JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
 QUICK SEARCH:   [advanced]


     


J Am Coll Cardiol, 1992; 19:639-646
© 1992 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hibbard, M.
Right arrow Articles by Gersh, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hibbard, M.
Right arrow Articles by Gersh, B.

Percutaneous transluminal coronary angioplasty in patients with cardiogenic shock

MD Hibbard, DR Holmes Jr, KR Bailey, GS Reeder, JF Bresnahan, and BJ Gersh

Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905.

In cardiogenic shock complicating acute myocardial infarction, percutaneous transluminal coronary angioplasty has been reported to significantly improve the modest survival benefits afforded by emergency surgical revascularization and thrombolytic therapy. The records of all patients who underwent angioplasty for acute myocardial infarction complicated by cardiogenic shock were retrospectively reviewed to determine whether coronary angioplasty improves survival. Of the 45 patients, 28 (group 1, 62%) had successful dilation of the infarct-related artery and 17 (group 2, 38%) had unsuccessful angioplasty. The groups were similar in extent of coronary artery disease, infarct location, incidence of multivessel disease and hemodynamic variables. The overall hospital survival rate was 56% (71% in group 1 and 29% in group 2). Group 1 patients had more left main coronary artery disease, and group 2 patients were older and had a higher incidence of prior myocardial infarction. Multivariate analysis showed that the survival advantage in patients with successful angioplasty was statistically significant (p = 0.014) when these factors were taken into account. At a mean follow-up interval of 2.3 years (range 1 month to 5.6 years), there were five deaths (four cardiac and one noncardiac), for a 2.3-year survival rate of 80% in patients surviving to hospital discharge. During the follow-up period, 36% of hospital survivors had repeat hospitalization for cardiac evaluation, 8% had myocardial infarction, 8% had coronary artery bypass surgery and 24% had angina.


This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
M. S. Lee, C.-H. Tseng, C. M. Barker, V. Menon, D. Steckman, R. Shemin, and J. S. Hochman
Outcome after surgery and percutaneous intervention for cardiogenic shock and left main disease.
Ann. Thorac. Surg., July 1, 2008; 86(1): 29 - 34.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
R. V. Jeger, S. M. Harkness, K. Ramanathan, C. E. Buller, M. E. Pfisterer, L. A. Sleeper, J. S. Hochman, and for the SHOCK Investigators
Emergency revascularization in patients with cardiogenic shock on admission: a report from the SHOCK trial and registry
Eur. Heart J., March 2, 2006; 27(6): 664 - 670.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
H. D. White, S. F. Assmann, T. A. Sanborn, A. K. Jacobs, J. G. Webb, L. A. Sleeper, C.-K. Wong, J. T. Stewart, P. E.G. Aylward, S.-C. Wong, et al.
Comparison of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting After Acute Myocardial Infarction Complicated by Cardiogenic Shock: Results From the Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) Trial
Circulation, September 27, 2005; 112(13): 1992 - 2001.
[Abstract] [Full Text] [PDF]


Home page
ANGIOLOGYHome page
K. P. Bouki, G. Pavlakis, and E. Papasteriadis
Management of Cardiogenic Shock Due to Acute Coronary Syndromes
Angiology, March 1, 2005; 56(2): 123 - 130.
[Abstract] [PDF]


Home page
HeartHome page
A G C Sutton, P Finn, J A Hall, A A Harcombe, R A Wright, and M A de Belder
Predictors of outcome after percutaneous treatment for cardiogenic shock
Heart, March 1, 2005; 91(3): 339 - 344.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
V. Dzavik, L.A. Sleeper, T.P. Cocke, M. Moscucci, J. Saucedo, S. Hosat, X. Jiang, J. Slater, T. LeJemtel, J.S. Hochman, et al.
Early revascularization is associated with improved survival in elderly patients with acute myocardial infarction complicated by cardiogenic shock: a report from the SHOCK Trial Registry
Eur. Heart J., May 1, 2003; 24(9): 828 - 837.
[Abstract] [Full Text] [PDF]


Home page
ANGIOLOGYHome page
M. Tariq, R. Carroll, I. Zabih, R.G. Stenberg, and K.M.A. Hussain
Emergency Coronary Stenting for Complete Thrombotic Occlusion of an Unprotected Left Main Coronary Artery in Acute Myocardial Infarction Complicated by Cardiogenic Shock in an Octogenarian Patient: A Case Report
Angiology, January 1, 2002; 53(1): 95 - 98.
[Abstract] [PDF]


Home page
QJMHome page
C.H. Davies
Revascularization for cardiogenic shock
QJM, February 1, 2001; 94(2): 57 - 67.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. C. Wong, T. Sanborn, L. A. Sleeper, J. G. Webb, R. Pilchik, D. Hart, S. Mejnartowicz, T. A. Antonelli, R. Lange, J. K. French, et al.
Angiographic findings and clinical correlates in patients with cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1077 - 1083.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
J. G. Webb, L. A. Sleeper, C. E. Buller, J. Boland, A. Palazzo, E. Buller, H. D. White, J. S. Hochman, and for the SHOCK Investigators
Implications of the timing of onset of cardiogenic shock after acute myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1084 - 1090.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
A. K. Jacobs, J. K. French, J. Col, L. A. Sleeper, J. N. Slater, L. Carnendran, J. Boland, X. Jiang, T. LeJemtel, J. S. Hochman, et al.
Cardiogenic shock with non-ST-segment elevation myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1091 - 1096.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
D. M. Shindler, S. T. Palmeri, T. A. Antonelli, L. A. Sleeper, J. Boland, T. P. Cocke, J. S. Hochman, and for the SHOCK Investigators
Diabetes mellitus in cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1097 - 1103.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
T. A. Sanborn, L. A. Sleeper, E. R. Bates, A. K. Jacobs, J. Boland, J. K. French, J. Dens, V. Dzavik, S. T. Palmeri, J. G. Webb, et al.
Impact of thrombolysis, intra-aortic balloon pump counterpulsation, and their combination in cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1123 - 1129.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
S G Williams, D J Wright, and L B Tan
Management of cardiogenic shock complicating acute myocardial infarction: towards evidence based medical practice
Heart, June 1, 2000; 83(6): 621 - 626.
[Full Text]


Home page
NEJMHome page
J. S. Hochman, L. A. Sleeper, J. G. Webb, T. A. Sanborn, H. D. White, J. D. Talley, C. E. Buller, A. K. Jacobs, J. N. Slater, J. Col, et al.
Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock
N. Engl. J. Med., August 26, 1999; 341(9): 625 - 634.
[Abstract] [Full Text] [PDF]


Home page
ANN INTERN MEDHome page
S. M. Hollenberg, C. J. Kavinsky, and J. E. Parrillo
Cardiogenic Shock
Ann Intern Med, July 6, 1999; 131(1): 47 - 59.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
P. J. Scanlon, D. P. Faxon, A.-M. Audet, B. Carabello, G. J. Dehmer, K. A. Eagle, R. D. Legako, D. F. Leon, J. A. Murray, S. E. Nissen, et al.
ACC/AHA guidelines for coronary angiography: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions
J. Am. Coll. Cardiol., May 1, 1999; 33(6): 1756 - 1824.
[Full Text] [PDF]


Home page
NEJMHome page
R. J. Goldberg, N. A. Samad, J. Yarzebski, J. Gurwitz, C. Bigelow, and J. M. Gore
Temporal Trends in Cardiogenic Shock Complicating Acute Myocardial Infarction
N. Engl. J. Med., April 15, 1999; 340(15): 1162 - 1168.
[Abstract] [Full Text] [PDF]


Home page
Journal of Diagnostic Medical SonographyHome page
K. A. Munson, K. R. Jutzy, and M. de Lange
Echocardiography's Role in Cardiogenic Shock After Acute Myocardial Infarction
Journal of Diagnostic Medical Sonography, January 1, 1999; 15(1): 7 - 15.
[Abstract] [PDF]


Home page
J Am Coll CardiolHome page
H. S. Mueller, K. Chatterjee, K. B. Davis, M. A. Fifer, C. Franklin, M. A. Greenberg, A. J. Labovitz, P. K. Shah, K. J. Tuman, M. H. Weil, et al.
Present use of bedside right heart catheterization in patients with cardiac disease
J. Am. Coll. Cardiol., September 1, 1998; 32(3): 840 - 864.
[Full Text] [PDF]


Home page
CirculationHome page
J. S. Hochman, J. Boland, L. A. Sleeper, M. Porway, J. Brinker, J. Col, A. Jacobs, J. Slater, D. Miller, H. Wasserman, et al.
Current Spectrum of Cardiogenic Shock and Effect of Early Revascularization on Mortality : Results of an International Registry
Circulation, February 1, 1995; 91(3): 873 - 881.
[Abstract] [Full Text]


Home page
JWatch GeneralHome page
PTCA FOR CARDIOGENIC SHOCK AFTER MI
Journal Watch (General), March 13, 1992; 1992(313): 2 - 2.
[Full Text]




HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 1992 by the American College of Cardiology Foundation.