Waksman R, Weiss A T, Gotsman M S, Hasin Y
Department of Cardiology, Hadassah University Hospital, Jerusalem, Israel.
Eur Heart J. 1993 Jan;14(1):71-4. doi: 10.1093/eurheartj/14.1.71.
The impact of intra-aortic balloon counterpulsation (IABC) on survival of patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) has been evaluated in this study of 85 patients. IABC was available for the 24 group A patients (and used in 20 patients). IABC was not available for the 21 group B patients who presented simultaneously with similar clinical characteristics and received identical pharmacological treatment. In-hospital and one year survival was significantly higher in group A (46% and 38% vs 19% and 10%, P < 0.001). Sixteen out of the 20 (group A1) IABC patients received early coronary revascularization. During 1980-1984, 35 patients with AMI and CS received IABC (group C) but none underwent early revascularization. There was no difference in in-hospital or one-year survival between group A1 (50% and 40%) and group C (45% and 40%). We conclude that early IABC improves survival of patients with AMI complicated by CS.
本研究对85例急性心肌梗死（AMI）合并心源性休克（CS）患者进行了评估，以探讨主动脉内球囊反搏（IABC）对其生存的影响。24例A组患者可使用IABC（其中20例使用了）。21例B组患者同时出现，具有相似的临床特征并接受相同的药物治疗，但无法使用IABC。A组患者的院内生存率和1年生存率显著更高（分别为46%和38%，对比19%和10%，P<0.001）。20例（A1组）IABC患者中有16例接受了早期冠状动脉血运重建。1980年至1984年期间，35例AMI合并CS患者接受了IABC（C组），但均未进行早期血运重建。A1组（50%和40%）和C组（45%和40%）的院内生存率或1年生存率无差异。我们得出结论，早期IABC可提高AMI合并CS患者的生存率。
