Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock Trial Ppt Powerpoint Presentation slides-Medical Slideshow Cardiogenic Shock Complicating Acute Myocardial Infarction: Expanding ...

Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock Trial

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Slide 1 :

Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock Trial Acute Myocardial Infarction SHOCK Hochman, JS, et al; New Eng J Med 1999; 341(9); 625-634 Randomization Initial Medical Stabilization n=150 Emergency Revascularization n=152 = 36 HRS = 12 HRS

Slide 2 :

A Report from the Shock Trial Registry Sanborn et al, J Am Coll Cardiol Vol. 36 No. 3, Suppl A Sept 2000:1123-9 p<0.007

Slide 3 :

Thrombolysis Plus Aortic Counterpulsation: Improved Survival in Patients Who Present to Community Hospitals with Cardiogenic Shock Kovack, PJ, et al; J Am Coll Cardiol 1997; 29: 1454-1458 93% 37% 67% 32% 67% 32%

Slide 4 :

Thrombolytics and Counterpulsation to Improve Cardiogenic Shock Survival Patients with AMI Randomized N = 57 Ohman, M, et al, Presented at the 22nd Congress of the European Society of Cardiology, August 27, 1999 Thrombolysis + IABP N = 30 Thrombolysis Alone N=27 < 12 hours symptoms ST Elevation Hypotension or heart failure

Slide 5 :

Thrombolytics and Counterpulsation to Improve Cardiogenic Shock Survival 33% 27% 43% 34% Ohman, M, et al, Presented at the 22nd Congress of the European Society of Cardiology, August 27, 1999 *Adjusted for baseline differences in Killip Class, MI location, and diabetes

Slide 6 :

Mortality Results in Perspective (30-Day) (1 Year) (In-hospital) (In-hospital) (6 Months)

Slide 7 :

Stroke Complicating PCI WHC: Fuchs et al. Circulation, 2002;106:86-91

Slide 8 :

Incidence Cardiogenic Shock complicates approximately 7.5% of patients with acute myocardial infarction Cardiogenic Shock is the leading cause of death in patients hospitalized with acute myocardial infarction (AMI) 70-80% mortality rate

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