ISSN: 1859 - 2872
Hemodynamic effects of intra-aortic balloon pump counterpulsation (IABP) therapy in patients with cardiogenic shock after myocardial infarction
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Abstract
Objective: To assess the effectiveness and safety of intra-aortic balloon pump counterpulsation (IABP) in hemodynamic support to patients with cardiogenic shock due to myocardial infarction. Subject and method: Multicenter prospective study on 45 patients at the 108 Military Central Hospital and Hanoi Heart Hospital from 2012 to 2017. Result and conclusion: Hemodynamic indexes (heart rate, arterial blood pressure, cardiac index-CI, left ventricular ejection fraction - EF, systemic vascular resistance - SVR) recovered rapidly after IABP placement. There were statiscally significant reductions in the plasma lactate concentration, doses of vasopressor and inotropes after 24 and 48 hours, (p<0.005). The median duration to recovery from shock was 24.1 ± 6.2 hours and the survival rate was 57.8%. Complications of infection: 8.8%, thrombocytopenia: 8.8% and limb ischemia: 4.4%.
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References
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