Evaluation on bedside application of intra aortic balloon pump in patients with acute coronary syndrome accompanied with cardiogenic shock

    WANG Shouª²Li, HAN Yaª²Ling, JIN Quanª²Min, WANG Zuª²Lu, WANG Dongª²Mei, DENG Jie, YANG Guiª²Tang, YU Haiª²Bo

    Department of Cardiology, PLA Cardiovascular Research Institute, General Hospital, Shenyang Military Area Command, Shenyang 110016, China

    ¡¾Abstract¡¿ AIM: To investigate the feasibility of bedside application of intra aortic balloon pump (IABP) in patients with acute coronary syndrome complicated with cardiogenic shock. METHODS: A retrospective analysis was conducted in 56 patients with acute coronary syndrome complicated with cardiogenic shock, who were treated with bedside IABP. The time length, the successful rate, and the complications of the bedside IABP were analyzed. The time length of IABP application and the inhospital survival rate were compared between 20 patients using only IABP and 36 patients using IABP + PCI (percutanous coronary intervention). RESULTS: The successful rate of bedside IABP implantation was higher (98.2%) with fewer complications (12.5%) and the longest time length of bedside IABP application was 888 h. The application time of IABP in IABP + PCI group was shorter than that of IABP only (91¡À10 vs 166¡À18, P<0.05), and the survival rate during hospitalization was higher than that using IABP only(72.2% vs 40.0%, P<0.05). CONCLUSION: The early application of bedside IABP is safe and feasible in patients with acute coronary syndrome complicated with cardiogenic shock, and the PCI +IABP cab enhance the survival rate during hospitalization of these patients. ......