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Intraaortic Balloon Pump Counterpulsation, Part I: History, Technical Aspects, Physiologic Effects, Contraindications, Medical Applications/Outcomes
- Source :
- Anesthesia and analgesia. 131(3)
- Publication Year :
- 2020
-
Abstract
- Intraaortic balloon pump counterpulsation is the most common form of mechanical circulatory support used in patients with myocardial ischemia and cardiogenic shock. The physiologic principles of counterpulsation include diastolic augmentation of aortic pressure and systolic reduction of left ventricular afterload, resulting in hemodynamic benefits through increased coronary perfusion pressure and improved myocardial oxygen balance in patients with myocardial ischemia. Major trials have failed to conclusively demonstrate improvements in morbidity and mortality with counterpulsation therapy for patients with acute myocardial infarction (MI), cardiogenic shock, and/or severe coronary artery disease undergoing revascularization therapy, and the debate over its applications continues. Part I of this review focuses on the history of the development of counterpulsation, technical considerations, and complications associated with its use, its physiologic effects, and evidence for its use in myocardial ischemia and cardiogenic shock.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Myocardial Infarction
Shock, Cardiogenic
Hemodynamics
Coronary Artery Disease
Revascularization
History, 21st Century
Risk Assessment
Coronary artery disease
Contraindications, Procedure
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
Risk Factors
Internal medicine
medicine
Myocardial Revascularization
Animals
Humans
Ventricular Function
Myocardial infarction
Intra-Aortic Balloon Pumping
business.industry
Cardiogenic shock
Recovery of Function
History, 20th Century
medicine.disease
Anesthesiology and Pain Medicine
Treatment Outcome
Circulatory system
Coronary perfusion pressure
Aortic pressure
Cardiology
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15267598
- Volume :
- 131
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Anesthesia and analgesia
- Accession number :
- edsair.doi.dedup.....f8da7e2705bdc236fc99b8ec6b6b537c