Key result
Volume loading increased plasma volume in survivors of cardiogenic shock (57.1 ± 4.4 ml/kg) but not in fatal cases (44.4 ± 4.0 ml/kg).
Why the study?
Does volume loading increase plasma volume and improve hemodynamics in patients with shock complicating acute myocardial infarction?
Population
19 patients with shock complicating acute myocardial infarction (6 survivors, 13 fatal cases)
Design
Case_series
Authors
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May distinguish survivors from fatal AMI shock after fluid loading; case report leaves open causality and need for prospective trials.
Observational (n=19)
Does volume loading increase plasma volume and improve hemodynamics in patients with shock complicating acute myocardial infarction?
Absolute Event Rate: 57.1% vs 44.4%
In patients with shock complicating acute myocardial infarction, recovery is associated with plasma volume expansion following fluid loading, whereas fatal cases fail to expand plasma volume despite loading.
Luz et al. (1974) conducted an observational in Shock complicating acute myocardial infarction (n=19). Volume loading vs. Fatal cases was evaluated on Plasma volume following volume loading. Volume loading increased plasma volume in survivors of cardiogenic shock (57.1 ± 4.4 ml/kg) but not in fatal cases (44.4 ± 4.0 ml/kg).
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