Experience from a randomized controlled trial with Impella 2.5 versus IABP in STEMI patients with cardiogenic pre-shock: Lessons learned from the IMPRESS in STEMI trial

D M Ouweneel, A E Engstrom, K D Sjauw, A Hirsch, J M Hill, B Gockel, V Tuseth, R J van der Schaaf, J P S Henriques*

*Corresponding author for this work

Research output: Contribution to journalComment/Letter to the editorAcademicpeer-review

74 Citations (Scopus)

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. [...]
Original languageEnglish
Pages (from-to)894-6
Number of pages3
JournalInternational Journal of Cardiology
Volume202
DOIs
Publication statusPublished - 1 Jan 2016
Externally publishedYes

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