Outcomes of STEMI Complicated by Cardiogenic Shock With and Without IABP

被引:0
作者
Batra, Mahesh Kumar [1 ]
Khan, Kamran Ahmed [1 ]
Saghir, Tahir [1 ]
Rai, Lajpat [2 ]
Sial, Jawaid Akbar [1 ]
Kumar, Rajesh [1 ]
Mengal, Muhammad Naeem [1 ]
Saqib, Omer [1 ]
Khan, Naveedullah [1 ]
Khowaja, Sanam [1 ]
Rizvi, Nadeem Hasan [1 ]
Qamar, Nadeem [1 ]
Achakzai, Abdul Samad [1 ]
Kumar, Ashok [2 ]
Karim, Musa [1 ]
机构
[1] Natl Inst Cardiovasc Dis NICVD, Karachi, Pakistan
[2] Natl Inst Cardiovasc Dis NICVD, Hyderabad, Pakistan
来源
IRANIAN HEART JOURNAL | 2023年 / 24卷 / 01期
关键词
Acute myocardial infarction; Cardiogenic shock; Revascularization; IABP; MACE; ACUTE MYOCARDIAL-INFARCTION; INTRAAORTIC BALLOON COUNTERPULSATION; EARLY REVASCULARIZATION; EUROPEAN-SOCIETY; BLOOD-FLOW; TASK-FORCE; MANAGEMENT; GUIDELINES; SURVIVAL; PUMP;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The results of the IABP-SHOCK II trial did not encourage the use of an intra-aortic balloon pump (IABP) in cardiogenic shock (CS) with ST-elevation myocardial infarction (STEMI). We aimed to determine whether these findings may be applicable to our population in the South Asian region, as there is a paucity of data.Methods: In this prospective cohort study, 2 independent cohorts of STEMI patients with CS were recruited based on the utilization of IABP during revascularization. The primary endpoints of in-hospital and after 30 days of major adverse cardiac events (MACE) and the secondary endpoint of any major bleed were compared between the 2 cohorts.Results: In total, each cohort consisted of 130 patients. Demographic, clinical, and angiographic profiles were comparable in the 2 cohorts. In the IABP and non-IABP cohorts, the in -hospital and 30-day mortality rates were 19.2% vs 26.2%; P=0.183 and 30.8% vs 36.9%; P=0.358, respectively, while the MACE rates were 20.8% vs 26.2%; P=0.306 and 32.3% vs 36.9%; P=0.434, respectively. Cardiac catheterization laboratory death was 0.8% vs 5.4%; P=0.031 and the major bleed was 4.6% vs 3.8%; P=0.758, among patients managed with IABP and without IABP, respectively.Conclusions: Our study concluded that while there was no significant difference in the overall outcome, there was a lower trend in in-hospital mortality and significantly lower cardiac catheterization laboratory death with the use of IABP. However, the in-hospital and 30 -day MACE were comparable in both groups.
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页码:69 / 77
页数:9
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