Intra-Aortic Balloon Counterpulsation in Cardiogenic Shock

Temporal Trends in Cardiogenic Shock Complicating Acute Myocardial Infarction

“…The use of intraaortic balloon counterpulsation in patients with cardiogenic shock has been shown to result in initially favorable clinical and hemodynamic responses; however, in the majority of studies in which this intervention was used, death was merely delayed. 26,27 A number of nonrandomized studies suggest that percutaneous transluminal coronary angioplasty improves short-term survival among patients with cardiogenic shock, with survival contingent on the successful establishment of coronary reperfusion. 14,15,28,29 Uncontrolled studies of bypass grafting show that this therapy improves short-term survival among patients with cardiogenic shock when they are treated soon after shock has developed.…”

I Diretriz Latino-Americana para avaliação e conduta na insuficiência cardíaca descompensada

“…There is evidence suggesting that early myocardial revascularization (within 6 hours), either by angioplasty or surgical revascularization, can reduce mortality in 6 months 133,134 .…”

Cardiogenic shock

“…But even in more advanced centers, it has been used less than would be expected 45 . A great cooperative study 46 showed that IABP in patients in cardiogenic shock, in the pre-thrombolytic era, restored hemodynamic stability, improved or maintained the function of target organs and improved myocardial metabolism evaluated by the reduction in its lactate production. However, the mortality of these patients was still very high (83%).…”