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Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation

The use of intra-aortic balloon pump (IABP) has decreased in recent years due to negative outcome studies in cardiogenic shock complicating acute myocardial infarction, despite its favorable adverse-event profile. Acute hemodynamic response studies have identified potential super-responders with imm...

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Autores principales: Castagna, Francesco, Viswanathan, Shankar, Chalhoub, George, Ippolito, Paul, Ovalle Ramos, Julio Andres, Vukelic, Sasa, Sims, Daniel B., Madan, Shivank, Saeed, Omar, Jorde, Ulrich P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602221/
https://www.ncbi.nlm.nih.gov/pubmed/37499684
http://dx.doi.org/10.1097/MAT.0000000000002014
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author Castagna, Francesco
Viswanathan, Shankar
Chalhoub, George
Ippolito, Paul
Ovalle Ramos, Julio Andres
Vukelic, Sasa
Sims, Daniel B.
Madan, Shivank
Saeed, Omar
Jorde, Ulrich P.
author_facet Castagna, Francesco
Viswanathan, Shankar
Chalhoub, George
Ippolito, Paul
Ovalle Ramos, Julio Andres
Vukelic, Sasa
Sims, Daniel B.
Madan, Shivank
Saeed, Omar
Jorde, Ulrich P.
author_sort Castagna, Francesco
collection PubMed
description The use of intra-aortic balloon pump (IABP) has decreased in recent years due to negative outcome studies in cardiogenic shock complicating acute myocardial infarction, despite its favorable adverse-event profile. Acute hemodynamic response studies have identified potential super-responders with immediate improvements in cardiac index (CI) in heart failure patients. This single-center retrospective study aimed to predict CI and mean arterial pressure (MAP) changes throughout the entire duration of IABP support. The study analyzed 336 patients who received IABP between 2016 and 2022. Linear mixed-effect regression models were used to predict CI and MAP improvement during IABP support. The results showed that CI and MAP increases during the first days of support, and changes during IABP support varied with time and were associated with baseline parameters. Longitudinal CI change was associated with body surface area, baseline CI, baseline pulmonary artery pulsatility index, baseline need for pressors, and diabetes. Longitudinal MAP change was associated with baseline MAP, baseline heart rate, need for pressors, or inotropes. The study recommends considering these parameters when deciding if IABP is the most appropriate form of support for a specific patient. Further prospective studies are needed to validate the findings.
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spelling pubmed-106022212023-10-27 Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation Castagna, Francesco Viswanathan, Shankar Chalhoub, George Ippolito, Paul Ovalle Ramos, Julio Andres Vukelic, Sasa Sims, Daniel B. Madan, Shivank Saeed, Omar Jorde, Ulrich P. ASAIO J Adult Circulatory Support The use of intra-aortic balloon pump (IABP) has decreased in recent years due to negative outcome studies in cardiogenic shock complicating acute myocardial infarction, despite its favorable adverse-event profile. Acute hemodynamic response studies have identified potential super-responders with immediate improvements in cardiac index (CI) in heart failure patients. This single-center retrospective study aimed to predict CI and mean arterial pressure (MAP) changes throughout the entire duration of IABP support. The study analyzed 336 patients who received IABP between 2016 and 2022. Linear mixed-effect regression models were used to predict CI and MAP improvement during IABP support. The results showed that CI and MAP increases during the first days of support, and changes during IABP support varied with time and were associated with baseline parameters. Longitudinal CI change was associated with body surface area, baseline CI, baseline pulmonary artery pulsatility index, baseline need for pressors, and diabetes. Longitudinal MAP change was associated with baseline MAP, baseline heart rate, need for pressors, or inotropes. The study recommends considering these parameters when deciding if IABP is the most appropriate form of support for a specific patient. Further prospective studies are needed to validate the findings. Lippincott Williams & Wilkins 2023-07-26 2023-11 /pmc/articles/PMC10602221/ /pubmed/37499684 http://dx.doi.org/10.1097/MAT.0000000000002014 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the ASAIO. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Adult Circulatory Support
Castagna, Francesco
Viswanathan, Shankar
Chalhoub, George
Ippolito, Paul
Ovalle Ramos, Julio Andres
Vukelic, Sasa
Sims, Daniel B.
Madan, Shivank
Saeed, Omar
Jorde, Ulrich P.
Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title_full Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title_fullStr Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title_full_unstemmed Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title_short Predicting Hemodynamic Changes During Intra-Aortic Balloon Pump Support With a Longitudinal Evaluation
title_sort predicting hemodynamic changes during intra-aortic balloon pump support with a longitudinal evaluation
topic Adult Circulatory Support
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10602221/
https://www.ncbi.nlm.nih.gov/pubmed/37499684
http://dx.doi.org/10.1097/MAT.0000000000002014
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