiya General Hospital
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OKA YUZO
Division of Cardiology, Tsuchiya General Hospital
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SUMII KOTORO
Division of Cardiology, Tsuchiya General Hospital
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TANIGUCHI CHIE
Division of Cardiology, Tsuchiya General Hospital
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MAEDA YASUO
Division of Cardiology, Tsuchiya General Hospital
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WATANABE MITSUAKI
Division of Cardiology, Tsuchiya General Hospital
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Oka Yuzo
Division Of Cardiology Akanekai Tsuchiya General Hospital
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Taniguchi Chie
From The Department Of Cardiology Tsuchiya General Hospital
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Tsuchiya Taro
Division Of Cardiology Tsuchiya General Hospital
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Hayashi Yasuhiko
Division Of Cardiology Department Of Medicine Hiroshima Akanekai Tsuchiya Hospital
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Sumii Kotoro
Division Of Cardiology Tsuchiya General Hospital
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Sumii Kotaro
Department Of Cardiology Mazda Hospital Mazda Motor Corporation
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Yamamoto Hideya
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Tsuchiya Taro
Division Of Cardiology Akanekai Tsuchiya Genetal Hospital
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