Aortic Balloon Counterpulastion in Myocardial Infarction Related Shock (IABPSHOCK)
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Purpose
The role of intra aortic balloon counterpulsation in patients experiencing acute myocardial infarction with shock is not established. We hypothesised that use of such a device would lead to improved outcomes in these patients.
| Condition | Intervention |
|---|---|
|
Myocardial Infarction Cardiogenic Shock |
Device: Intra-aortic balloon pump counterpulsation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Intra-Aortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock - The Prospective, Randomised IABP SHOCK Trial for Attenuation of Multi-Organ Dysfunction Syndrome |
- APACHE II SCORE [ Time Frame: 4 days ]
- Haemodynamic state [ Time Frame: 4 days ]
- BNP levels [ Time Frame: 4 days ]
- Inflammatory activation [ Time Frame: 4 days ]
- Mortality [ Time Frame: 4 days ]
| Enrollment: | 45 |
| Study Start Date: | March 2003 |
| Study Completion Date: | June 2004 |
Patients undergoing percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) with cardiogenic shock (CS) are often treated with Intra-aortic balloon pump counterpulsation (IABP) although the evidence to support this is limited. We conducted a prospective, randomised clinical trial, of IABP as an addition to PCI centred therapy, in patients with AMI complicated by CS.
45 patients with AMI and CS undergoing PCI were randomised to care with or without IABP. Over 4 days, APACHE II scores, haemodynamic parameters, inflammatory markers and BNP levels were collected to assess the impact of IABP treatment on CS triggered multi organ dysfunction syndrome (MODS).
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Acute myocardial infarction
- Cardiogenic shock
Exclusion Criteria:
- Absent peripheral pulses
- Mechanical complications of myocardial infarction
Contacts and Locations| Germany | |
| Department of Medicine III, Klinikum Krollwitz, Martin Luther University | |
| Halle (Saale), Saxony - Anhalt, Germany, 06120 | |
| Study Chair: | Michael Buerke, MD | Martin Luther University |
| Principal Investigator: | Roland Prondzinsky, MD | Martin Luther University |
More Information
No publications provided by Martin-Luther-Universität Halle-Wittenberg
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00469248 History of Changes |
| Other Study ID Numbers: | MLU-IABPSHOCK |
| Study First Received: | May 3, 2007 |
| Last Updated: | May 3, 2007 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Martin-Luther-Universität Halle-Wittenberg:
|
Myocardial infarction Cardiogenic shock Systemic inflammatory response syndrome Percutaneous coronary intervention aortic balloon counterpulsation |
Additional relevant MeSH terms:
|
Shock Shock, Cardiogenic Infarction Myocardial Infarction Ischemia Pathologic Processes |
Necrosis Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013