McGee J E
J Natl Med Assoc. 1981 Sep;73(9):885-7.
The mortality from acute myocardial infarction has declined 14-18 percent since the advent of coronary care units. This decline has been attributed to the early detection and prophylactic treatment of cardiac arrhythmias and conduction disturbances. Infarction complicated by congestive heart failure and cardiogenic shock accounts for major residual mortality. Available evidence in man have shown reversal of cardiogenic shock with the use of mechanical circulatory assistance via the intra-aortic balloon pump (IABP). Expanded IABP use now includes unstable angina refractory to medical therapy and post infarction ischemic pain. Future roles of IABP include its earlier use in the management of complicated myocardial infarction, as well as a modality useful in reducing myocardial infarction size.
自从冠心病监护病房出现以来，急性心肌梗死的死亡率已经下降了14%至18%。这种下降归因于心律失常和传导障碍的早期检测和预防性治疗。并发充血性心力衰竭和心源性休克的梗死是主要的残余死亡原因。在人体中的现有证据表明，通过主动脉内球囊泵（IABP）使用机械循环辅助可逆转心源性休克。IABP目前的扩大应用包括药物治疗无效的不稳定型心绞痛和梗死后缺血性疼痛。IABP未来的作用包括在复杂心肌梗死的管理中更早使用，以及作为一种有助于减少心肌梗死面积的方法。
