[Cardiogenic shock. Surgical reperfusion and myocardial revascularization].
Emergency coronary bypass for cardiogenic shock has been associated with a high operative mortality. From February 1986 through October 1989, 40 patients with acute myocardial infarction were operated. Ten pts (25%) were in shock despite intensive treatment (intra-aortic balloon pump in 4, catecholamines in 10). Seven pts. required cardiopulmonary resuscitation before operations. After operations 66% of the patients required catecholamine support and 60% were treated with intra-aortic balloon pump. There were three (30%) hospital deaths (one in the operating room due to acute cardiac failure). Follow-up (100%),(mean 26 months) revealed one late death--39 months after operations. In functional class I were 2 patients, II--one, and III--two pts. One pt is in group IV (transplant candidate). Myocardial infarction complicated by cardiogenic shock can produce a mortality rate in excess of 85%. Contemporary medical management has had little effect on mortality, hence effective surgical therapy has evolved for this lesion.
Zembala
M
M
Katedry i Klinik Kardiochirurgii Sl. AM w Zabrzu i Katowicach.
Religa
Z
Z
Kucewicz
E
E
Bochenek
A
A
Wojtalik
M
M
Moll
J
J
Glanc
W
W
Puzio
J
J
Czech
B
B
Cichoń
R
R
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D003645:Death, Sudden / Q000209:etiology; D004630:Emergencies; D006324:Heart Arrest, Induced; D006801:Humans; D007430:Intraoperative Care; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D015425:Myocardial Reperfusion; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D013997:Time Factors
Wstrzas kardiogenny. Chirurgiczna reperfuzja i rewaskularyzacja mieśnia sercowego.