Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1975 Feb;37(2):169–181. doi: 10.1136/hrt.37.2.169

Acute severe cardiac failure complicating myocardial infarction. Experience with 100 patients referred for consideration of mechanical left ventricular assistance.

M F O'Rourke, V P Chang, H M Windsor, M X Shanahan, J B Hickie, J J Morgan, J F Gunning, A W Seldon, G V Hall, G Michell, D Goldfarb, D G Harrision
PMCID: PMC484098  PMID: 1078977

Abstract

One hundred patients were referred with suspected acute cardiac failure following acute myocardial infarction. The diagnosis was confirmed in 72: 31 of these patients underwent elective medical treatment, with 2 survivors (6%); 41 were accepted for counter pulsation, but 9 died before this could be initiated and another 2 died shortly after vain attempts to pass the balloon catheter were abandoned; 30 patients underwent counterpulsation with 14 hospital survivors (47%). Survivor status was usually good. Results of counter pulsation were better in patients who were not shocked (with 5/5 survivors) than in those who were in shock (with 9 of 25 survivors). Results support the view that counterpulsation (alone or combined with corrective surgery) may play an important role in the complications of myocardial infarction provided intervention is early.

Full text

PDF
169

Selected References

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

  1. Carroll P. R., Gelbart A., O'Rourke M. F., Shortus J. Digoxin concentrations in the serum and myocardium of digitalised patients. Aust N Z J Med. 1973 Aug;3(4):400–403. doi: 10.1111/j.1445-5994.1973.tb03113.x. [DOI] [PubMed] [Google Scholar]
  2. Kantrowitz A., Phillips S. J., Butner A. N., Tjonneland S., Haller J. D. Technique of femoral artery cannulation for phase-shift balloon pumping. J Thorac Cardiovasc Surg. 1968 Aug;56(2):219–220. [PubMed] [Google Scholar]
  3. Krakauer J. S., Rosenbaum A., Freed P. S., Jaron D., Kantrowitz A. Clinical management ancillary to phase-shift balloon pumping in cardiogenic shock. Preliminary comments. Am J Cardiol. 1971 Feb;27(2):123–128. doi: 10.1016/0002-9149(71)90248-7. [DOI] [PubMed] [Google Scholar]
  4. MOULOPOULOS S. D., TOPAZ S., KOLFF W. J. Diastolic balloon pumping (with carbon dioxide) in the aorta--a mechanical assistance to the failing circulation. Am Heart J. 1962 May;63:669–675. doi: 10.1016/0002-8703(62)90012-1. [DOI] [PubMed] [Google Scholar]
  5. Morrison J., Killip T. Serum digitalis and arrhythmia in patients undergoing cardiopulmonary bypass. Circulation. 1973 Feb;47(2):341–352. doi: 10.1161/01.cir.47.2.341. [DOI] [PubMed] [Google Scholar]
  6. Mueller H., Ayres S. M., Giannelli S., Jr, Conklin E. F., Mazzara J. T., Grace W. J. Effect of isoproterenol,l-norepinephrine, and intraaortic counterpulsation on hemodynamics and myocardial metabolism in shock following acute myocardial infarction. Circulation. 1972 Feb;45(2):335–351. doi: 10.1161/01.cir.45.2.335. [DOI] [PubMed] [Google Scholar]
  7. 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]
  8. O'Rourke M. F., Shepherd K. M. Protection of the aortic arch and subclavian artery during intra-aortic balloon pumping. J Thorac Cardiovasc Surg. 1973 Apr;65(4):543–546. [PubMed] [Google Scholar]
  9. O'Rourke M. F. Subacute heart rupture following myocardial infarction. Clinical features of a correctable condition. Lancet. 1973 Jul 21;2(7821):124–126. doi: 10.1016/s0140-6736(73)93065-1. [DOI] [PubMed] [Google Scholar]
  10. 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]
  11. Sanders C. A., Buckley M. J., Leinbach R. C., Mundth E. D., Austen W. G. Mechanical circulatory assistance. Current status and experience with combining circulatory assistance, emergency coronary angiography, and acute myocardial revascularization. Circulation. 1972 Jun;45(6):1292–1313. doi: 10.1161/01.cir.45.6.1292. [DOI] [PubMed] [Google Scholar]
  12. Scheidt S., Ascheim R., Killip T., 3rd Shock after acute myocardial infarction. A clinical and hemodynamic profile. Am J Cardiol. 1970 Dec;26(6):556–564. doi: 10.1016/0002-9149(70)90407-8. [DOI] [PubMed] [Google Scholar]
  13. 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]
  14. Windsor H. M., O'Rourke M., Shanahan M. X., Chang V. P. Surgery and counterpulsation in cardiogenic shock. Med J Aust. 1973 Nov 3;2(18):841–846. doi: 10.5694/j.1326-5377.1973.tb76578.x. [DOI] [PubMed] [Google Scholar]

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

RESOURCES