Sturm J T, Fuhrman T M, Igo S R, Holub D A, McGee M G, Fuqua J M, Norman J C
Artif Organs. 1980 Feb;4(1):8-12. doi: 10.1111/j.1525-1594.1980.tb03892.x.
This study attempts to quantitate post-infarction cardiogenic shock IABP dependence in instances of massive myocardial infarction with the use of hemodynamic indices plotted over time-course trajectories. Mortality is predicted when age and hemodynamic performance are also considered. It appears that post-infarction IABP dependence can be quantitated and that such information can be useful in considering diagnostic and therapeutic alternatives during the course of IABP support and cardiogenic shock. The analysis suggests that such IABP-dependent patients could be considered for therapeutic alternatives. They do not expire during the first 50 hours of IABP support and neither improve nor deteriorate during the second 50 hours of support. They remain in Class B without the occurrence of life-threatening ventricular dysrhythmias for a sufficient time for cardiac catheterization to determine the appropriateness of corrective procedures.
本研究试图通过绘制随时间进程轨迹的血流动力学指标，对大面积心肌梗死病例中梗死后心源性休克对主动脉内球囊反搏（IABP）的依赖程度进行量化。在考虑年龄和血流动力学表现时预测死亡率。似乎梗死后对IABP的依赖程度可以量化，并且这些信息在IABP支持和心源性休克过程中考虑诊断和治疗方案时可能有用。分析表明，此类依赖IABP的患者可考虑采用其他治疗方案。他们在IABP支持的前50小时内未死亡，在接下来的50小时支持期间既未改善也未恶化。他们保持在B级，在足够长的时间内未发生危及生命的室性心律失常，以便进行心导管检查以确定纠正措施的适宜性。
