Risks associated with intraaortic balloon pumping in patients with and without diabetes mellitus
Between 1967 and 1982, intraaortic balloon pumping (IABP) was attempted in 733 patients. Of these, 132 were diabetic: 51 patients were managed with diet alone, 46 patients took oral hypoglycemic agents and 35 patients required insulin. Vascular complications associated with IABP occurred in 34% of t...
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| Veröffentlicht in: | The American journal of cardiology 1988-03, Vol.61 (8), p.558-562 |
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| container_issue | 8 |
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| container_title | The American journal of cardiology |
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| creator | Wasfie, Tarik Freed, Paul S. Rubenfire, Melvyn Wajszczuk, Waldemar Reimann, Paula Brozyna, Witold Schork, M.Anthony Kozlowski, Jay Kantrowitz, Adrian |
| description | Between 1967 and 1982, intraaortic balloon pumping (IABP) was attempted in 733 patients. Of these, 132 were diabetic: 51 patients were managed with diet alone, 46 patients took oral hypoglycemic agents and 35 patients required insulin. Vascular complications associated with IABP occurred in 34% of the insulin-dependent diabetics, in 18% of other diabetics and in 14% of nondiabetic patients. Infectious complications were 37, 22 and 25%, respectively. Seventy-five diabetic patients (57%) were discharged alive from the hospital after balloon pumping, essentially the same proportion as among nondiabetic patients (58%). It is concluded that although diabetics incur a higher complication rate, IABP is not contraindicated. |
| doi_str_mv | 10.1016/0002-9149(88)90764-3 |
| format | Article |
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Of these, 132 were diabetic: 51 patients were managed with diet alone, 46 patients took oral hypoglycemic agents and 35 patients required insulin. Vascular complications associated with IABP occurred in 34% of the insulin-dependent diabetics, in 18% of other diabetics and in 14% of nondiabetic patients. Infectious complications were 37, 22 and 25%, respectively. Seventy-five diabetic patients (57%) were discharged alive from the hospital after balloon pumping, essentially the same proportion as among nondiabetic patients (58%). It is concluded that although diabetics incur a higher complication rate, IABP is not contraindicated.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Diabetes Complications</subject><subject>Diabetes Mellitus</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Female</subject><subject>Heart Diseases - complications</subject><subject>Heart Diseases - mortality</subject><subject>Heart Diseases - therapy</subject><subject>Humans</subject><subject>Infection - etiology</subject><subject>Intensive care medicine</subject><subject>Intra-Aortic Balloon Pumping - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Vascular Diseases - etiology</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kNGK1TAQhoMo69nVN1DohSx6Uc00bZPcCLK4rrAgiF7HNJmj0bapmdTFtzfHHs7lXg3D__3D8DH2DPhr4NC_4Zw3tYZWv1Tqleayb2vxgO1ASV2DBvGQ7U7IY3ZO9LOsAF1_xs6EaNte6h379jnQL6osUXTBZvTVXcg_qjDnZG1MObhqsOMY41wt67SE-XvJqsXmgHOmDbbz1oprrnywA2akasJxDHmlJ-zR3o6ET4_zgn29fv_l6qa-_fTh49W729oJ1efatgK591y3XFvNYegltkoCgB46HPZCdk0HyoHj6J1sGtlwVODRDYo3CsQFu9zuLin-XpGymQK58oSdMa5kpAKuZNMVsN1AlyJRwr1ZUphs-muAm4NYc7BmDtaMUua_WCNK7fnx_jpM6E-lo8mSvzjmlpwd98nOLtAJk53qQDcFe7thWFz8CZgMuaLSoQ8JXTY-hvv_-AfKeJUM</recordid><startdate>19880301</startdate><enddate>19880301</enddate><creator>Wasfie, Tarik</creator><creator>Freed, Paul S.</creator><creator>Rubenfire, Melvyn</creator><creator>Wajszczuk, Waldemar</creator><creator>Reimann, Paula</creator><creator>Brozyna, Witold</creator><creator>Schork, M.Anthony</creator><creator>Kozlowski, Jay</creator><creator>Kantrowitz, Adrian</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880301</creationdate><title>Risks associated with intraaortic balloon pumping in patients with and without diabetes mellitus</title><author>Wasfie, Tarik ; Freed, Paul S. ; Rubenfire, Melvyn ; Wajszczuk, Waldemar ; Reimann, Paula ; Brozyna, Witold ; Schork, M.Anthony ; Kozlowski, Jay ; Kantrowitz, Adrian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-a43e0dd09409a901b67e4871119b5ebf3752518c1c0edc722720e81decb802813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Diabetes Complications</topic><topic>Diabetes Mellitus</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Female</topic><topic>Heart Diseases - complications</topic><topic>Heart Diseases - mortality</topic><topic>Heart Diseases - therapy</topic><topic>Humans</topic><topic>Infection - etiology</topic><topic>Intensive care medicine</topic><topic>Intra-Aortic Balloon Pumping - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Vascular Diseases - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wasfie, Tarik</creatorcontrib><creatorcontrib>Freed, Paul S.</creatorcontrib><creatorcontrib>Rubenfire, Melvyn</creatorcontrib><creatorcontrib>Wajszczuk, Waldemar</creatorcontrib><creatorcontrib>Reimann, Paula</creatorcontrib><creatorcontrib>Brozyna, Witold</creatorcontrib><creatorcontrib>Schork, M.Anthony</creatorcontrib><creatorcontrib>Kozlowski, Jay</creatorcontrib><creatorcontrib>Kantrowitz, Adrian</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wasfie, Tarik</au><au>Freed, Paul S.</au><au>Rubenfire, Melvyn</au><au>Wajszczuk, Waldemar</au><au>Reimann, Paula</au><au>Brozyna, Witold</au><au>Schork, M.Anthony</au><au>Kozlowski, Jay</au><au>Kantrowitz, Adrian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risks associated with intraaortic balloon pumping in patients with and without diabetes mellitus</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1988-03-01</date><risdate>1988</risdate><volume>61</volume><issue>8</issue><spage>558</spage><epage>562</epage><pages>558-562</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Between 1967 and 1982, intraaortic balloon pumping (IABP) was attempted in 733 patients. Of these, 132 were diabetic: 51 patients were managed with diet alone, 46 patients took oral hypoglycemic agents and 35 patients required insulin. Vascular complications associated with IABP occurred in 34% of the insulin-dependent diabetics, in 18% of other diabetics and in 14% of nondiabetic patients. Infectious complications were 37, 22 and 25%, respectively. Seventy-five diabetic patients (57%) were discharged alive from the hospital after balloon pumping, essentially the same proportion as among nondiabetic patients (58%). It is concluded that although diabetics incur a higher complication rate, IABP is not contraindicated.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3344679</pmid><doi>10.1016/0002-9149(88)90764-3</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Diabetes Complications Diabetes Mellitus Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 2 - complications Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Female Heart Diseases - complications Heart Diseases - mortality Heart Diseases - therapy Humans Infection - etiology Intensive care medicine Intra-Aortic Balloon Pumping - adverse effects Male Medical sciences Middle Aged Vascular Diseases - etiology |
| title | Risks associated with intraaortic balloon pumping in patients with and without diabetes mellitus |
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