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Efficiency of Renal Replacement Therapy for Cardiogenic Shock Complicated by Multiorgan Dysfunction

https://doi.org/10.15360/1813-9779-2011-5-32

Abstract

Objective: to analyze the efficiency of renal replacement therapy (RRT) for acute myocardial infarction complicated by cardiogenic shock and multiorgan dysfunction. Subjects and methods. Sixty-six patients with acute myocardial infarction complicated by cardiogenic shock were enrolled in the study. The postoperative period after coronary angioplasty was complicated by multiorgan dysfunction in all the patients. Results. The efficiency of postoperative RRT in abolishing systemic inflammatory response was evaluated. Conclusion. RRT incorporated within the first 12 hours following coronary angioplasty into an intensive care package for acute myocardial infarction complicated by cardiogenic shock has an effect in preventing multiorgan dysfunction and assists in reducing deaths due to extracardiac causes inflammatory response. Key words: acute myocardial infarction, cardiogenic shock, multiorgan dysfunction, renal replacement therapy.

References

1. Van de Werf F., Bax J., Betriu A. et al.

2. Mann H. J., Nolan P. E. Jr.Update on the management of cardiogenic shock. Curr. Opin. Crit. Care 2006; 12 (5): 431—436.

3. Topalian S., Ginsberg F., Parrillo J. E.Cardiogenic shock. Crit. Care Med. 2008; 36 (1 Suppl): S66—S74.

4. Raban V. J., Radovanovic D., Hunziker P. R. et al.For the AMIS plus registry investigators ten-year trends in the incidence and treatment of cardiogenic shock. Ann. Intern. Med. 2008; 149 (9): 618—626.

5. Барбараш Л. С., Плотников Г. П., Шукевич Д. Л., Хаес Б. Л.Обоснование ранней заместительной почечной терапии при полиорганной недостаточности. Общая реаниматология 2009; VI (6): 29—33.

6. Bellomo R., Baldwin I., Fealy N.Prolonged intermittent replacement therapy in the intensive care unit. Ann. Thorac. Surg. 2006; 81 (4): 1385—1392.

7. Baudouin S. V.Sepsis. London: Springer-Verlag Limited; 2008. 32—40.

8. De Corte W., De Laet I., Hoste E. A.Timing of renal replacement therapy In: Yearbook of Intensive Care and Emergency Medicine. Vincent J. L. (ed.). 2010. 373—379.


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For citations:


Barbarash L.S., Popkov A.N., Kheraskov V.Yu., Plotnikov G.P., Shukevich D.L., Grigoryev E.V. Efficiency of Renal Replacement Therapy for Cardiogenic Shock Complicated by Multiorgan Dysfunction . General Reanimatology. 2011;7(5):32. (In Russ.) https://doi.org/10.15360/1813-9779-2011-5-32

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ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)