The curative effect of synthetic treatment for refractory acute myocardial infarction
| Autor: | Jing Xie, Yan-Zhen Wang, Tian-Xiang Liang, Yi-Rong Gan, Jiong Li, Ding-Xiong Xie, Rui Mao, Yunlong Zhang, Zong-Ke Kou |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Hybrid cardiac surgery Curative effect medicine.medical_specialty business.industry medicine.disease Surgery medicine.anatomical_structure Refractory Shock (circulatory) Conventional PCI medicine Original Article cardiovascular diseases Myocardial infarction medicine.symptom business Emergency percutaneous coronary intervention Artery |
| Zdroj: | Journal of Thoracic Disease. 10:1732-1737 |
| ISSN: | 2077-6624 2072-1439 |
| DOI: | 10.21037/jtd.2018.03.09 |
| Popis: | This study aims to investigate the curative effect of synthetic treatment for refractory acute myocardial infarction (AMI).A total of 76 patients with coronary AMI accompanied by shock, who were treated with combined therapy from August 1999 to April 2017, were included into this study. Sixty patients received emergency percutaneous coronary intervention (PCI). Among these patients, 39 patients received intra-aortic balloon counterpulsation (IABP), eight patients had failed PCI underwent emergency off-pump coronary artery bypass (E-OPCAB), and eight patients were treated by hybrid cardiac surgery.All patients were successfully rescued. However, two patients died afterward due to postoperative complications.For AMI patients complicated with shock, especially when emergency PCI fails or is difficult to perform, PCI + IABP, emergency E-OPCAB and hybrid cardiac surgery should be carried out, in order to achieve a good outcome and improve the success rate of rescue for this group of patients.Acute myocardial infarction (AMI); emergency percutaneous coronary intervention (PCI); intra-aortic balloon counterpulsation (IABP); emergency off-pump coronary artery bypass (E-OPCAB); hybrid cardiac surgery. |
| Databáze: | OpenAIRE |
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