Evidence map›Paper›PMID 29678608›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2018

Clinical and hemodynamic effects of intra-aortic balloon pump therapy in chronic heart failure patients with cardiogenic shock.

Justin A Fried, Abhinav Nair, Koji Takeda, Kevin Clerkin, Veli K Topkara, Amirali Masoumi, Melana Yuzefpolskaya, Hiroo Takayama, Yoshifumi Naka, Daniel Burkhoff and 5 more

Abstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
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  10. Article
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  14. Article
  15. Myocardial Recovery in Cardiogenic Shock.Methodist DeBakey cardiovascular journal · 2024
    Review
  16. Review
  17. Research Priorities in Critical Care Cardiology: JACC Expert Panel.Journal of the American College of Cardiology · 2023
    Review
  18. Review
  19. Contemporary management of ventricular arrhythmias in heart failure.American journal of cardiovascular disease · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Justin A FriedDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Abhinav NairDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Koji TakedaDivision of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Kevin ClerkinDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Veli K TopkaraDivision of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Amirali MasoumiDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Melana YuzefpolskayaDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Hiroo TakayamaDivision of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Yoshifumi NakaDivision of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Daniel BurkhoffDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Ajay KirtaneDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Dimitrios KarmpaliotisDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Jeffrey MosesDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
Paolo C ColomboDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA.
A Reshad GaranDivision of Cardiology, Department of Medicine, Columbia University Medical Center-New York Presbyterian, New York, New York, USA. Electronic address: arg2024@cumc.columbia.edu.
NewYork–Presbyterian Hospital · USColumbia University Irving Medical Center · US

Funding

POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
NCATS NIH HHS KL2 TR001874NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

backgroundThe role of the intra-aortic balloon pump (IABP) in acute decompensated heart failure (HF) with cardiogenic shock (CS) is largely undefined. In this study we sought to assess the hemodynamic and clinical response to IABP in chronic HF patients with CS and identify predictors of response to this device.

methodsWe retrospectively reviewed all patients undergoing IABP implantation from 2011 to 2016 at our institution to identify chronic HF patients with acute decompensation and CS (cardiac index <2.2 liters/min/m

resultsWe identified 132 chronic HF patients with IABP placed after decompensation with hemodynamic evidence of CS. Overall 30-day survival was 84.1%, and 78.0% of patients were successfully bridged to HRT or discharge without need for escalation of device support. The complication rate during IABP support was 2.3%. Multivariable analysis identified ischemic cardiomyopathy (odds ratio [OR] 3.24, 95% confidence interval [CI] 1.16 to 9.06; p = 0.03) and pulmonary artery pulsatility index (PAPi) <2.0 (OR 5.04, 95% CI 1.86 to 13.63; p = 0.001) as predictors of clinical deterioration on IABP.

conclusionsOverall outcomes with IABP in acute decompensated chronic HF patients are encouraging, and IABP is a reasonable first-line device for chronic HF patients with CS. Baseline right ventricular function, as measured by PAPi, is a major predictor of outcomes with IABP in this population.

Indexed as

Intra-Aortic Balloon PumpingAgedChronic DiseaseFemaleHeart FailureHeart TransplantationHemodynamicsHumansMaleMiddle AgedMyocardial InfarctionPrognosisShock, CardiogenicVentricular Function, Rightcardiogenic shockcounter-pulsationheart failurehemodynamicsIABPsuper responder

Identifiers

PMID29678608
PMCPMC6148415
OpenAlexW2794310688

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.