Acute severe cardiac failure complicating myocardial infarction. Experience with 100 patients referred for consideration of mechanical left ventricular assistance.

Autor: O'Rourke, M F, Chang, V P, Windsor, H M, Shanahan, M X, Hickie, J B, Morgan, J J, Gunning, J F, Seldon, A W, Hall, G V, Michell, G, Goldfarb, D, Harrision, D G
Zdroj: British Heart Journal; Feb1975, Vol. 37 Issue 2, p169-181, 13p
Abstrakt: One hundred patients were referred with suspected acute cardiac failure following acute myocardial infarction. The diagnosis was confirmed in 72: 31 of these patients underwent elective medical treatment, with 2 survivors (6%); 41 were accepted for counter pulsation, but 9 died before this could be initiated and another 2 died shortly after vain attempts to pass the balloon catheter were abandoned; 30 patients underwent counterpulsation with 14 hospital survivors (47%). Survivor status was usually good. Results of counter pulsation were better in patients who were not shocked (with 5/5 survivors) than in those who were in shock (with 9 of 25 survivors). Results support the view that counterpulsation (alone or combined with corrective surgery) may play an important role in the complications of myocardial infarction provided intervention is early. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index