The efficacy of PCI and IABP in the treatment of acute myocardial infarction complicated with cardiogenic shock
- VernacularTitle:急性心肌梗死合并心源性休克的经皮冠状动脉介入治疗及主动脉球囊反搏治疗疗效
- Author:
Dongfeng LU
;
Longgen XIONG
;
Shiming LIU
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Cardiogenic shock;
Intraaortic balloon pump;
Ercutaneous transluminal coronary angioplasty
- From:
Chinese Journal of Interventional Cardiology
2003;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of percutaneous transluminal coronary angioplasty (PTCA) and stent implantation with intraaortic balloon pump (IABP) on immediate death rate and cardiac function of patients with acute myocardial infarction (AMI) complicated with cardiogenic shock.Methods Emergency coronary angiography was taken 0.5-32 h after the attack, and PTCA and stent implantation performed on infarction related artery (IRA), supported by IABP until patients′ complications improved. Myocardial echocardiography was taken 5 weeks after operation.Results Except for 4 patients who died of aggravated shock or cardiac failure, all the patients had IRA reperfusion. Twenty-four patients had stents implanted (85.71%). Mean time from attack to reperfusion was 8.6 h, and death rate in the period of 5 weeks was 31.25%. EF of the 22 patients who survived was 0.43～0.67.Conclusion PTCA and stent implantation supported by IABP can improve results of operation,increase reperfusion rate, decrease immediate death rate and improve cardiac function.
