Correlates for mortality in patients presented with acute myocardial infarct complicated by cardiogenic shock.

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Citation: Cardiovascular Revascularization Medicine. 15(1):13-7, 2014 Jan.PMID: 24444472Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | Observational StudySubject headings: *Intra-Aortic Balloon Pumping/mo [Mortality] | *Myocardial Infarction/mo [Mortality] | *Myocardial Infarction/th [Therapy] | *Percutaneous Coronary Intervention/mo [Mortality] | *Shock, Cardiogenic/mo [Mortality] | *Shock, Cardiogenic/th [Therapy] | Aged | Cardiopulmonary Resuscitation/mo [Mortality] | Female | Heart Arrest/et [Etiology] | Heart Arrest/mo [Mortality] | Heart Arrest/th [Therapy] | Hemodynamics | Hospital Mortality | Humans | Intra-Aortic Balloon Pumping/ae [Adverse Effects] | Male | Middle Aged | Myocardial Infarction/co [Complications] | Myocardial Infarction/di [Diagnosis] | Myocardial Infarction/pp [Physiopathology] | Patient Discharge | Percutaneous Coronary Intervention/ae [Adverse Effects] | Retrospective Studies | Risk Assessment | Risk Factors | Shock, Cardiogenic/di [Diagnosis] | Shock, Cardiogenic/et [Etiology] | Shock, Cardiogenic/pp [Physiopathology] | Stroke Volume | Time Factors | Treatment Outcome | Ventricular Function, LeftLocal holdings: Available in print through MWHC library: 2002 - presentISSN:
  • 1878-0938
Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: BACKGROUND: Acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) is associated with high mortality rates.CONCLUSIONS: In the era of primary PCI and IABP as standard of care in AMI complicated by CS, patients with low EF, those who necessitate IABP insertion pre-PCI, and those who necessitate cardiopulmonary resuscitation during PCI are at higher risk for in-hospital mortality and should be considered for more robust hemodynamic support devices with an attempt to improve their prognosis. 2014.METHODS: From a cohort of patients with AMI, treated with both primary PCI and IABP and who met strict definitions for CS to identify correlates associated with mortality, the study compared patients who died in-hospital to those who survived to discharge.OBJECTIVE: This study aimed to explore the correlates for mortality in patients treated with both primary percutaneous coronary intervention (PCI) and intra-aortic balloon pump counter-pulsation (IABP).RESULTS: A cohort of 93 patients met the inclusion/exclusion criteria. Of them, 66.7% were male, and the average age was 64.96+13.06years. The overall in-hospital mortality rate for this cohort was 33%. The baseline characteristics were balanced save for older average age and left ventricular ejection fraction in those who died (p=0.049 and p=0.014, respectively). Insertion of IABP pre-PCI and cardiac arrest at the catheterization lab were more frequent in those who died (p=0.027 and p=0.008, respectively). The insertion of IABP pre-PCI, cardiac arrest at the cath lab, and lower ejection fraction were correlated with in-hospital mortality (ORs 2.68, 5.93, and 0.02, respectively).All authors: Barbash IM, Ben-Dor I, Dvir D, Loh JP, Minha S, Pendyala LK, Pichard AD, Satler LF, Torguson R, Waksman RDigital Object Identifier: Date added to catalog: 2014-11-11
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 24444472

Available in print through MWHC library: 2002 - present

BACKGROUND: Acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) is associated with high mortality rates.

CONCLUSIONS: In the era of primary PCI and IABP as standard of care in AMI complicated by CS, patients with low EF, those who necessitate IABP insertion pre-PCI, and those who necessitate cardiopulmonary resuscitation during PCI are at higher risk for in-hospital mortality and should be considered for more robust hemodynamic support devices with an attempt to improve their prognosis. 2014.

METHODS: From a cohort of patients with AMI, treated with both primary PCI and IABP and who met strict definitions for CS to identify correlates associated with mortality, the study compared patients who died in-hospital to those who survived to discharge.

OBJECTIVE: This study aimed to explore the correlates for mortality in patients treated with both primary percutaneous coronary intervention (PCI) and intra-aortic balloon pump counter-pulsation (IABP).

RESULTS: A cohort of 93 patients met the inclusion/exclusion criteria. Of them, 66.7% were male, and the average age was 64.96+13.06years. The overall in-hospital mortality rate for this cohort was 33%. The baseline characteristics were balanced save for older average age and left ventricular ejection fraction in those who died (p=0.049 and p=0.014, respectively). Insertion of IABP pre-PCI and cardiac arrest at the catheterization lab were more frequent in those who died (p=0.027 and p=0.008, respectively). The insertion of IABP pre-PCI, cardiac arrest at the cath lab, and lower ejection fraction were correlated with in-hospital mortality (ORs 2.68, 5.93, and 0.02, respectively).

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