Use of pulmonary artery catheters in patients with acute myocardial infarction. Analysis of experience in 5,841 patients in the SPRINT Registry. SPRINT Study Group.

Abstract:

:This study analyzes the use of PAC in a registry comprising 5,841 hospitalized patients with AMI. A total of 371 patients received PAC. In-hospital mortality was higher in patients with CHF who received PAC, while there was no difference in patients with cardiogenic shock or persistent hypotension. Mortality in patients receiving PAC was higher irrespective of the presence or absence of "pump failure." A separate analysis of discharge summaries of 364 patients with CHF showed that PAC was used more frequently in sicker patients and that when severity of CHF was assessed, no difference in mortality was found in patients with mild or moderate CHF. We conclude that while a higher in-hospital mortality is found in patients receiving PAC, this excess is likely related to difference in severity of CHF, which had not been assessed in every individual. It is unlikely that PAC increases mortality.

journal_name

Chest

journal_title

Chest

authors

Zion MM,Balkin J,Rosenmann D,Goldbourt U,Reicher-Reiss H,Kaplinsky E,Behar S

doi

10.1378/chest.98.6.1331

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

1331-5

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)40927-X

journal_volume

98

pub_type

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