People who has got the heart attack for the time and has survived cannot be termed as out of danger totally, despite the best of treatment given to them//. A new study has found that one out of ten of them will develop cardiogenic shock, which can reduce the amount of blood to be pumped to the vital organs. As a result blood pressure shoots up, the skin becomes cool and body’s organs stop functioning. It is said that cardiogenic shock is the leading cause of death for heart attack patients with nearly 60% of them will not survive.
However, an important study published in 1999 by a group led by Judith S. Hochman, M.D., showed aggressive invasive treatment of heart attack patients who develop cardiogenic shock could save lives and as a result, the American Heart Association and the American College of Cardiology recommend aggressively treating heart attack shock patients.
Although aggressive therapy is increasingly used in tertiary care hospitals, which have sophisticated invasive care facilities, not all eligible patients receive it. And most patients who reach a hospital without such facilities are not transferred to a hospital where they can be treated appropriately.
Now, a new study by Dr. Hochman’s group demonstrates that some patients who quickly received invasive treatment with angioplasty or open-heart surgery to bypass clogged coronary arteries survive long-term, and the superiority of this treatment is sustained over time.
They report in the June 7 issue of the Journal of the American Medical Association that with invasive treatment 33% of hospitalized heart attack patients with cardiac shock were alive six years later. By comparison, only 20% of shock patients who were treated initially with medications and a device to support the circulation called an intra-aortic balloon pump (IABP) survived long-term.
'This well conducted study clearly shows that treating the sickest heart attack patients early a
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