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[The intraaortic balloon counterpulsation (author's transl)].
Giornale Italiano Di Cardiologia
|May 1, 1978
Summary
Intra-aortic balloon counterpulsation can improve outcomes for patients with cardiogenic shock or acute ischemic episodes. Early intervention is crucial for better results in these critical cardiac conditions.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Devices
Context:
- Harefield Hospital reported clinical experience with intra-aortic balloon counterpulsation.
- Data collected from September 1973 to September 1977 involved 87 patients.
Purpose:
- To report indications for and clinical outcomes of intra-aortic balloon counterpulsation.
- To analyze patient outcomes based on the underlying cardiac condition and surgical intervention.
Summary:
- Indications included postinfarction cardiogenic shock (28 cases), acute ischemic episodes (19 cases), and postoperative cardiogenic shock (40 cases).
- Mortality rates varied: 40% for postinfarction shock with surgery, 10% for acute ischemic episodes with surgery, and 47% overall for postoperative shock (18% for coronary artery bypass surgery, 83% for valve surgery).
Impact:
- Early recognition and treatment are essential for optimal results with intra-aortic balloon counterpulsation.
- Outcomes are significantly influenced by the specific cardiac condition and subsequent surgical procedures.