Analysis on the efficacy of PPCI combined with IABP for rescuing patients with AMI combined with CS
Objective To investigate the clinical efficacy of emergency coronary intervention combined with intra-aortic balloon counterpulsation in the rescue of acute myocardial infarction combined with cardiogenic shock.Methods The disease information,treatment information and efficacy indexes of 186 patients with AMI combined with CS(99 males and 87 females cases,age years)admitted to the First People's Hospital of Qujing from June 2017 to December 2022 were collected consecutively,and the efficacy difference between 91 patients with PPCI combined with IABP and 95 patients with PPCI alone were compared.Results There were no statistical differences in preoperative hemodynamic indexes and cardiac function indexes between the two groups(all P>0.05),and several efficacy indexes of the combination group were better than those of the simple group which with statistical significance(all P<0.05);The recurrent myocardial infarction,acute thrombosis,and perioperative mortality of combination group were lower than those of the simple group which with statistical significance(P>0.05);The improvement of LVEF and serum BNP were better than that of simple group which with statistical significance(all P<0.05).Conclusions IABP combined with PPCI for rescuing AMI patients is superior to PPCI alone in terms of palliation and improved prognosis,and the mechanism is to improve the perioperative hemodynamics of patients.