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Cardiogenic shock aha

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https://www.readbyqxmd.com/read/29953264/intra-aortic-balloon-pump-current-evidence-future-perspectives
#1
Alice Le Huu, Dominique Shum-Tim
The intra-aortic balloon pump (IABP) is frequently used to support severely compromised ventricles in critically ill patients. Its relatively affordability and ease of insertion has cemented its position as the first line of treatment for hemodynamic support in cardiogenic shock. Accordingly, the current ACC/AHA recommendations maintain a Class 2A for the use of IABP in shock. However, a review of the current literature suggests that the evidence supporting the American College of Cardiology and American Heart Association (ACC/AHA) guidelines are equivocal...
July 2018: Future Cardiology
https://www.readbyqxmd.com/read/29139601/utility-of-the-acc-aha-lesion-classification-as-a-predictor-of-procedural-30-day-and-12-month-outcomes-in-the-contemporary-percutaneous-coronary-intervention-era
#2
James Theuerle, Matias B Yudi, Omar Farouque, Nick Andrianopoulos, Peter Scott, Andrew E Ajani, Angela Brennan, Stephen J Duffy, Christopher M Reid, David J Clark
BACKGROUND: Correlations between the ACC/AHA coronary lesion classification and clinical outcomes in the contemporary percutaneous coronary intervention (PCI) era are not well established. METHODS: We analyzed clinical characteristics and outcomes according to ACC/AHA lesion classification (A, B1, B2, C) in 13,701 consecutive patients from the Melbourne Interventional Group (MIG) registry. Patients presenting with STEMI, cardiogenic shock and out-of-hospital cardiac arrest were excluded...
September 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28582001/management-of-multivessel-disease-and-cardiogenic-shock
#3
REVIEW
Amerjeet S Banning, Anthony H Gershlick
Cardiogenic shock represents a state of low cardiac output and systemic hypoperfusion resulting in insufficient end-organ perfusion and consequent multiorgan failure. The main cause of this complication in the context of acute ST-elevation myocardial infarction is left ventricular dysfunction secondary to poor myocardial perfusion. In over 50% of cardiogenic shock cases, there is evidence of significant coronary stenosis within noninfarct-related arteries. Persistent ischemia in the noninfarct territory may contribute to ongoing hypotension...
October 2016: Interventional cardiology clinics
https://www.readbyqxmd.com/read/28275618/extracorporeal-life-support-for-refractory-ventricular-tachycardia
#4
REVIEW
Sujatha P Bhandary, Nicholas Joseph, James P Hofmann, Theodosios Saranteas, Thomas J Papadimos
Extracorporeal life support (ECLS) is a very effective bridging therapy in patients with refractory ventricular tachycardia (VT) associated with cardiogenic shock. A moribund patient in extremis, is not amenable to optimization by standard ACC/AHA guidelines. New approaches and novel salvage techniques are necessary to improve outcomes in patients with refractory clinical settings such as malignant ventricular arrhythmias, cardiac arrest, cardiogenic shock and/or pulmonary failure until further management options are explored...
February 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27424315/stress-cardiomyopathy-is-it-limited-to-takotsubo-syndrome-problems-of-definition
#5
REVIEW
Petr A Sarapultsev, Alexey P Sarapultsev
In 2006, Takotsubo syndrome (TTC) was described as a distinct type of stress-induced cardiomyopathy (stress cardiomyopathy). However, when thinking about Takotsubo cardiomyopathy from the viewpoints of the AHA and ESC classifications, 2 possible problems may arise. The first potential problem is that a forecast of disease outcome is lacking in the ESC classification, whereas the AHA only states that 'outcome is favorable with appropriate medical therapy'. However, based on the literature data, one can make a general conclusion that occurrence of myocardial lesions in TTC (i...
October 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/26036425/2015-scai-acc-hfsa-sts-clinical-expert-consensus-statement-on-the-use-of-percutaneous-mechanical-circulatory-support-devices-in-cardiovascular-care-endorsed-by-the-american-heart-association-the-cardiological-society-of-india-and-sociedad-latino-americana-de
#6
Charanjit S Rihal, Srihari S Naidu, Michael M Givertz, Wilson Y Szeto, James A Burke, Navin K Kapur, Morton Kern, Kirk N Garratt, James A Goldstein, Vivian Dimas, Thomas Tu
Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability...
June 2015: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/25861963/2015-scai-acc-hfsa-sts-clinical-expert-consensus-statement-on-the-use-of-percutaneous-mechanical-circulatory-support-devices-in-cardiovascular-care-endorsed-by-the-american-heart-assocation-the-cardiological-society-of-india-and-sociedad-latino-americana-de
#7
Charanjit S Rihal, Srihari S Naidu, Michael M Givertz, Wilson Y Szeto, James A Burke, Navin K Kapur, Morton Kern, Kirk N Garratt, James A Goldstein, Vivian Dimas, Thomas Tu
Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability...
May 19, 2015: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/25851050/2015-scai-acc-hfsa-sts-clinical-expert-consensus-statement-on-the-use-of-percutaneous-mechanical-circulatory-support-devices-in-cardiovascular-care-endorsed-by-the-american-heart-association-the-cardiological-society-of-india-and-sociedad-latino-americana-de
#8
REVIEW
Charanjit S Rihal, Srihari S Naidu, Michael M Givertz, Wilson Y Szeto, James A Burke, Navin K Kapur, Morton Kern, Kirk N Garratt, James A Goldstein, Vivian Dimas, Thomas Tu
Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella®; left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability...
June 2015: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/25812932/intra-aortic-balloon-pump-counterpulsation-iabp-for-myocardial-infarction-complicated-by-cardiogenic-shock
#9
REVIEW
Susanne Unverzagt, Michael Buerke, Antoinette de Waha, Johannes Haerting, Diana Pietzner, Melchior Seyfarth, Holger Thiele, Karl Werdan, Uwe Zeymer, Roland Prondzinsky
BACKGROUND: Intra-aortic balloon pump counterpulsation (IABP) is currently the most commonly used mechanical assist device for patients with cardiogenic shock due to acute myocardial infarction. Although there has been only limited evidence from randomised controlled trials, the previous guidelines of the American Heart Association/American College of Cardiology (AHA/ACC) and the European Society of Cardiology (ESC) strongly recommended the use of the IABP in patients with infarction-related cardiogenic shock on the basis of pathophysiological considerations, non-randomised trials and registry data...
March 27, 2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25256530/management-of-st-elevation-myocardial-infarction-according-to-european-and-american-guidelines
#10
REVIEW
Stephan Windecker, Rosa-Ana Hernández-Antolín, Giulio G Stefanini, William Wijns, Jose L Zamorano
AIMS: To highlight differences between the most recent guidelines of the European Society of Cardiology (ESC) and the American College of Cardiology Foundation/American Heart Association (ACCF/AHA) on the management of ST-elevation myocardial infarction (STEMI). METHODS AND RESULTS: ESC 2012 and ACCF/AHA 2013 guidelines on the management of STEMI were systematically reviewed for consistency. Recommendations were matched, directly compared in terms of class of recommendation and level of evidence, and classified as "identical", "overlapping", or "different"...
August 2014: EuroIntervention
https://www.readbyqxmd.com/read/23953696/in-hospital-major-bleeding-and-its-clinical-relevance-in-patients-with-st-elevation-myocardial-infarction-treated-with-primary-percutaneous-coronary-intervention
#11
RANDOMIZED CONTROLLED TRIAL
Helèn Boden, Matthijs A Velders, Bas L van der Hoeven, Suzanne C Cannegieter, Martin J Schalij
Advances in antithrombotic therapy for ST elevation myocardial infarction (STEMI) enhance the risk of bleeding. Therefore, the incidence, determinants, and prognostic implications of in-hospital major bleeding after primary percutaneous coronary intervention for STEMI were investigated. In 963 consecutive patients, the incidence of bleeding was evaluated according to commonly used classifications including Can Rapid risk stratification of Unstable angina patients Suppress Adverse outcomes with Early implementation of the ACC/AHA guidelines, Thrombolysis In Myocardial Infarction, Global Use of Strategies To Open coronary arteries, and Bleeding Academic Research Consortium...
November 15, 2013: American Journal of Cardiology
https://www.readbyqxmd.com/read/22569335/what-is-the-evidence-for-iabp-in-stemi-with-and-without-cardiogenic-shock
#12
REVIEW
Suzanne de Waha, Steffen Desch, Ingo Eitel, Georg Fuernau, Philipp Lurz, Antoinette de Waha, Gerhard Schuler, Holger Thiele
Intraaortic balloon pump (IABP) is the most widely used left ventricular support device in a variety of indications. This review focuses on the current literature and discusses the evidence of IABP in ST-elevation myocardial infarction (STEMI) with and without cardiogenic shock. In high-risk STEMI patients without cardiogenic shock several randomized clinical trials have been performed. The majority of the studies could not demonstrate an efficacy benefit for IABP as adjunctive therapy in comparison to standard treatment alone...
June 2012: Therapeutic Advances in Cardiovascular Disease
https://www.readbyqxmd.com/read/22231716/cardiogenic-shock-in-acs-part-2-role-of-mechanical-circulatory-support
#13
REVIEW
Stephen Westaby, Kyriakos Anastasiadis, George M Wieselthaler
This Review explores contemporary circulatory support in profound postinfarction cardiogenic shock. Frequently, death is the only alternative to implantation of a blood pump, so prospective randomized trials of device versus medical treatment are unacceptable and evidence is derived from clinical experience. Irrespective of ACC/AHA and European guidelines, no study has shown survival benefit for the intra-aortic balloon pump in patients with established shock. In the past 10 years, the safety and durability of mechanical blood pumps has improved considerably...
January 10, 2012: Nature Reviews. Cardiology
https://www.readbyqxmd.com/read/22118117/cardiogenic-shock
#14
REVIEW
Margaret E McAtee
Cardiogenic shock remains a significant issue and affects 5% to 10% of patients admitted with an AMI. Mortality remains high despite advances in treatment for AMI. These patients are best treated in centers where they can receive treatment that follows the joint guidelines recommended by ACC and AHA. Rapid reperfusion therapy as well as pharmacologic and mechanical circulatory support provide the best options for survival.
December 2011: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/21719452/effect-of-upstream-clopidogrel-treatment-in-patients-with-st-segment-elevation-myocardial-infarction-undergoing-primary-percutaneous-coronary-intervention
#15
MULTICENTER STUDY
Sasha Koul, J Gustav Smith, Fredrik Scherstén, Stefan James, Bo Lagerqvist, David Erlinge
AIMS Immediate treatment with a loading dose of clopidogrel at diagnosis of ST-segment elevation myocardial infarction (STEMI) is recommended by ESC/AHA/ACC guidelines in patients eligible for primary percutaneous coronary intervention (PCI). However, the evidence for this practice is scarce. METHODS AND RESULTS All patients who underwent PCI for STEMI in Sweden between 2003 and 2008 were identified from the national Swedish Coronary Angiography and Angioplasty Registry (SCAAR). Patients with concomitant warfarin treatment and patients not having received aspirin upstream were excluded, leaving 13 847 patients for the analysis...
December 2011: European Heart Journal
https://www.readbyqxmd.com/read/21330241/an-integer-based-risk-score-for-predicting-30-day-major-adverse-cardiac-or-cerebrovascular-events-after-percutaneous-coronary-intervention-with-drug-eluting-stents-results-from-a-large-prospective-multicentre-registry-the-stent-group
#16
MULTICENTER STUDY
Hiroki Ito, Marcy Nussbaum, James B Hermiller, Zachary Hodes, Bruce Brodie, Barrett Cheek, Stanley Juk, Fred Krainin, Christopher Metzger, Peter Duffy, Angela Humphrey, Sherry Laurent, Charles A Simonton
AIMS: Previous risk models predicting in-hospital major adverse cardiac or cerebrovascular events (MACCE) after percutaneous coronary interventions (PCI) may underestimate actual short-term post-procedure complications due to the trend toward early discharge of patients. METHODS AND RESULTS: Using a subset (N=10,679) from the STENT Group registry, a logistic regression model was developed to predict 30-day MACCE which includes death, myocardial infarction, target vessel revascularisation and stroke...
March 2011: EuroIntervention
https://www.readbyqxmd.com/read/21122198/-impact-of-the-acute-myocardial-infarction-guidelines-on-in-hospital-managements-and-outcome-of-the-patients-in-china
#17
Jing Li, Ze-ning Jin, Yun-dai Chen, Shu-zheng Lu
OBJECTIVE: To investigate the relationship between the guidelines issued by the American College of Cardiology/American Heart Association (ACC/AHA) in 2004 and the changes in early reperfusion, drug treatment and outcome of inpatients with acute myocardial infarction (AMI) in China, and to explore what extent the guidelines are followed in the management of AMI in China, and the differences in managements and patients' outcome after its issue. METHODS: A retrospective study of clinical data of 1 278 patients with AMI admitted to 12 Chinese Hospitals from January 2002 to December 2006 was carried out...
November 2010: Zhongguo Wei Zhong Bing Ji Jiu Yi Xue, Chinese Critical Care Medicine, Zhongguo Weizhongbing Jijiuyixue
https://www.readbyqxmd.com/read/20120988/delayed-thrombolysis-in-a-patient-presenting-after-12-hours-of-chest-pain-cardiogenic-shock-and-life-threatening-arrhythmias
#18
Jorge L Falcon-Chevere, Joanna J Mercado-Alvarado, Yadira Ramos-Arias, José G Cabañas-Rivera
This 63 years old man presented to the emergency room with chest pain of more than 12 hours duration. The initial electrocardiogram showed as ST segment elevation inferior and right ventricular infarction. He developed signs and symptoms consistent with cardiogenic shock, followed by life threatening ventricular fibrillation and cardiac arrest. After repeated cardio-respiratory resuscitations and successful cardiac defibrillation, thrombolytic therapy was administered followed by clinical and hemodynamic improvements...
July 2009: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/19781432/characterization-and-outcomes-of-women-and-men-with-non-st-segment-elevation-myocardial-infarction-and-nonobstructive-coronary-artery-disease-results-from-the-can-rapid-risk-stratification-of-unstable-angina-patients-suppress-adverse-outcomes-with-early-implementation
#19
MULTICENTER STUDY
Erika R Gehrie, Harmony R Reynolds, Anita Y Chen, Brian H Neelon, Matthew T Roe, W Brian Gibler, E Magnus Ohman, L Kristin Newby, Eric D Peterson, Judith S Hochman
BACKGROUND: Women with non-ST-segment elevation myocardial infarction (NSTEMI) who undergo coronary angiography have no obstructive coronary lesions more often than men. Sex-specific characteristics and outcomes of patients without obstructive coronary artery disease (CAD) have not been described previously. METHODS: Using data from NSTEMI patients enrolled in CRUSADE from 2001 to 2005, we evaluated differences in clinical features and in-hospital outcomes between men and women with no obstructive CAD...
October 2009: American Heart Journal
https://www.readbyqxmd.com/read/19530638/acc-aha-guideline-update-for-the-management-of-st-segment-elevation-myocardial-infarction
#20
Denise L Campbell-Scherer, Lee A Green
The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family Physicians endorses and accepts this guideline as its policy. Early recognition and prompt initiation of reperfusion therapy remains the cornerstone of management of ST-segment elevation myocardial infarction. Aspirin should be given to symptomatic patients...
June 15, 2009: American Family Physician
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