IABP-SHOCK-2

2012 Cardiology
37 ICUs
600 patients

IABP in ACS with early revascularisation

Clinical Question

In patients with acute MI and cardiogenic shock, does intraaortic balloon counterpulsation (IABP) vs. medical therapy alone improve mortality?

Critical Appraisal

Key findings

No benefit. No increased complications with IABP. High x-over rate

Critique

Non-blinded. High cross over rate.

Population
Cardiogenic Shock
Population Details
Acute MI with or without STE
Intervention Arms

IABP
Inserted either before or immediately after PCI

Control Arms

Standard Care

Primary Outcome
30 day mortality
Secondary Outcomes
No difference in mortality
P Value
0.69

Outcome Results

Not recorded