[Cardiogenic shock in acute myocardial infarct. Its coronary angioplasty treatment].
Ventricular dysfunction is the most common cause of in-hospital death in patients with acute myocardial infarction. When cardiogenic shock is manifested the mortality is very high. Seven patients with cardiogenic shock complicating acute myocardial infarction were treated with emergency coronary angioplasty. Four patients required cardiopulmonary resuscitation (CPR), 2 intraaortic balloon pump support and one femoro-femoral bypass pump support during the coronary angioplasty. The angiography success rate was 86%. Two patients died, one in the catheterization laboratory and the other one 24 hours later. The hospital mortality was 29%. Of the patients who survived 4 are in functional class I and one in functional class II (NYHA). Coronary angioplasty therapy in patients with cardiogenic shock complicating acute myocardial infarction plays a decisive role in the reduction of mortality.
Departamento de Cardiología del Hospital del Carmen, Guadalajara, Jalisco, México.
E
E
Fernández Valadez
J M
JM
García y Otero
G P
GP
Escobar
E
E
Frutos Rangel
J
J
Zúñiga Sedano
R
R
García García
S
S
Verduzco Bazavilvazo
J
J
López Aranda
J
J
López Ruiz
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods / Q000706:statistics & numerical data; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000401:mortality / Q000628:therapy*; D012189:Retrospective Studies; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D013997:Time Factors
Choque cardiogénico en el infarto agudo del miocardio. Tratamiento con angioplastía coronaria.