Prognostic Impact of Early Induction of Intra-Aortic Balloon Pump Counterpulsation in High-Risk Patients With Acute Heart Failure

Shibahashi, Eiji; Jujo, Kentaro; Yoshida, Akira; Kawakami, Emiko; Minami, Yuichiro; Hagiwara, Nobuhisa

doi:10.1016/j.amjms.2020.10.010

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…These findings are in line with another recent observational trial in 57 patients with reduced ejection fraction admitted with a systolic blood pressure < 100 mmHg. Patients treated early with an IABP had significantly lower 30-day mortality than patients who received the IABP later or were not treated with counterpulsation [24].…”

Section: Intraaortic Counterpulsation In Cardiogenic Shockmentioning

confidence: 89%

Still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock?

Heringlake¹,

Berggreen²,

Paarmann³

2021

Crit Care

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Section: Intraaortic Counterpulsation In Cardiogenic Shockmentioning

confidence: 89%

Still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock?

Heringlake¹,

Berggreen²,

Paarmann³

2021

Crit Care

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“…In our study, the decision to start IABP support was immediate and the activation of the team started with an imminent deterioration of the patient's condition. Our point of view is reinforced by studies that investigated the impact of early induction of IABP on the prognosis of high-risk patients with acute heart failure (AcHF) and concluded that was associated with a lower incidence of the primary endpoint (35.9% vs. 53.5%, p<0.026) and a lower mortality rate (23.1% vs. 44.9%, p<0.003) at 1 year compared to those who did not receive early IABP and that it was an independent predictor of improved prognosis at 1 year, overall suggesting that early induction of IABP may have a positive impact on the prognosis of high-risk patients with AcHF [26].…”

Section: Escalation Of Tmcs and Placement Of Ecmo Aftermentioning

confidence: 89%

IABP as a Bridge to Decision: A Less Aggressive but Still Effective Approach in Advanced HF Patients with Cardiogenic Shock

2023

J Nurs Women’s Health

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In this study, we evaluated the effectiveness of Intra-aortic balloon pump (IABP) therapy in improving hemodynamics and peripheral organ function in advanced heart failure (AdHF) patients who were admitted to the Cardiac Intensive Care (CICU) of a tertiary, high-volume, transplant center with impending or established cardiogenic shock.Hundred-four patients were studied their mean age of was 44 ± 12 years, 76 of them (73.08%) were male. All patients underwent IABP therapy. The median time on IABP support for the entire cohort was 13 days (3 -41.25). The survival rate was 87.62% (88 patients). We observed our cohort's significant improvement in the hemodynamics after right heart catheterization with a decrease of the right atrium pressure (p <0. 0001), PA pressure (p<0.001), and pulmonary capillary wedge pressure (p<0.001)). There was also a significant decrease in the NT-proBNP levels (p<0.0001), and improvement in renal function (e GFR (p<0.0001), and urea levels (p<0.001). Sixteen patients (15.38%) ended up in CICU on IABP. We found a significant correlation of death with NT-proBNP levels (p< 0.0014), renal function (p< 0.001), and application of renal dialysis (p< 0.0001), intubation (p<0.006), and with the value of 24-hour lactic acid (p<0.0001).IABP was an effective initial intervention for AdHF patients experiencing severe clinical deterioration. It was a first-line method of managing patients as a bridge to decision for further therapies with positive clinical response in improving their hemodynamics and peripheral organ function.

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Still a Place for Aortic Counterpulsation in Cardiac Surgery and Patients with Cardiogenic Shock?

Heringlake¹,

Berggreen²,

Paarmann³

2021

Annual Update in Intensive Care and Emergency Medicine 2021

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Prognostic Impact of Early Induction of Intra-Aortic Balloon Pump Counterpulsation in High-Risk Patients With Acute Heart Failure

Cited by 4 publications

References 18 publications

Still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock?

Still a place for aortic counterpulsation in cardiac surgery and patients with cardiogenic shock?

IABP as a Bridge to Decision: A Less Aggressive but Still Effective Approach in Advanced HF Patients with Cardiogenic Shock

Still a Place for Aortic Counterpulsation in Cardiac Surgery and Patients with Cardiogenic Shock?

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