Primary cardiogenic shock during acute myocardial infarction: results of emergency cardiac transplantation
| Autor: | G. Dureau, Canu G, Ph. Chevalier, Champagnac D, Gilbert Kirkorian, M. Chuzel, Desseigne P, L. Lyon, Jacques Ninet, J. Ph. Claudel, P. Touboul |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Shock Cardiogenic Infarction Heart-Lung Machine Chest pain Internal medicine medicine Humans Myocardial infarction Aged Heart transplantation business.industry Cardiogenic shock Hemodynamics Middle Aged medicine.disease Transplantation Treatment Outcome Shock (circulatory) Cardiology Myocardial infarction complications Heart Transplantation medicine.symptom Emergencies Cardiology and Cardiovascular Medicine business |
| Zdroj: | European heart journal. 14(7) |
| ISSN: | 0195-668X |
| Popis: | Fifteen patients with acute myocardial infarction and cardiogenic shock underwent emergency cardiac transplantation after medical treatment failed to improve their haemodynamic status. Their mean age was 49 +/- 7 years. The infarction was anterior in 12 cases, inferoposterior in two cases, and septal in one. Shock occurred within 3 days after the onset of chest pain in nine patients, and during the first day in six of them. Mechanical circulatory assistance was used in six patients as a bridge to transplantation when their haemodynamic status could not be stabilized pharmacologically. Orthotopic cardiac transplantation was performed an average of 15.6 +/- 14 days after onset of infarction. Three patients died during the early post-operative period. Another died 7 months after transplantation. During the mean follow-up period of 30.6 +/- 20.3 months, there were three acute rejections, all successfully treated, and one chronic rejection. The survival rate for this series is 70%. Thus, emergency cardiac transplantation may be the best option for selected patients with acute myocardial infarction and cardiogenic shock refractory to conventional therapy. |
| Databáze: | OpenAIRE |
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