ΠΜΣ Μονάδες Εντατικής Θεραπείας
Library of the School of Health Sciences

2017-04-28

2016

Katsioni Ourania

Δ. Παπαγεωργίου, Επικ. Καθηγητής, Νοσηλευτική, Τ.Ε.Ι. Αθήνας
Χρ. Μαρβάκη, Ομ. Καθηγήτρια, Νοσηλευτική, Τ.Ε.Ι. Αθήνας
Αν. Κοτανίδου, Καθηγήτρια, Ιατρική, ΕΚΠΑ

Η χρήση ενδοαορτικής αντλίας σε καρδιολογικούς ασθενείς

Greek

Η χρήση ενδοαορτικής αντλίας σε καρδιολογικούς ασθενείς

Overview: Acute Ischemic Syndromes constitute one of the major causes of mortality worldwide and their usual treatment includes the conventional treatment, PCI and CABG. The use of IABP during the invasive procedures aims mostly at maintaining hemodynamic stability, contributing to patients’ survival.
Aim: Evaluating the frequency of IABP use among hospitalized patients in an Infarction Unit as well as its potential benefits in treating such patients.
Material-Method: The sample consisted of 55 patients in an Infarction Unit of “Attikon” Hospital, Athens, Greece. The data collection was conducted through the use of a questionnaire to record the demographic and clinical characteristics of the sample, along with the factors associated with the use of IABP. The statistical software SPSS v.22 was used for the data analysis.
Results: The main cause for admission in the Unit was MI Stemi complicated by cardiogenic shock and unstable angina. Older age was correlated with the presence of diabetes mellitus (p=0.011) and arterial hypertension (p=0.001), as well as the choice of treatment, with younger patients being treated mostly via PCI (p=0.014). Similarly, diabetes mellitus influenced treatment choice favouring conventional treatment or GABG (p=0.018). IABP was use mostly during PCI, with 10.9% complications, with a strong correlation of its use with a reduction in mortality (p=<0.001). Coronary diseiace (p=0.016) and the use of inotropic-vasopressor agents (p=0.001) wer found as independent mortality predictors.
Conclusions: IABP use is recommended to achieve hemodynamic stability in the presence of cardiogening shock and during PCI and CABG as it can potentially contribute to a reduction in mortality among cardiology patients.

Health Sciences

IABP, Acute ischemic syndromes, PCI, CABG

No

0

Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/1503289