[Prevention of delayed cardiogenic shock in 850 patients with myocardial infarction (author's transl)].
In 850 patients with acute myocardial infarction, cardiac output has been checked daily with acid-base-balance determinations, respiratory alcalosis being a sign of decreased cardiac output. In 84 patients without spontaneous increase of low cardiac output, treatment with cardiac glycosides has been started with the aim to prevent delayed cardiogenic shock: only 1 patient died in delayed cardiogenic shock and 3 patients in delayed heart failure. In the remaining 766 patients, only 1 patient died in delayed heart failure. With this successful prevention, the overall hospital lethality has dropped to 11.06% as compared with 21.70% in 3272 comparable patients in the literature.
D000472:Alkalosis, Respiratory / Q000175:diagnosis; D002301:Cardiac Glycosides / Q000627:therapeutic use; D002302:Cardiac Output; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000517:prevention & control*
D002301:Cardiac Glycosides
Die Vorbeugung des späten kardiogenen Schocks bei 850 Patienten mit Herzinfarkt.