Rescue coronary stenting for cardiogenic shock following acute myocardial infarctionRescue coronary stenting for cardiogenic shock following acute myocardial infarction
Ailaiti Maimaitiming,Hans-Jurgen Rupprecht,Jurgen Meyer
摘要(Abstract)：
<正> Cardiogenic shock(CS) is combined with a high mortality following acutemyocardial inferction(AMI),In non-randomized trials percutaneous transluminalcoronary angioplasty(PTCA) has been shown to improve the prognosis of patients(pts) with CS in AMI.We report the result of 40 pts with CS,in whom stentimplantation was performed due tO an insufficient PTCA result in AMI with CS.Methods:Analysis was performed in patients with CS following AMI andemergency revascuhuization(ER) with coronary stenting between October 1993 toDecember 1997.The primary clinical end point was survival and repeat ER within30 days after stoat implantation.Result:In 40 pts(mean age 63±10 years,male 31) we found CS after AMI andstent implantation was performed 7.3 h (rang 1.24 h) after onset of chest pain.I 1(28%) pts received thrombolysis(Lysis) before ER.ER within 6 h after the onset ofchest pain was performed in 22 (55%) pts,25(63%) pts were given ReoPro(mean14.3rag) as bolus during the intervention.TIMI grade 3 has been accomplished in 34(85%) pts.Two(5%) pts underwent repeat PTCA and four(10%) were referred forcoronary artery bypass grafting(CABG) at follow up.14(35%) pts died because ofpump failure within 30 days.Conclusion:Rescue stent implantation after failed PTCA may improve survival ofpatients having AMI complied,ted by cardiogenic shock.Whether early thrombolysisproceeding stent implantation may be benifical has to be shown in randomized trials.
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作者(Author): Ailaiti Maimaitiming,Hans-Jurgen Rupprecht,Jurgen Meyer