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Studies show that when AMI is complicated by cardiogenic shock AKI affects more than 50% of the patients.
0 and Impella LD) and indicated for the treatment of ongoing cardiogenic shock that occurs immediately (< 48 hours) following acute myocardial infarction (AMI) or open heart surgery as a result of isolated left ventricular failure that is not responsive to optimal medical management and conventional treatment measures with or without an intra-aortic balloon pump.
As a result, i-cor is designed to offer physiological circulatory support, protection, and safety during interventions in the cardiac cath lab, as well as for the management of cardiogenic shock in the ICU and the cardiac cath lab.
They were followed, till discharge or death, daily and also as needed with history, clinical examination, ECG and echo to detect arrhythmias, AV Blocks, cardiogenic shock and acute LVF.
The variables in the validated AR-G clinical in-hospital mortality model (10) were used for risk adjustment, including age, baseline serum creatinine, systolic blood pressure, heart failure and/or cardiogenic shock at presentation, ST-segment changes, heart rate, ratio of peak troponin to the upper limit of the reference interval, and prior peripheral arterial disease.
2008;51:210-47) recommend caution in giving beta-blockers in the first 24 hours in patients with risk factors for cardiogenic shock.
Thirty-nine patients with shock were included during the study period; 26 had septic shock and 13 had cardiogenic shock (Table 1).
They also noted that the increased mortality in cardiogenic shock patients receiving dopamine, as compared to norepinephrine, was unexpected, as dopamine might be expected to improve cardiac output in such patients.