title: Intra-aortic balloon assist for cardiogenic shock and ischemic states at Massachusetts General Hospital.
abstract: Intra-aortic balloon pumping is used at MGH for the reversal of acute myocardial ischemia in those patients not responding to usual medical means. The survival rate of surgical intervention in patients in cardiogenic shock was significantly increased in patients who had been balloon-pumped prior to surgery. The use of the intra-aortic balloon assist early in the postoperative patient showing low cardiac output state not only served to improve hemodynamics but also led to the preservation of the myocardium and ultimate improved survival. The balloon assist was initiated to control the ischemic states in patients with severe unstable angina. Used in association with nitroprusside and propranolol, this method produced marked improvement and reduction of pain in patients. Indications are that intra-aortic balloon counterpulsation at the present time is the safest and most predictable means of controlling acute ischemia in patients who are resistant to standard medical intervention.
mesh_terms: D003327:Coronary Disease / Q000517:prevention & control / Q000601:surgery*; D006769:Hospitals, General; D006801:Humans; D008404:Massachusetts; D012770:Shock, Cardiogenic / Q000601:surgery*