title: [Cochrane Corner: Intra-aortic balloon pump in patients with cardiogenic shock following myocardial infarction].
abstract: Improvement of hemodynamic parameters is the rationale for the use of intra-aortic balloon pump counterpulsation (IABP) in patients with cardiogenic shock following acute myocardial infarction (MI). This Cochrane systematic review evaluated the impact of this intervention in reducing mortality. Seven randomized controlled trials with a total of 790 patients were included (four using medical therapy as a comparator, and three comparing IABP with other ventricular assist devices). IABP did not reduce mortality in either the short or long term. Therefore, the systematic use of IABP in patients with cardiogenic shock following MI cannot be recommended.
authors.affiliation: Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; Unidade de Farmacologia Clínica, Instituto de Medicina Molecular, Lisboa, Portugal; Serviço de Cardiologia, Hospital Garcia de Orta, Almada, Portugal. Electronic address: dgcaldeira@hotmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Caldeira
authors.affiliation: Serviço de Cardiologia, Hospital Garcia de Orta, Almada, Portugal.
authors.forename: Hélder
authors.initials: H
authors.lastname: Pereira
authors.affiliation: Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; Unidade de Farmacologia Clínica, Instituto de Medicina Molecular, Lisboa, Portugal; Centro de Estudos de Medicina Baseada na Evidência, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; Centro Colaborador Português da Rede Cochrane Iberoamericana, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Costa
authors.affiliation: Centro de Estudos de Medicina Baseada na Evidência, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; Centro Colaborador Português da Rede Cochrane Iberoamericana, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Vaz-Carneiro
mesh_terms: D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000150:complications*; D016032:Randomized Controlled Trials as Topic; D012770:Shock, Cardiogenic / Q000209:etiology
keywords: Balão intra‐aórtico; Cardiogenic shock; Choque cardiogénico; Dispositivo de assistência ventricular; Enfarte agudo do miocárdio; Intra‐aortic balloon pump; Left ventricular assist device; Myocardial infarction