Intra-aortic balloon pump in cardiogenic shock: state of the art
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100102 |
Resumo: | ABSTRACT The clinical definition of cardiogenic shock is that of a low cardiac output and evidence of tissue hypoxia in the presence of adequate blood volume. Cardiogenic shock is the main cause of death related to acute myocardial infarction (AMI), with a mortality rate of 45-70% in the absence of aggressive and highly specialized technical care. The intra-aortic balloon pump (IABP) is one of the most widely used mechanical assisting devices. During the last two decades, about 42% of patients with AMI who evolved with cardiogenic shock received mechanical circulatory assistance with IABP. Its clinical indication has been based on non-randomized studies and registry data. Recent studies have shown that the use of IABP did not reduce 30-day mortality in patients with AMI and cardiogenic shock treated with the strategy of early myocardial revascularization as the planned primary objective. The guidelines of the American Heart Association and of the European Society of Cardiology have reassessed their recommendations based on the results of meta-analyzes, including the IABP-SCHOCK II Trial study, which did not evidence an increase in survival of patients who received mechanical support with IABP. This review article addresses the clinical impact of IABP use in the cardiogenic shock caused by AMI. |
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Intra-aortic balloon pump in cardiogenic shock: state of the artIntra-Aortic Balloon Pumping. ShockCardiogenic. Myocardial InfarctionABSTRACT The clinical definition of cardiogenic shock is that of a low cardiac output and evidence of tissue hypoxia in the presence of adequate blood volume. Cardiogenic shock is the main cause of death related to acute myocardial infarction (AMI), with a mortality rate of 45-70% in the absence of aggressive and highly specialized technical care. The intra-aortic balloon pump (IABP) is one of the most widely used mechanical assisting devices. During the last two decades, about 42% of patients with AMI who evolved with cardiogenic shock received mechanical circulatory assistance with IABP. Its clinical indication has been based on non-randomized studies and registry data. Recent studies have shown that the use of IABP did not reduce 30-day mortality in patients with AMI and cardiogenic shock treated with the strategy of early myocardial revascularization as the planned primary objective. The guidelines of the American Heart Association and of the European Society of Cardiology have reassessed their recommendations based on the results of meta-analyzes, including the IABP-SCHOCK II Trial study, which did not evidence an increase in survival of patients who received mechanical support with IABP. This review article addresses the clinical impact of IABP use in the cardiogenic shock caused by AMI.Colégio Brasileiro de Cirurgiões2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100102Revista do Colégio Brasileiro de Cirurgiões v.44 n.1 2017reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912017001006info:eu-repo/semantics/openAccessTHOMAZ,PETRONIO GENEROSOMOURA JÚNIOR,LEONEL ADELINOMURAMOTO,GIOVANAASSAD,RENATO SAMYeng2017-04-19T00:00:00Zoai:scielo:S0100-69912017000100102Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2017-04-19T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
title |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
spellingShingle |
Intra-aortic balloon pump in cardiogenic shock: state of the art THOMAZ,PETRONIO GENEROSO Intra-Aortic Balloon Pumping. Shock Cardiogenic. Myocardial Infarction |
title_short |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
title_full |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
title_fullStr |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
title_full_unstemmed |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
title_sort |
Intra-aortic balloon pump in cardiogenic shock: state of the art |
author |
THOMAZ,PETRONIO GENEROSO |
author_facet |
THOMAZ,PETRONIO GENEROSO MOURA JÚNIOR,LEONEL ADELINO MURAMOTO,GIOVANA ASSAD,RENATO SAMY |
author_role |
author |
author2 |
MOURA JÚNIOR,LEONEL ADELINO MURAMOTO,GIOVANA ASSAD,RENATO SAMY |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
THOMAZ,PETRONIO GENEROSO MOURA JÚNIOR,LEONEL ADELINO MURAMOTO,GIOVANA ASSAD,RENATO SAMY |
dc.subject.por.fl_str_mv |
Intra-Aortic Balloon Pumping. Shock Cardiogenic. Myocardial Infarction |
topic |
Intra-Aortic Balloon Pumping. Shock Cardiogenic. Myocardial Infarction |
description |
ABSTRACT The clinical definition of cardiogenic shock is that of a low cardiac output and evidence of tissue hypoxia in the presence of adequate blood volume. Cardiogenic shock is the main cause of death related to acute myocardial infarction (AMI), with a mortality rate of 45-70% in the absence of aggressive and highly specialized technical care. The intra-aortic balloon pump (IABP) is one of the most widely used mechanical assisting devices. During the last two decades, about 42% of patients with AMI who evolved with cardiogenic shock received mechanical circulatory assistance with IABP. Its clinical indication has been based on non-randomized studies and registry data. Recent studies have shown that the use of IABP did not reduce 30-day mortality in patients with AMI and cardiogenic shock treated with the strategy of early myocardial revascularization as the planned primary objective. The guidelines of the American Heart Association and of the European Society of Cardiology have reassessed their recommendations based on the results of meta-analyzes, including the IABP-SCHOCK II Trial study, which did not evidence an increase in survival of patients who received mechanical support with IABP. This review article addresses the clinical impact of IABP use in the cardiogenic shock caused by AMI. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100102 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100102 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912017001006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.44 n.1 2017 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209213638246400 |