THE EFFECT OF INTRA AORTIC BALLOON PUMP IN LOW CARDIAC OUTPUT PATIENTS AFTER OPEN HEART SURGERY

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MASOOMI M.

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Journal: Journal of Kermanshah University of Medical Sciences Year:2000 | Volume:4 | Issue:1 Page(s): 1-7

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Title

THE EFFECT OF INTRA AORTIC BALLOON PUMP IN LOW CARDIAC OUTPUT PATIENTS AFTER OPEN HEART SURGERY

Author(s)

MASOOMI M. | Issue Writer Certificate

Keywords

INTRA AORTIC BALLON PUMPQ4

LOW CARDIAC OUTPUTQ4

CARDIAC SURGERYQ3

Abstract

The Intra Aortic Balloon Pump (IABP) by after load reduction, improvement in coronary perfusion, decrease in end diastolic pressure and volume and influence on myocardial oxygen supply demand, can have vital effect on LOW CARDIAC OUTPUT patients after open heart surgery. To study these effects, a perspective study was carried out on LOW CARDIAC OUTPUT patients which have not responded to maximum medical treatments.The number of patients was 21. Their homodynamic status was compared before and after insertion of IABP. 15 cases were men and 6 were women. The mean age of cases was 54.8 year (28-68). In 19 cases CABG was performed. In one case the operation was 2-valve replacement and in another one was valvular malfunction. Most of patients have suffered from hypertension (71%), left ventricular dysfunction (71%) and diabetes mellitus (57%). The mean cardiopulmonary bypass time was 161 minutes and aortic cross clamp duration was 85 minutes. The mean duration of IABP support was 53 hours (7-295hrs). 18 patients were separated from the IABP successfully and discharged from the hospital. There were 3 cases of mortality: one of them died on the 15th postoperative day as a result of respiratory failure. The other did not respond to ventricular assist device. And the third one died as a result of severs heart failure. The only complication of IABP was large hematoma of the groin in one case.This study showed that the early insertion of IABP and late separation were important factors in increasing the success: it was also made clear that CABG patients, which do not respond to enough doses of dopamine and doputamin and require adrenaline, can be treated with IABP instead, because the requirement of adrenaline in fact is an indicative of sever dysfunction of myocardium. The final result is that the use of IABP with 1-2 .mode is preferred to 1-1 mode, especially in heart rates more than 100 bpm and the management of IABP by expert personnel is of high importance to guarantee the better success.

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APA: Copy

MASOOMI, M.. (2000). THE EFFECT OF INTRA AORTIC BALLOON PUMP IN LOW CARDIAC OUTPUT PATIENTS AFTER OPEN HEART SURGERY. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), 4(1), 1-7. SID. https://sid.ir/paper/20746/en

Vancouver: Copy

MASOOMI M.. THE EFFECT OF INTRA AORTIC BALLOON PUMP IN LOW CARDIAC OUTPUT PATIENTS AFTER OPEN HEART SURGERY. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD)[Internet]. 2000;4(1):1-7. Available from: https://sid.ir/paper/20746/en

IEEE: Copy

M. MASOOMI, “THE EFFECT OF INTRA AORTIC BALLOON PUMP IN LOW CARDIAC OUTPUT PATIENTS AFTER OPEN HEART SURGERY,” JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), vol. 4, no. 1, pp. 1–7, 2000, [Online]. Available: https://sid.ir/paper/20746/en

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