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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2016

Open Access 01-12-2016 | Review

IABP: history-evolution-pathophysiology-indications: what we need to know

Authors: H. Parissis, V. Graham, S. Lampridis, M. Lau, G. Hooks, P. C. Mhandu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2016

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Abstract

Treatment with the intraaortic balloon pump (IABP) is the most common form of mechanical support for the failing heart. Augmentation of diastolic pressure during balloon inflation contributes to the coronary circulation and the presystolic deflation of the balloon reduces the resistance to systolic output. Consequently, the myocardial work is reduced. The overall effect of the IABP therapy is an increase in the myocardial oxygen supply/demand ratio and thus in endocardial viability.
This is an overall synopsis of what we need to know regarding IABP. Furthermore, this review article attempts to systematically delineate the pathophysiology linked with the hemodynamic consequences of IABP therapy. The authors also look at the future of the use of the balloon pump and conclude that the positive multi-systemic hemodynamic regulation during IABP treatment should further justify its use.
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Metadata
Title
IABP: history-evolution-pathophysiology-indications: what we need to know
Authors
H. Parissis
V. Graham
S. Lampridis
M. Lau
G. Hooks
P. C. Mhandu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2016
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-016-0513-0

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