Invasive therapeutic strategies in acute heart failure complicating coronary artery disease: effectiveness and boundaries

Poerner, Tudor C.
September 2007
Maedica - a Journal of Clinical Medicine;2007, Vol. 2 Issue 3, p222
Academic Journal
Acute heartfailure and especially its most severe form, the cardiogenic shock, remains the final common pathway to death in a substantial number ofpatients with acute myocardial infarction(MI). Several studies demonstrated that mechanical reperfus ion of occluded coronary arteries by percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery improves survival in patients with acute MI and cardiogenic shock. There is strong evidence that intra-aortic balloon pump (IABP) support and ventricular assist devices can stabilize heinodynamics in these patients so that revascularization procedures can be safely performed. This article provides an overview of the therapeutic strategies for acute MI with cardiogenic shock, with focus on the role and particularities of different devices used as mechanic circulatory support in these patients.


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