Acute Myocardial Infarction Clinical Trial
Official title:
Survival Improvement in Extensive Myocardial Infarction With PERsistent Ischemia Following Intra-aortic Balloon Pump Implantation
Patients presenting with large myocardial infarction and signs of persistent ischemia after
successful percutaneous coronary intervention, have a poor prognosis with respect to outcome
and development of heart failure in the future.
The hypothesis of this study is that in patients in whom persistent ischemia is present, use
of intra-aortic balloon pump will be beneficial and improve outcome.
In some patients presenting with large myocardial infarction and poor hemodynamic condition,
intra-aortic balloon counterpulsation is effective in alleviating cardiogenic shock. In
others, the use of intra-aortic balloon pump has no effect at all. The investigators believe
this is dependent on the presence of persisting ischemia after successful epicardial
reperfusion, known as no-reflow.
In the presence of persisting ischemia, the investigators believe us of the intra-aortic
balloon pump will relieve ischemia and improve outcome.
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