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European Heart Journal 1986 7(5):396-403;
Copyright © 1986 by the European Society of Cardiology.
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© 1986 The European Society of Cardiology

Intraaortic balloon assistance in intractable cardiogenic shock

S. MOULOPOULOS, S. STAMATELOPOULOS and P. PETROU

Department of Clinical Therapeutics, Athens University Athens, Greece

Received 3 January 1985; revised 1 October 1985; .

Address for correspondence: S. D. Moulopoulos, M.D., Alexandra University Hospital, V. Sofias-K. Lourou streete, GR-115 28 Athens, Greece

Abstract

The efficacy of intraaortic counter pulsation (IABP) in severe cardiogenic shock after acute myocardial infarction is questioned because of the lack of a large controlled series.

Out of 52 patients treated for severe, prolonged cardiogenic shock 3 improved with ‘conventional’ treatment. Forty-nine patients did not improve and were in ‘intractable’ shock for an average of 10.74 ± 7.14 h {square}x $ SD).

Of these, 34 were treated with IABP. Ten survived longer than a month. Of the remaining 15 patients of similar age, severity and duration of shock, in whom the balloon could not be made to operate, none survived.

It is suggested that intraaortic counterpulsation can save a number of patients with severe protracted cardiogenic shock after all other available treatment modalities have failed.

Key Words: Postinfarction shock • intraaortic balloon pumping


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