Tag: cardiogenic shock

It has been shown that hyperglycaemia is associated with increased in-hospital and long-term mortality inpatients with myocardial infarction (MI). There are only a few reports on the relationship between glycaemia in the acutephase of MI complicated by cardiogenic shock (CS) and prognosis...

We report a case of a 59 year-old patient in a condition of acute myocardial infarction with ST elevation, in a cardiogenicshock, with multiple cardiac arrests in mechanism of ventricular fibrillation with a significant chest wall deformity caused byHeine-Medin disease in childhood. To our knowledge, this is the first case report of a patient in critical condition witha considerable pectus deformity after poliomyelitis who needed to undergo cardiovascular angioplasty. Although severepatient’s condition and numerous difficulties during percutaneous coronary intervention, therapy was successful.

Case study: 56-year-old male patient in cardiogenic shock with a large thrombus in LM, succesfully treated by PTCA with aspiration thrombectomy. Follow-up: 9 months control angiography.

Cardiogenic shock (CS) affects the prognosis in patients with myocardial infarction (MI). An additional factor affecting the prognosis is diabetes mellitus (DM).

Kontrpulsację wewnątrzaortalną (IABP, intra-aortic balloon pump counterpulsation) do użytku klinicznego wprowadzono w 1968 roku [1]. Jest najczęściej stosowaną metodą bier nego wsparcia hemodynamicznego u chorych z zawałem serca (MI, myocardial infarction), zwłaszcza powikłanego wstrząsem kardiogennym (CS, cardiogenic shock) [2]. Jej zastosowanie niesie za sobą duże korzyści hemodynamiczne poprzez zmniejszenie obciążenia następczego lewej komory, ograniczenie zapotrzebowania na tlen i poprawę przepływu wieńcowego w okresie rozkurczu [3].

Despite great progress in the treatment of acute coronary syndromes (ACS), patients with cardiogenic shock (CS) still remain a group at the greatest risk of death. Simple, easily measurable prognostic factors are sought to distinguish those patients who are at risk of death despite successful recanalization of infarct related artery in CS group...