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The study aimed to assess the effects of mild therapeutic hypothermia (MTH) on vasopressors and inotropes in patients with cardiogenic shock (CS) due to acute myocardial infarction (AMI).
Cardiogenic shock (CS) is a condition characterized by a severe lack of blood flow to vital organs caused by primary malfunction of the heart, as described by the European Society of Cardiology (ESC) and the American Heart Association (AHA). Acute myocardial infarction (AMI) is a prevalent etiology of CS, constituting a minimum of 30% of the instances. 50% of CS cases manifest upon hospital admission, whereas the remaining 50% occur after hospital admission.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mild therapeutic hypothermia group | Experimental | Patients received mild therapeutic hypothermia (MTH) to 33°C for 24-36 h |
|
| Control group | No Intervention | Patients did not receive mild therapeutic hypothermia (MTH) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mild therapeutic hypothermia | Drug | Patients received mild therapeutic hypothermia (MTH) to 33°C for 24-36 h |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of stroke | Incidence of stroke until day 30 was recorded. | 30 day after the procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of mechanical ventilation | Duration of mechanical ventilation was recorded. | Up to 7 days |
| Length of intensive care unit stay | Length of intensive care unit (ICU) stay refers to the total duration a patient remains in the ICU, beginning from the moment of admission to the ICU until their discharge or transfer to a less intensive care setting, such as a regular hospital ward or home. |
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Inclusion Criteria:
Age from 50 to 70 years.
Both sexes.
Cardiogenic shock post AMI defined by systolic blood pressure <90 mm Hg for >30 minutes or motropes required to maintain a systolic blood pressure >90 mm Hg in the absence of hypovolemia with signs of pulmonary congestion and signs of impaired organ perfusion defined by at least 1 of the following: altered mental status; cold, clammy skin; urine output <30 mL/h; or arterial lactate >2 mmol/L.
2. Intubated and sedated
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta University | Tanta | El-Gharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author
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| Up to 2 weeks after the procedure |
| Duration of inotropic support | Duration of inotropic support was recorded. | Intraoperatively |
| Incidence of mortality | Incidence of mortality was recorded. | 30 days after the procedure |
| ID | Term |
|---|---|
| D012770 | Shock, Cardiogenic |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D012769 | Shock |
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