This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (59)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Results in 27 Patients

Adrian Kantrowitz, MD; Joseph S. Krakauer, MD; Arnold Rosenbaum, MD; Alfred N. Butner, MD; Paul S. Freed, MS; Dov Jaron, PhD

AMA Arch Surg. 1969;99(6):739-743.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Pump failure is considered to be the primary pathophysiologic defect in cardiogenic shock secondary to acute myocardial infarction. Several investigators have reported mortality in 85% to 95% of patients with this syndrome.^1-4 In those with cardiogenic shock accompanied by pulmonary edema, the fatality rate was 100% in a series of 241 patients with acute myocardial infarction studied by E. Greif, according to an oral communication with him on Oct 28, 1968. Available pharmacologic therapies which augment myocardial contractility or raise systemic blood pressure also increase the internal work of the heart and, therewith, its oxygen demand. Use of these agents does not appear to be associated with an increased survival rate.

Since June 1967 a mechanical means of circulatory support for patients in refractory cardiogenic shock, the intraaortic phase-shift balloon pump, has been under clinical trial. Our experimental laboratory studies and initial clinical evaluation indicated that balloon pumping effectively . . . [Full Text PDF of this Article]

Author Affiliations
Brooklyn, NY

From the Departments of Surgery, State University of New York Downstate Medical Center and Maimonides Medical Center, Brooklyn, NY.

Footnotes
Submitted for publication Aug 5, 1969.

Read before the 17th scientific meeting of the North American Chapter of the International Cardiovascular Society, New York, July 11, 1969.

Reprint requests to Maimonides Medical Center, Brooklyn, NY (Dr. Kantrowitz).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?