Acute Hemodynamic Effects of Intra-Aortic Balloon Counterpulsation Pumps in Advanced Heart Failure

Highlights • Intra-aortic balloon pumps acutely reduce left ventricular stroke work by decreasing left ventricular systolic pressure not end-systolic volume. • Intra-aortic balloon pump activation increases the myocardial oxygen supply:demand ratio in advanced heart failure by decreasing systolic pr...

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Bibliographic Details
Published in:Journal of cardiac failure 2017-08, Vol.23 (8), p.606-614
Main Authors: Annamalai, Shiva K, MD, Buiten, Lyanne, MD, Esposito, Michele L, MD, Paruchuri, Vikram, MD, Mullin, Andrew, BA, Breton, Catalina, MS, Pedicini, Robert, BS, O'Kelly, Ryan, BA, Morine, Kevin, MD, Wessler, Benjamin, MD, Patel, Ayan R, MD, Kiernan, Michael S, MD, Karas, Richard H, MD PhD, Kapur, Navin K, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiovascular
Counterpulsation - methods
Counterpulsation - trends
Female
heart failure
Heart Failure - diagnostic imaging
Heart Failure - physiopathology
Heart Failure - therapy
Hemodynamics
Hemodynamics - physiology
Humans
interventional cardiology
Intra-Aortic Balloon Pumping - methods
Intra-Aortic Balloon Pumping - trends
Male
mechanical circulatory support
Middle Aged
Prospective Studies
Treatment Outcome
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Summary:Highlights • Intra-aortic balloon pumps acutely reduce left ventricular stroke work by decreasing left ventricular systolic pressure not end-systolic volume. • Intra-aortic balloon pump activation increases the myocardial oxygen supply:demand ratio in advanced heart failure by decreasing systolic pressure and increasing diastolic pressure. • Intra-aortic balloon pumps may be more effective in patients with advanced heart failure who have low right heart filling pressures and high systemic vascular resistance.
ISSN:1071-9164
1532-8414
DOI:10.1016/j.cardfail.2017.05.015