Myocardial Infarction Clinical Trial
Official title:
Intra-Aortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock - The Prospective, Randomised IABP SHOCK Trial for Attenuation of Multi-Organ Dysfunction Syndrome
The role of intra aortic balloon counterpulsation in patients experiencing acute myocardial infarction with shock is not established. We hypothesised that use of such a device would lead to improved outcomes in these patients.
Patients undergoing percutaneous coronary intervention (PCI) for acute myocardial infarction
(AMI) with cardiogenic shock (CS) are often treated with Intra-aortic balloon pump
counterpulsation (IABP) although the evidence to support this is limited. We conducted a
prospective, randomised clinical trial, of IABP as an addition to PCI centred therapy, in
patients with AMI complicated by CS.
45 patients with AMI and CS undergoing PCI were randomised to care with or without IABP.
Over 4 days, APACHE II scores, haemodynamic parameters, inflammatory markers and BNP levels
were collected to assess the impact of IABP treatment on CS triggered multi organ
dysfunction syndrome (MODS).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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