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Titolo:
Cardiogenic shock: Single center experience with and without on-site catheterization facilities
Autore:
Barbash, IM; Ilia, R; Gilutz, H; Boyko, V; Battler, A; Leor, J;
Indirizzi:
Ben Gurion Univ Negev, Soroka Med Ctr, Dept Cardiol, ICCU,Fac Hlth Sci, IL-84105 Beer Sheva, Israel Ben Gurion Univ Negev Beer Sheva Israel IL-84105 4105 Beer Sheva, Israel Radin Med Ctr, Dept Cardiol, Petah Tiqwa, Israel Radin Med Ctr Petah Tiqwa Israel Ctr, Dept Cardiol, Petah Tiqwa, Israel Chaim Sheba Med Ctr, Neufeld Cardiac Res Inst, IL-52621 Tel Hashomer, Israel Chaim Sheba Med Ctr Tel Hashomer Israel IL-52621 21 Tel Hashomer, Israel
Titolo Testata:
CARDIOLOGY
fascicolo: 1-2, volume: 93, anno: 2000,
pagine: 87 - 92
SICI:
0008-6312(2000)93:1-2<87:CSSCEW>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; EARLY REVASCULARIZATION; CORONARY ANGIOPLASTY; TRIAL; MANAGEMENT; MORTALITY; STRATEGY; SURVIVAL; SUPPORT;
Keywords:
cardiogenic shock; heart failure; myocardial infarction; percutaneous transluminal coronary angioplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Leor, J Ben Gurion Univ Negev, Soroka Med Ctr, Dept Cardiol, ICCU,Fac HlthSci, POB 151, IL-84105 Beer Sheva, Israel Ben Gurion Univ Negev POB 151 Beer Sheva Israel IL-84105 , Israel
Citazione:
I.M. Barbash et al., "Cardiogenic shock: Single center experience with and without on-site catheterization facilities", CARDIOLOGY, 93(1-2), 2000, pp. 87-92

Abstract

Background: The beneficial effect of on-site catheterization facilities onthe survival of all patients with myocardial infarction complicated by cardiogenic shock has been questioned. Our objective was to evaluate the impact of the availability of on-site catheterization facilities on the outcome of unselected patients with cardiogenic shock. Methods and Results: We studied the hospital records of 70 consecutive patients with cardiogenic shock admitted to our intensive coronary care unit during 1990-1996, and comparedtwo groups of patients: those admitted before (n = 34) and after (n = 36) the opening of our catheterization laboratory. Patients admitted when the catheterization laboratory was available were of similar age, but included fewer males and fewer patients with prior myocardial infarction. Following the activation of the catheterization laboratory, utilization rates of coronary angiography, percutaneous transluminal coronary angioplasty and intra-aortic balloon pump increased, compared with the previous period. However, there was no improvement in in-hospital (88 vs. 83%; p = 0.7) and 30-day mortality (91 vs. 86%; p = 0.7) before ver sus after the activation of our catheterization laboratory. Twelve patients selected to cardiac catheterization (9 underwent percutaneous transluminal coronary angioplasty) experienced lower in-hospital and 30-day mortality compared with patients who were not selected (58 vs, 96, and 67 vs. 96%, respectively; p < 0.02). Conclusions: Following the activation of the catheterization laboratory, the mortality of the entire population of cardiogenic shock patients remained relatively unchanged. Still, a small subgroup of these patients selected for urgent cardiac catheterization had a lower mortality compared with patients who were not selected. Copyright (C) 2000 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 11:40:34