complicates 7 to 10 percent of heart attack cases and has been associated with a 70 to 80 percent mortality rate.
Patients who have recovered included those suffering from cardiogenic shock
resulting from myocardial infarction, myocarditis, postpartum cardiomyopathy, ventricular septal defect, refractory arrhythmias, failed heart transplants, right ventricular assistance with implantable Left VAD (LVAD), and postcardiotomy cardiogenic shock
0 can provide effective and adequate support for high-risk surgery patients, as well as patients presenting with marginal cardiac output as well as severe cardiogenic shock
Using IABP as a first-line strategy for cardiogenic shock
and high-risk PCI patients with an escalating approach toward pVADs for refractory patients makes clinical sense in that IABP is easy and quick to deploy in addition to being cost effective.
The study, led by members of Vanderbilt's ICU Delirium and Cognitive Impairment Group, found that 74 percent of the 821 patients studied, all adults with respiratory failure, cardiogenic shock
or septic shock, developed delirium while in the hospital, which the authors found is a predictor of a dementia-like brain disease even a year after discharge from the ICU.
The variables in the validated AR-G clinical in-hospital mortality model (10) were used for risk adjustment, including age, baseline serum creatinine, systolic blood pressure, heart failure and/or cardiogenic shock
at presentation, ST-segment changes, heart rate, ratio of peak troponin to the upper limit of the reference interval, and prior peripheral arterial disease.
2008;51:210-47) recommend caution in giving beta-blockers in the first 24 hours in patients with risk factors for cardiogenic shock
Patients in cardiogenic shock
are critically ill and require aggressive treatment measures," said Marc Cohen, M.
Thirty-nine patients with shock were included during the study period; 26 had septic shock and 13 had cardiogenic shock
They also noted that the increased mortality in cardiogenic shock
patients receiving dopamine, as compared to norepinephrine, was unexpected, as dopamine might be expected to improve cardiac output in such patients.
Key Words: hypothyroidism, AV nodal re-entrant tachycardia, cardiogenic shock
Patients suffering from severe renal dysfunction caused by cardiogenic shock
should not automatically be precluded from receiving ventricular assist devices (VAD) as a bridge to receiving a heart transplant, according to a study in the February 5 Journal of the American College of Cardiology.