大動脈内バルーン・パンピング症例の初期血行動態と予後について

高野 久輝; 川島 康生; 森 透; 橋本 聴一; 広瀬 一; 中埜 粛; 奥田 彰洋; 安達 盛次; 藤田 毅; 康 義治; 曲直部 寿夫; Akihiro OKUDA; Hirotaka MURATA

doi:10.11392/jsao1972.7.123

The early hemodynamic response to intra-aortic balloon pumping in patients with severe left heart faifure.

Hisateru TAKANO, Yasunaru KAWASHIMA, Tohru MORI, Soichi HASHIMOTO, Hajime HIROSE, Susumu NAKANO, Yasuhisa SHIMAZAKI, Seiji ADACKI, Tsuyoshi FUJITA, Yoshiharu KOH, Hisao MANABE, Akihiro OKUDA, Hirotaka MURATA

Author information

Hisateru TAKANO
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Yasunaru KAWASHIMA
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Tohru MORI
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Soichi HASHIMOTO
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Hajime HIROSE
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Susumu NAKANO
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Yasuhisa SHIMAZAKI
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Seiji ADACKI
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Tsuyoshi FUJITA
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Yoshiharu KOH
[in Japanese]
Hisao MANABE
[in Japanese]
Akihiro OKUDA
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center
Hirotaka MURATA
First Department of Surgery, Osaka University Medical School and National Cardiovascular Center

JOURNAL FREE ACCESS

1978 Volume 7 Issue 1 Pages 123-126

DOI https://doi.org/10.11392/jsao1972.7.123

Details

Abstract

Since 1974, IABP was applied to thirty patients with severe left heart failure following acute myocardial infarction or cardiac surgery. By reviewing of our experience, we studied the early hemodynamic response to IABP and prognosis. What have been obtained from our experiences are follows: 1. Even if systemic arterial pressure, left atrial pressure and endocardial viability ratio were maintained satisfactorily, it was the cardiac index to determine the prognosis. The prognosis is very severe if cardiac index is unable to exceed over 2.0 1/mira/M² within 12-24 hours after IABP applied.
2. Cardiac index in patients with cardiogenic shock following myocardial infarction was increased by IABP. Since several cases deteriorated after 24-48 hours, it is desirable to perform surgical treatment at latest within 24 hours.

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