Randomized Clinical Study of Intraaortic Balloon Pump Use in Cardiogenic Shock Complicating Acute Myocardial Infarction
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Myocardial Infarction
- Sponsor
- University of Leipzig
- Enrollment
- 600
- Locations
- 20
- Primary Endpoint
- 30-day mortality
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Patients in cardiogenic shock complicating acute myocardial infarction (AMI) are referred to a tertiary care center for percutaneous coronary intervention (PCI) of the infarct related artery in this multicenter, ran-domized clinical trial. After checking in- and exclusion criteria computerized randomization is performed to either PCI plus intraaortic balloon pump (IABP) insertion and medical treatment or PCI plus medical treatment only. Intensive care treatment is performed according to standard care including hemodynamic monitoring using a pulmonary artery catheter for optimal volume status adaptation and inotropic drug administration.
The IABP will be weaned after hemodynamic stabilization. Primary outcome measure will be 30-day mortality. The secondary outcome measures such as hemody-namic, laboratory and clinical parameters will serve as surrogate for prognosis of the patients.
Investigators
Holger Thiele
Deputy Director
University of Leipzig
Eligibility Criteria
Inclusion Criteria
- •Cardiogenic shock complicating acute myocardial (STEMI or NSTEMI) with
- •intended revascularization (PCI or CABG)
- •Systolic blood pressure \< 90 mmHg \> 30 min or inotropes required to maintain pressure \> 90 mmHg during systole
- •Signs of pulmonary congestion
- •Signs of impaired organ perfusion with at least one of the following:
- •Altered mental status
- •Cold, clammy skin
- •Urine output \<30 ml/h
- •Serum lactate \>2mmol/l
- •Informed consent
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
30-day mortality
Time Frame: 30 day
Secondary Outcomes
- Inflammatory markers (CRP and white blood cell count)(4 days)
- Creatinine clearance until stabilization(4 days)
- Hemodynamic Parameters (Blood pressure, Heart rate)(3 days)
- requirement for hemofiltration or dialysis(4 days)
- requirement for active assist device implantation or heart transplantation at 30 days and approximately 60 months(60 months)
- quality of life at 30 days and approximately 60 months(60 months)
- Time till hemodynamic stabilization(30 days)
- Catecholamine dose and duration of catecholamines(30 days)
- Mean and area under the curve of serum lactate(48 hours)
- length of ICU stay(30 days)
- length of mechanical ventilation(30 days)
- SAPS-II Score(4 days)
- long-term mortality at 6, 12 and approximately 60 months(60 months)