cardiogenic shock

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cardiogenic shock

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8 Posts

asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/30/04 - 11:32 AM

What r the causes and how do you treat it ?

mdwannabe
Forum Guru

Topics: 37
Posts: 1,133

07/30/04 - 04:47 PM

Tamponade- pericardial window
LVD- Dobutamine+treat the cause of dysfnctn
Dialated Card Myopath- support+ Batista procedure
CHF- loop diuretic+positive inotropic agent+Dig consider transplant if no evidence of Pulm HTN
Hypertrophic Card Myop- transplant

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asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/30/04 - 04:50 PM

what is batista procedure :roll: ?

what is the role of IABC in treatment of cardigenic shock ?

dmnz
Forum Junior

Topics: 7
Posts: 72

07/30/04 - 06:22 PM

Batista procedure- Dilated heart especially LV is trimmed off and diameter is reduced by cutting the diated noncontarctile part and sewing it back together.This reduces radius and hence increase wall tension(La place law) and force of contraction in systole.Fantastic concept came from Batista-from Brazil.

IABC-Intraaortic balloon counterpulsation-A catheter mounted with balloon is inserted through Rt femoral and connected to helium pump and ECG module machine.The tip of balloon radiologically sits at 1 cm diatal to origin if left subclavian artery.Helium is pumped into the balloon (30cc) during every diastole,and balloon inflates in thoracic aorta at every diatole.This reduces afterload (most important mechanism) and fills in coronaries by pushing the blood column and hence improving myocardial perfusion and hence helpful in cardiogenic shock.

Hope asmi it would be helpful.

dmnz :wink:

daira
Forum Senior

Topics: 29
Posts: 138

07/31/04 - 07:59 AM

"dmnz" wrote:
Fantastic concept came from Batista-from Brazil.

He got it from his father (a carpenter). He came to our hospital, did on 3, 1 table death, 1 died post-op, 1 struggled for a while.

But he has reported better results at other centers, but still a controversial procedure.

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mdwannabe
Forum Guru

Topics: 37
Posts: 1,133

07/31/04 - 10:07 AM

Batista prcdr...Boston trials, Austin trials.. all negative results. Though only very sick pts were tried. SO no valid data yet.. but part of theory :-)

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"Life not lived for others, is not worth living" Uncle Einstein
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asmi
Forum Hero

Topics: 1043
Posts: 4,609

07/31/04 - 11:31 AM

thanks everyone smiling face

dmnz
Forum Junior

Topics: 7
Posts: 72

08/01/04 - 04:59 AM

Daira

It is not a controversial procedure.It is established procedure ,however you are correct in interpreting the postop results.
Infact many further modifications have been made by various surgeons to it .The concept has eventually made many modification.

dmnz :wink:

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