title: Adenosine conditioning and pacing in conjunction with early intra-aortic balloon pump use and glycoprotein IIb/IIIa inhibition to accomplish complete multivessel revascularization in an octogenarian with profound cardiogenic shock.
abstract: This report describes the use of intracoronary adenosine and transvenous pacemaker backup as an adjunct to intra-aortic balloon pump use and glycoprotein IIb/IIIa inhibition to accomplish high-risk multivessel coronary angioplasty in an 87-year-old female with profound cardiogenic shock. Myocardial preconditioning may further enhance microvascular perfusion in this critical state.
authors: Department of Cardiology, Y-3012, St. Boniface General Hospital, Winnipeg MB, Canada, R2H 2A6. farrukh7@mts.net
authors: Farrukh
authors: F
authors: Hussain
mesh_terms: D000241:Adenosine / Q000627:therapeutic use*; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D019157:Ischemic Preconditioning, Myocardial / Q000379:methods; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy; D010138:Pacemaker, Artificial; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors*; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents
chemical_list: D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D000241:Adenosine