Abstract
To the Editor:
Cardiogenic shock occurs in approximately 6–10% of patients with acute ST-segment elevation myocardial infarction (STEMI). Anterior STEMI patients with high heart rate or low systolic blood pressure may qualify as pre-shock patients and until recently these patients were frequently supported with an intra-aortic balloon pump (IABP). However, routine usage of the IABP patients with anterior STEMI and cardiogenic shock is not associated with clinical benefit and is no longer recommended. Therefore, research is currently directed at potentially more powerful devices for percutaneous mechanical circulatory support. However, evidence from randomized controlled trials is scarce, as this patient population is difficult to identify and study. [...]
Cardiogenic shock occurs in approximately 6–10% of patients with acute ST-segment elevation myocardial infarction (STEMI). Anterior STEMI patients with high heart rate or low systolic blood pressure may qualify as pre-shock patients and until recently these patients were frequently supported with an intra-aortic balloon pump (IABP). However, routine usage of the IABP patients with anterior STEMI and cardiogenic shock is not associated with clinical benefit and is no longer recommended. Therefore, research is currently directed at potentially more powerful devices for percutaneous mechanical circulatory support. However, evidence from randomized controlled trials is scarce, as this patient population is difficult to identify and study. [...]
| Original language | English |
|---|---|
| Pages (from-to) | 894-6 |
| Number of pages | 3 |
| Journal | International Journal of Cardiology |
| Volume | 202 |
| DOIs |
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| Publication status | Published - 1 Jan 2016 |
| Externally published | Yes |