Therapeutic effect of IABP combined noninvasive ventilator on patients with AMI complicated pump failure after emergency PCI
10.3969/j.issn.1008-0074.2014.05.19
- VernacularTitle:AMI并泵衰竭PCI后患者主动脉球囊反搏并呼吸机的疗效
- Author:
Hongyun RUAN
;
Chunguang FENG
;
Yanjiong WANG
;
Bing HAN
- Publication Type:Journal Article
- Keywords:
Counterpulsation;
Myocardial infraction;
Positive-pressure respiration
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(5):540-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and effect of intra-aortic balloon counterpulsation (IABP) combined non-invasive ventilator on recent curative effect in patients with acute myocardial infarction (AMI) complicated pump failure after emergency percutaneous coronary intervention (PCI) .Methods:A total of 105 patients ,who hospital-ized in our CCU because of AMI complicated pump failure from Jul 2012 to Jun 2014 ,were selected .They were di-vided into IABP group (n=68 ,received IABP and noninvasive ventilator based on routine treatment ) and routine treatment group (n=37 ,received routine treatment and noninvasive ventilator therapy ) ,and all patients received e-mergency coronary angiography ,PCI and medication etc .Changes of blood pressure ,heart rate ,urine volume , echocardiography and brain natriuretic peptide (BNP) level etc .,and incidence of complications and cardiac adverse events were observed and compared between two groups during hospitalization . Results:Compared with routine treatment group during hospitalization ,blood pressure significantly rose and heart rate gradually declined to stable ;there was significant rise in left ventricular ejection fraction [(35 ± 9)% vs .(37 ± 10)% ] ,and significant reductions in BNP level [ (467 ± 197) pmol/L vs .(236 ± 146) pmol/L] ,mortality rate (28.9% vs .19.1% ) and hospital stay [ (16.2 ± 4.1) d vs .(11.6 ± 3.4) d] in IABP group , P<0.05~ <0.01 .Conclusion:IABP combined noninvasive ventilator can effectively improve patient′s condition ,stabilize hemodynamic status , reduce in-hospital mortality rate and gain time for further therapy to improve prognosis in patients with AMI complicated pump failure .
