Intra-aortic balloon counterpulsation: impact on patient hemodynamics in acute myocardial infarction complicated by cardiogenic shock

Braždžionytė, Julija; Macas, Andrius; Mickevičienė, Audronė; Bakšytė, Giedrė

doi:10.1186/cc5398

Cited by 5 publications

(5 citation statements)

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“…In this single-center study changes were analyzed in the hemodynamic profile of AMI patients by using ICG. Although a good correlation between impedance diagnostics and invasive assessment of cardiac output and systemic vascular resistance has been reported [10,11], thus far, data is mostly limited to heart failure [12][13][14][15][16][17][18][19] and with only a few AMI subsets examined [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography

Lewicki¹,

Fijałkowska²,

Karwowski³

et al. 2021

Cardiol J.

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Background: The purpose of this study was to analyze hemodynamic changes in patients treated with percutaneous coronary intervention (PCI) at an early stage of acute myocardial infarction (AMI) and at 1-month follow-up. Methods: Patients with AMI (n = 27) who underwent PCI were analyzed using impedance cardiography (ICG). ICG data were collected continuously (beat by beat) during the whole PCI procedure and thereafter at every 60 s for the next 24 h. Blood pressure was taken every 10 min and stored for analysis. Additionally the following parameters were measured: cardiac index (CI), stroke volume index (SVi), left cardiac work index (LCWi), contractility index (CTi), ventricular ejection time (VET), systemic vascular resistance index (SVRi), thoracic fluid content index (TFCi) and heart rate (HR). Results: In the first 24 h after PCI all the contractility parameters including CI, SVi, LCWi, CTi and VET significantly decreased, whereas HR, SVRi and TFCi increased compared to baseline. All of the parameters examined got normalized at 1 month. The CI, SVi, LCWi, CTi, SVRi did not significantly differ from baseline, however the HR and VET were significantly lower compared to first day after PCI. Conclusions: Cardiac performance deteriorates early after PCI and normalizes after 1 month in patients with an AMI. ICG is useful for hemodynamic monitoring of AMI patients during and after invasive therapy.

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Section: Discussionmentioning

confidence: 99%

The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography

Lewicki¹,

Fijałkowska²,

Karwowski³

et al. 2021

Cardiol J.

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“…Patients with CS demonstrate clinical signs of low cardiac output and adequate intravascular volume [10].…”

Section: Discussionmentioning

confidence: 99%

Cardiogenic shock as a first presentation in acute myocardial infarction in Egyptian's patients and its outcome

Elbaih¹,

Elsayed²,

Nasr³

et al. 2017

Med-Science

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Cardiogenic shock secondary to acute myocardial infarction continues to be a frustrating problem of great clinical significance. With improvements in the medical management of AMI, particularly the treatment of ventricular arrhythmias, CS has emerged as the most common cause of death (7 to 12%) of all patients admitted with myocardial infarction. Was to minimise the impact of acute MI and/or its complications especially cardiogenic shock by early detection and rapid diagnosis to improve management processes. The study was descriptive, comprehensive study that included 60 patients presented with acute myocardial infarction with or without cardiogenic shock. Firstly assessed clinical, Electrocardiography and cardiac enzymes with treatment accordingly to Advanced Cardiac Life Support (ACLS) guidelines and treat the life threading conditions if present with follow-up throughout their hospital stays for Major Adverse Cardiac Events (MACE) that included death, reinfarction. The incidence of cardiogenic shock as the presenting problem in acute MI was 13.3%. The Patients with cardiogenic shock stayed more in the hospital with significantly more incidence of reinfarction and in-hospital mortality. Cases with CS were older in age, had a higher incidence of diabetes mellitus, angina, previous MI and heart failure, a larger size of infarction, as reflected in increased level of cardiac enzymes, and was found in patients with CS.

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“…Neoperuotos aortos atsisluoksniavimo atvejais, reabilitacija ir kitos priemonės kontraindikuotinos. Po aortos atsisluoksniavimo operaci-jos galimos šios komplikacijos: intraoperacinė hipotenzija, ūminis išeminis sindromas, ūminis širdies nepakankamumas, kardiogeninis šokas, kvėpavimo funkcijos nepakankamumas, ūminis smegenų kraujotakos nepakankamumas, insultas, postoperacinė antrinė paraplegija, kraujavimas, sepsis, žaizdų infekcija, ūminis inkstų funkcijos nepakankamumas, protezo trombozė, protezo išplyšimas (25,27,28). Todėl visais atvejais, įvykus aortos atsisluoksniavimui, specialisto ambulatorinė priežiūra indikuotina po 3, 6, 9, 12 mėn., po to vieną kartą per metus.…”

Section: Sergančiųjų Aortos Atsisluoksniavimu Ambulatorinis Stebėjimasunclassified

Aortic dissection

Buivydaitė

Semėnaitė²,

Braždžionytė³

et al. 2008

Medicina

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Aortic dissection is an acute lesion of the aortic wall accompanied by separation of the media due to rupture or intramural hematoma. The incidence rate of aortic dissection is 5 to 30 cases per million people a year. Acute aortic dissection is a highly lethal cardiovascular emergency with an incidence of 2000 new cases per year in the United States and 3000 in Europe. The mortality rate of aortic dissection is 3.2/100 000 per year. In case of sudden death of nonhospitalized patients, aortic dissection was proved in 1.5% of necropsy cases. Most of patients die within 48 hours after admission or 1.4% per each hour. The main clinical manifestations of aortic dissection are acute myocardial infarction, stroke, pulmonary embolism, acute heart failure, acute pancreatitis, mesenteries thrombosis, which mislead the physician. The main measure, which might reduce the mortality, is early diagnosis of aortic dissection. The standard diagnosis is based on clinical symptoms and verification by instrumental (imaging) methods. An alternative mean for diagnosis of aortic dissection might be the determination of concentration of smooth muscle myosin heavy chain protein in blood serum, the peak of which is found after 3 hours after the onset of pain. Normal value of smooth muscle myosin heavy chain protein concentration is 2.5 mg/L, while in case of aortic dissection it exceeds 22.4 mg/L. This diagnostic method has not been introduced in Lithuania yet.

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Intra-aortic balloon counterpulsation: impact on patient hemodynamics in acute myocardial infarction complicated by cardiogenic shock

Cited by 5 publications

References 0 publications

The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography

The non-invasive evaluation of heart function in patients with an acute myocardial infarction: The role of impedance cardiography

Cardiogenic shock as a first presentation in acute myocardial infarction in Egyptian's patients and its outcome

Aortic dissection

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