Effects of extracorporeal membrane oxygenation on vital signs and cumulative fluid balance in patients with acute myocardial infarction complicated with cardiogenic shock
Objective To investigate the therapeutic effect of extracorporeal membrane oxygenation(ECMO)on acute myocardial infarction with cardiogenic shock,and its effects on the vital signs and cumulative fluid balance of patients.Methods Eighty patients with acute myocardial infarction complicated with cardiogenic shock who were admitted in our hospital from May 2019 to May 2022 were randomly separated into research group and conventional group.The conven-tional group received intra-aortic balloon pump(IABP)treatment,while the research group received ECMO treatment on the basis of the conventional group.The vital sign indicators,cumulative fluid balance,incidence of related compli-cations,and prognosis of the two groups were compared.Results After different treatment schemes,the heart rate and central venous pressure in the research group were obviously lower than those of the conventional group(P＜0.05),the mean arterial pressure and left ventricular ejection fraction(LVEF)were obviously higher than those of the conventional group(P＜0.05);after treatment,the daily cumulative fluid balance decreased in both groups within 3 days,and the research group showed a faster decrease than that of the conventional group(P＜0.05);there was no obvious difference in the incidence of complications between the two groups(P＞0.05),but the survival rate of the research group was ob-viously higher than that of the conventional group(P＜0.05),and the hospital mortality rate was obviously lower than that of the conventional group(P＜0.05).Conclusion ECMO support technique has ideal effect and high clinical ap-plication value for patients with acute myocardial infarction complicated with cardiogenic shock.
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