| Title | Intraaortic balloon pumping as the postangioplasty strategy in acute myocardial infarction. | | Author(s) | Ishihara M, Sato H, Tateishi H, Uchida T, Dote K | | Institution | Department of Cardiology, Hiroshima City Hospital, Japan. | | Source | Am Heart J 1991 Aug; 122(2):385-9. | | MeSH | Angioplasty, Transluminal, Percutaneous Coronary
Combined Modality Therapy
Emergencies
Female
Humans
Incidence
Intra-Aortic Balloon Pumping
Male
Middle Aged
Myocardial Infarction
Myocardial Reperfusion
Recurrence
Ventricular Function, Left
| | Abstract | To assess the usefulness of intraaortic balloon pumping (IABP) in acute myocardial infarction (AMI), 114 patients with anterior AMI undergoing emergency percutaneous transluminal coronary angioplasty (PTCA) for total occlusion of the left anterior descending artery were studied. After successful PTCA 66 patients were treated with conventional therapy (group I), and 48 patients were treated with IABP for 25 +/- 8 hours (group II). The reocclusion rate was significantly lower in group II (2.4% vs 17.7% p less than 0.05). An increase in ejection fraction in group II compared with group I was marginally significant (4.5 +/- 12.2% vs 9.2 +/- 13.0%, p = 0.08). Vascular complications occurred in two patients, but there were no deaths from IABP. These results suggest that after successful PTCA for acute myocardial infarction, IABP prevents reocclusion and may add strength to reperfusion in the improvement of left ventricular function. | | Language | eng | | Pub Type(s) | Clinical Trial
Comparative Study
Controlled Clinical Trial
Journal Article
| | PubMed ID | 1858618 |
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