open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28
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Original article
Indications, results of therapy and factors which influence survival in patients treated with intra-aortic balloon counterpulsation

Anna Olasińska-Wiśniewska, Tatiana Mularek-Kubzdela, Stefan Grajek, Piotr Bręborowicz, Wojciech Seniuk, Tomasz Podżerek
Kardiol Pol 2008;66(9):950-955.

open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28

Abstract


Background and aim: During nearly 40 years of intraaortic balloon counterpulsation (IABP) application in advanced medical therapy more and more indications for this treatment have been proposed. Despite increasing experience with IABP, the clinical effects of IABP use are still unclear. The aim of this study was to determine results of IABP use and factors which influence survival in cardiogenic shock (CS) caused by different clinical disorders when treated with IABP.
Methods: 73 patients (mean age 58.3±12.6 years, 54 males) undergoing IABP were included in the study. Data were collected retrospectively. After analysis of the whole population a subgroup of patients admitted due to acute myocardial infarction (AMI) was evaluated. The in-hospital and overall mortality rates were assesed.
Results: In-hospital death occurred in 31 (42.5%) patients. Over half of these patients (n=17; 54.8%) died during first 7 days from admission. The main reason for IABP introduction was CS due to acute coronary syndrome (ACS) at admission in 62 (84.9%) patients. The in-hospital mortality in patients with AMI complicated by CS was 40.7%. The features which significantly influenced survival in patients with AMI were age – patients who died were older (64±8.9 vs. 58.6±9,1; p=0.0285), and ST segment changes – there was lower mortality rate in a subgroup with ST elevation AMI (18 vs. 6 patients, p=0.003). We also observed slightly higher incidence of anterior wall AMI in survivors than in non-survivors (p=0.06).
Conclusion: Our study presents several disorders which may be treated with IABP. Acute MI still remains the most frequent indication for IABP insertion. In the present study, AMI survivors and non-survivors, differed mainly in age, ST segment changes and infarction site. Non ST segment elevation AMI was associated with worse prognosis.

Abstract


Background and aim: During nearly 40 years of intraaortic balloon counterpulsation (IABP) application in advanced medical therapy more and more indications for this treatment have been proposed. Despite increasing experience with IABP, the clinical effects of IABP use are still unclear. The aim of this study was to determine results of IABP use and factors which influence survival in cardiogenic shock (CS) caused by different clinical disorders when treated with IABP.
Methods: 73 patients (mean age 58.3±12.6 years, 54 males) undergoing IABP were included in the study. Data were collected retrospectively. After analysis of the whole population a subgroup of patients admitted due to acute myocardial infarction (AMI) was evaluated. The in-hospital and overall mortality rates were assesed.
Results: In-hospital death occurred in 31 (42.5%) patients. Over half of these patients (n=17; 54.8%) died during first 7 days from admission. The main reason for IABP introduction was CS due to acute coronary syndrome (ACS) at admission in 62 (84.9%) patients. The in-hospital mortality in patients with AMI complicated by CS was 40.7%. The features which significantly influenced survival in patients with AMI were age – patients who died were older (64±8.9 vs. 58.6±9,1; p=0.0285), and ST segment changes – there was lower mortality rate in a subgroup with ST elevation AMI (18 vs. 6 patients, p=0.003). We also observed slightly higher incidence of anterior wall AMI in survivors than in non-survivors (p=0.06).
Conclusion: Our study presents several disorders which may be treated with IABP. Acute MI still remains the most frequent indication for IABP insertion. In the present study, AMI survivors and non-survivors, differed mainly in age, ST segment changes and infarction site. Non ST segment elevation AMI was associated with worse prognosis.
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Keywords

cardiogenic shock; intraaortic balloon pumping; myocardial infarction

About this article
Title

Original article
Indications, results of therapy and factors which influence survival in patients treated with intra-aortic balloon counterpulsation

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 9 (2008)

Pages

950-955

Published online

2008-09-30

Bibliographic record

Kardiol Pol 2008;66(9):950-955.

Keywords

cardiogenic shock
intraaortic balloon pumping
myocardial infarction

Authors

Anna Olasińska-Wiśniewska
Tatiana Mularek-Kubzdela
Stefan Grajek
Piotr Bręborowicz
Wojciech Seniuk
Tomasz Podżerek

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