We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Beneficial Effects of IABP in Anterior Myocardial Infarction Complicated by Cardiogenic Shock.
- Authors
Somaschini, Alberto; Cornara, Stefano; Leonardi, Sergio; Demarchi, Andrea; Mandurino-Mirizzi, Alessandro; Fortuni, Federico; Ferlini, Marco; Crimi, Gabriele; Camporotondo, Rita; Gnecchi, Massimiliano; Oltrona Visconti, Luigi; De Servi, Stefano; De Ferrari, Gaetano Maria
- Abstract
Background and Objectives. Recent guidelines have downgraded the routine use of the intra-aortic balloon pump (IABP) in patients with cardiogenic shock (CS) due to ST-elevation myocardial infarction (STEMI). Despite this, its use in clinical practice remains high. The aim of this study was to evaluate the prognostic impact of the IABP in patients with STEMI complicated by CS undergoing primary PCI (pPCI), focusing on patients with anterior MI in whom a major benefit has been previously hypothesized. Materials and Methods. We enrolled 2958 consecutive patients undergoing pPCI for STEMI in our department from 2005 to 2018. Propensity score matching and mortality analysis were performed. Results. CS occurred in 246 patients (8.3%); among these patients, 145 (60%) had anterior AMI. In the propensity-matched analysis, the use of the IABP was associated with a lower 30-day mortality (39.3% vs. 60.9%, p = 0.032) in the subgroup of patients with anterior STEMI. Conversely, in the whole group of CS patients and in the subgroup of patients with non-anterior STEMI, IABP use did not have a significant impact on mortality. Conclusions. The use of the IABP in cases of STEMI complicated by CS was found to improve survival in patients with anterior infarction. Prospective studies are needed before abandoning or markedly limiting the use of the IABP in this clinical setting.
- Subjects
AMERICAN Megatrends Inc.; ANTERIOR wall myocardial infarction; CARDIOGENIC shock; ST elevation myocardial infarction; INTRA-aortic balloon counterpulsation; PROPENSITY score matching
- Publication
Medicina (1010660X), 2023, Vol 59, Issue 10, p1806
- ISSN
1010-660X
- Publication type
Article
- DOI
10.3390/medicina59101806