Impact of intra-aortic balloon pumping on hypotension and outcomes in acute right ventricular infarction
| Autor: | James A. Goldstein, Michael W. McNamara, Simon R. Dixon |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Mean arterial pressure medicine.medical_specialty Heart Ventricles Ventricular Dysfunction Right Shock Cardiogenic Hemodynamics Blood Pressure Inferior Wall Myocardial Infarction Intra-Aortic Balloon Pumping Ventricular tachycardia Cohort Studies Internal medicine medicine Humans Myocardial infarction Aged Retrospective Studies Ejection fraction business.industry General Medicine Middle Aged medicine.disease Blood pressure Treatment Outcome Anesthesia Shock (circulatory) Cardiology Female medicine.symptom Hypotension Cardiology and Cardiovascular Medicine business |
| Zdroj: | Coronary artery disease. 25(7) |
| ISSN: | 1473-5830 |
| Popis: | OBJECTIVES This study investigated the immediate hemodynamic effects of intra-aortic balloon pump (IABP) support and clinical outcomes in patients with acute right ventricular infarction (RVI) complicated by hypotension. BACKGROUND IABP improves hypotension in patients with acute myocardial infarction and left ventricular shock, but the effects have not been well studied in acute RVI with predominant right ventricular shock. METHODS We retrospectively analyzed hemodynamics and clinical outcomes in 32 patients with acute inferior ST elevation myocardial infarction complicated by RVI, in whom hypotension requiring IABP placement developed despite intact left ventricular ejection fraction. RESULTS Pre-IABP hypotension was present in all (100%) patients, and in every case IABP augmentation increased mean arterial pressure (55.9±7.4 to 76.8±14.7 mmHg, P |
| Databáze: | OpenAIRE |
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