Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1979 Nov;42(5):579–582. doi: 10.1136/hrt.42.5.579

Arterial counterpulsation in continuing myocardial ischaemia after acute myocardial infarction.

N L Sammel, M F O'Rourke
PMCID: PMC482203  PMID: 518782

Abstract

Twenty-six patients underwent arterial counterpulsation for refractory heart failure without shock complicating acute myocardial infarction. Patients were divided into a group of 12 with continuing myocardial ischaemia, evidenced by anginal pain associated with abnormal ST segment elevation, and a group of 14 without continuing ischaemia. Clinical features (apart from pain) and prognostic indices were similar in the two groups when counterpulsation was started but short- and long-term results were different. Hospital survival was 92 per cent (11/12) and 43 per cent (6/14), respectively, in the groups with and without ischaemia and four-year survival was 73 per cent and 7 per cent. Counterpulsation is of greatest value in acute infarction when used to relieve myocardial ischaemia.

Full text

PDF
579

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Dunkman W. B., Leinbach R. C., Buckley M. J., Mundth E. D., Kantrowitz A. R., Austen W. G., Sanders C. A. Clinical and hemodynamic results of intraaortic balloon pumping and surgery for cardiogenic shock. Circulation. 1972 Sep;46(3):465–477. doi: 10.1161/01.cir.46.3.465. [DOI] [PubMed] [Google Scholar]
  2. Forrester J. S., Diamond G., Chatterjee K., Swan H. J. Medical therapy of acute myocardial infarction by application of hemodynamic subsets (second of two parts). N Engl J Med. 1976 Dec 16;295(25):1404–1413. doi: 10.1056/NEJM197612162952505. [DOI] [PubMed] [Google Scholar]
  3. Goldfarb D. Mechanical circulatory assistance in the treatment of cardiac failure. Prog Cardiovasc Dis. 1969 Nov;12(3):221–242. doi: 10.1016/0033-0620(69)90007-3. [DOI] [PubMed] [Google Scholar]
  4. Jackson G., Cullum P., Pastellopoulos A., Macarthur A., Jewitt D. Intra-aortic balloon assistance in cardiogenic shock after myocardial infarction or cardiac surgery. Br Heart J. 1977 Jun;39(6):598–604. doi: 10.1136/hrt.39.6.598. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Leinbach R. C., Gold H. K., Harper R. W., Buckley M. J., Austen W. G. Early intraaortic balloon pumping for anterior myocardial infarction without shock. Circulation. 1978 Aug;58(2):204–210. doi: 10.1161/01.cir.58.2.204. [DOI] [PubMed] [Google Scholar]
  6. Maroko P. R., Bernstein E. F., Libby P., DeLaria G. A., Covell J. W., Ross J., Jr, Braunwald E. Effects of intraaortic balloon counterpulsation on the severity of myocardial ischemic injury following acute coronary occlusion. Counterpulsation and myocardial injury. Circulation. 1972 Jun;45(6):1150–1159. doi: 10.1161/01.cir.45.6.1150. [DOI] [PubMed] [Google Scholar]
  7. Mueller H., Ayres S. M., Conklin E. F., Giannelli S., Jr, Mazzara J. T., Grace W. T., Nealon T. F., Jr The effects of intra-aortic counterpulsation on cardiac performance and metabolism in shock associated with acute myocardial infarction. J Clin Invest. 1971 Sep;50(9):1885–1900. doi: 10.1172/JCI106681. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Norris R. M., Brandt P. W., Caughey D. E., Lee A. J., Scott P. J. A new coronary prognostic index. Lancet. 1969 Feb 8;1(7589):274–278. doi: 10.1016/s0140-6736(69)91035-6. [DOI] [PubMed] [Google Scholar]
  9. O'Rourke M. F. Arterial counterpulsation in the management of ischaemic heart disease. Aust N Z J Surg. 1977 Feb;47(1):21–26. doi: 10.1111/j.1445-2197.1977.tb03929.x. [DOI] [PubMed] [Google Scholar]
  10. O'Rourke M. F., Chang V. P., Windsor H. M., Shanahan M. X., Hickie J. B., Morgan J. J., Gunning J. F., Seldon A. W., Hall G. V., Michell G. Acute severe cardiac failure complicating myocardial infarction. Experience with 100 patients referred for consideration of mechanical left ventricular assistance. Br Heart J. 1975 Feb;37(2):169–181. doi: 10.1136/hrt.37.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. O'Rourke M. F., Sammel N., Chang V. P. Arterial counterpulsation in severe refractory heart failure complicating acute myocardial infarction. Br Heart J. 1979 Mar;41(3):308–316. doi: 10.1136/hrt.41.3.308. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Page D. L., Caulfield J. B., Kastor J. A., DeSanctis R. W., Sanders C. A. Myocardial changes associated with cardiogenic shock. N Engl J Med. 1971 Jul 15;285(3):133–137. doi: 10.1056/NEJM197107152850301. [DOI] [PubMed] [Google Scholar]
  13. Peel A. A., Semple T., Wang I., Lancaster W. M., Dall J. L. A CORONARY PROGNOSTIC INDEX FOR GRADING THE SEVERITY OF INFARCTION. Br Heart J. 1962 Nov;24(6):745–760. doi: 10.1136/hrt.24.6.745. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Powell W. J., Jr, Daggett W. M., Magro A. E., Bianco J. A., Buckley M. J., Sanders C. A., Kantrowitz A. R., Austen W. G. Effects of intra-aortic balloon counterpulsation on cardiac performance, oxygen consumption, and coronary blood flow in dogs. Circ Res. 1970 Jun;26(6):753–764. doi: 10.1161/01.res.26.6.753. [DOI] [PubMed] [Google Scholar]
  15. Scheidt S., Wilner G., Mueller H., Summers D., Lesch M., Wolff G., Krakauer J., Rubenfire M., Fleming P., Noon G. Intra-aortic balloon counterpulsation in cardiogenic shock. Report of a co-operative clinical trial. N Engl J Med. 1973 May 10;288(19):979–984. doi: 10.1056/NEJM197305102881901. [DOI] [PubMed] [Google Scholar]
  16. Stein M. F., Flood F. B., Kuhn L. A. Intraaortic balloon pumping in acute myocardial infarction. Am J Cardiol. 1976 Nov 4;38(5):668–669. doi: 10.1016/s0002-9149(76)80025-2. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES