Gruzdev A K, Lazarev I A, Popova V V, Sal'nikov D V, Boshkov V B, Tiurina Iu V, Sidorenko B A
The Use of Intraaortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction.
Kardiologiia. 2004;44(6):8-12.
Intraaortic balloon counterpulsation was implemented in 11 patients with acute myocardial infarction and 1 patient with unstable angina. All patients had severe multivessel coronary artery disease. In 9 patients counterpulsation was used in conjunction with percutaneous transluminal coronary angioplasty, in 3 - with thrombolytic therapy. During hospitalization 2 patients died of progressing heart failure, while significant improvement of hemodynamic parameters occurred in other patients. Thus intraaortic balloon counterpulsation used in combination with angioplasty and thrombolytic therapy is an easily accessible highly effective method of treatment of cardiogenic shock in patients with acute myocardial infarction
11例急性心肌梗死患者和1例不稳定型心绞痛患者接受了主动脉内球囊反搏治疗。所有患者均患有严重的多支冠状动脉疾病。9例患者的反搏治疗与经皮腔内冠状动脉成形术联合使用,3例与溶栓治疗联合使用。住院期间,2例患者死于进行性心力衰竭,而其他患者的血流动力学参数有显著改善。因此,主动脉内球囊反搏与血管成形术和溶栓治疗联合使用是治疗急性心肌梗死患者心源性休克的一种易于实施的高效方法。