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Aortic Balloon Counterpulastion in Myocardial Infarction Related Shock

Not Applicable
Completed
Conditions
Myocardial Infarction
Cardiogenic Shock
Registration Number
NCT00469248
Lead Sponsor
Martin-Luther-Universität Halle-Wittenberg
Brief Summary

The role of intra aortic balloon counterpulsation in patients experiencing acute myocardial infarction with shock is not established. We hypothesised that use of such a device would lead to improved outcomes in these patients.

Detailed Description

Patients undergoing percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) with cardiogenic shock (CS) are often treated with Intra-aortic balloon pump counterpulsation (IABP) although the evidence to support this is limited. We conducted a prospective, randomised clinical trial, of IABP as an addition to PCI centred therapy, in patients with AMI complicated by CS.

45 patients with AMI and CS undergoing PCI were randomised to care with or without IABP. Over 4 days, APACHE II scores, haemodynamic parameters, inflammatory markers and BNP levels were collected to assess the impact of IABP treatment on CS triggered multi organ dysfunction syndrome (MODS).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Acute myocardial infarction
  • Cardiogenic shock
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Exclusion Criteria
  • Absent peripheral pulses
  • Mechanical complications of myocardial infarction
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
APACHE II SCORE4 days
Secondary Outcome Measures
NameTimeMethod
Haemodynamic state4 days
BNP levels4 days
Inflammatory activation4 days
Mortality4 days

Trial Locations

Locations (1)

Department of Medicine III, Klinikum Krollwitz, Martin Luther University

🇩🇪

Halle (Saale), Saxony - Anhalt, Germany

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