PMID- 6978113
OWN - NLM
STAT- MEDLINE
DCOM- 19820512
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 33
IP  - 2
DP  - 1982 Feb
TI  - Delayed operative intervention in cardiogenic shock after myocardial infarction.
PG  - 132-8
AB  - In a four-year period, 45 patients underwent counterpulsation for cardiogenic 
      shock following myocardial infarction. Of these patients, 27 underwent 
      angiography. Fifteen of them were not considered to be operative candidates 
      because angiography demonstrated only single-vessel disease or diffuse distal 
      coronary artery disease. Twelve patients were candidates for operation and were 
      divided into three subgroups depending on the time of surgical intervention. One 
      patient (Group 1) deteriorated while on counterpulsation, and underwent urgent 
      angiography and operative intervention within 24 hours of balloon insertion. He 
      is now in New York Heart Association (NYHA) Functional Class I. Group 2 consisted 
      of 7 patients whose condition stabilized with use of the balloon but who could 
      not be weaned. All underwent angiography from 7 to 14 days after insertion of the 
      balloon. One patient died suddenly prior to operation. Six patients underwent 
      coronary bypass from 8 to 21 days after balloon insertion. Five survived and are 
      in NYHA Class II or III. Four patients were able to be weaned after angiography 
      (Group 3). All had triple-vessel disease. Operation was undertaken six to eight 
      weeks after infarction to treat persistent congestive heart failure or angina, or 
      to improve chances of long-term survival. Two patients in this group survived. 
      Our experience demonstrates that delayed intervention is an acceptable 
      alternative to urgent operation.
FAU - Hines, G L
AU  - Hines GL
FAU - Mohtashemi, M
AU  - Mohtashemi M
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Angiography
MH  - *Assisted Circulation
MH  - Coronary Angiography
MH  - *Coronary Artery Bypass
MH  - Humans
MH  - *Intra-Aortic Balloon Pumping
MH  - Myocardial Infarction/*complications
MH  - Shock, Cardiogenic/etiology/*therapy
EDAT- 1982/02/01 00:00
MHDA- 1982/02/01 00:01
CRDT- 1982/02/01 00:00
PHST- 1982/02/01 00:00 [pubmed]
PHST- 1982/02/01 00:01 [medline]
PHST- 1982/02/01 00:00 [entrez]
AID - S0003-4975(10)61898-X [pii]
AID - 10.1016/s0003-4975(10)61898-x [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1982 Feb;33(2):132-8. doi: 10.1016/s0003-4975(10)61898-x.