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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Intra-Aortic Balloon Counterpulsation in Acute Myocardial Infarction Complicated by Cardiogenic Shock

1
Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences
2
Medical Academy, Lithuanian University of Health Sciences, Lithuania
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Authors to whom correspondence should be addressed.
Medicina 2011, 47(4), 30; https://doi.org/10.3390/medicina47040030
Received: 1 March 2011 / Accepted: 18 April 2011 / Published: 23 April 2011
Acute myocardial infarction complicated by cardiogenic shock is one of the main reasons of death in severely ill patients. One of the main indications for intra-aortic balloon counterpulsation is acute myocardial infarction complicated by cardiogenic shock. Aortic counterpulsation is associated with the risk of several important complications: bleeding, thrombosis, thrombocytopenia, limb ischemia, and aortic wall damage. The analysis of complications is necessary to better understand the course of myocardial infarction using aortic counterpulsation and to reduce the risk of complications. The aim of the study was to analyze the course of acute myocardial infarction complicated by cardiogenic shock in patients managed by intra-aortic balloon counterpulsation as well as to determine intra-aortic balloon counterpulsation-related complications.
Material and Methods
. The course of acute myocardial infarction complicated by cardiogenic shock in patients with aortic counterpulsation was analyzed. Patients were recruited from the Cardiology Intensive Care Unit, Department of Cardiology, Lithuanian University of Health Sciences, during the period of 2004–2010. The study comprised 73 patients: 30 women (41.1%) and 43 men (58.9%).
Results
. Atrial fibrillation and asystolia were the most common cardiac complications during counterpulsation. Atrioventricular block was the predominant disorder of cardiac conduction system; acute renal failure was the most common noncardiac complication. Complications such as major bleeding, infection, aortic wall damage, or amputations were not documented in our study. Successful percutaneous coronary intervention was associated with fewer complications and reduced mortality rate.
Conclusions
. Aortic counterpulsation may be successfully employed providing significant hemodynamic support with rare major complications in a high-risk patient population. A unique finding of this study is a high rate of successful applications of aortic counterpulsation.
Keywords: intra-aortic balloon counterpulsation; myocardial infarction; cardiogenic shock; percutaneous coronary intervention; complications intra-aortic balloon counterpulsation; myocardial infarction; cardiogenic shock; percutaneous coronary intervention; complications
MDPI and ACS Style

Macas, A.; Bukauskas, T.; Šuškevičienė, I.; Bakšytė, G.; Pieteris, L.; Tamošiūnas, T.; Mundinaitė, A.; Žaliūnas, R. Intra-Aortic Balloon Counterpulsation in Acute Myocardial Infarction Complicated by Cardiogenic Shock. Medicina 2011, 47, 30.

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