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Clinical Cardiology Journal

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The Effect of Intra-Aortic Balloon Pump Counterpulsation in Patients with Cardiogenic Shock Due to Myocardial Infarction - A Research Study

Author(s): Nguyen Manh Dung*, Le Thi Viet Hoa, Tran Duy Anh and Nguyen Hai Ghi

Albeit there have been many studies on IABP, there is no description about the time since the patient was shocked until the ball was placed and applied other treatments, and hence, there are not enough grounds to conclude the effectiveness of the IABP concerning the outcome or the degree of hemodynamic improvement immediately after placing the balloon - This is a bridge to apply coronary revascularization measures. This study aims to assess the effectiveness and safety of intra-aortic balloon pump counter-pulsation (IABP) in hemodynamic support to patients with CS due to myocardial infarction. Efficacy of intra-aortic balloon pump counter-pulsation (IABP) in hemodynamic support to patients with cardiogenic shock after myocardial infarction was a rapid recovery of hemodynamics after placing the shadow. The average time of shock escape is 24.1hours.The time from shock to the placing of the ball was 12.62 hours; the survival group placed the ball earlier than the mortality group (696 compared to 20.37 hours). The number of saved balls was 58.33 hours, the shortest is 4 hours, the longest is 240 hours (10 days).ICU day: 5.81 days, mechanical ventilation: 121.1 hours. Survival rate was 57.8%, the mortality rate was 42.2%.The study did not encounter technical problems: helium gas leakage, stabbing catheter fracture and the rate of infection was 8.8%, of which the infection at the ball placement was 6.6% and the systemic infection was 2.2%. Complications of thrombocytopenia: 8.8%, local bleeding 4.4%, limb ischemia of 4.4%.

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