Is it the end of IABP? I think not. #ACC25 My take for @pcronline 👉 www.pcronline.com/News/Whats-n... - ThreadSky

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mirvz.bsky.social • 11 days ago

Is it the end of IABP? I think not. #ACC25 My take for @pcronline

👉 https://www.pcronline.com/News/Whats-new-on-PCRonline/2025/ACC/Early-intra-aortic-balloon-pump-in-heart-failure-complicated-by-cardiogenic-shock-The-Altshock-2-randomized-clinical-trial

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cardiovascmmm.bsky.social•11 days ago

After the shock trial this one is also negative. Why should we consider using the iabp?

mirvz.bsky.social•10 days ago

Different population studied here. IABPShock II examined AMI related shock. Altshock -2 addressed ADHF which in other observational trials there was some benefit.

cardiovascmmm.bsky.social•10 days ago

Well, so true. But both randomized trials trials are focused on shock patients and have a neutral outcome. We all know that observational data is delicate due to serveral biases. Look at our Cardiac arrest study. https://academic.oup.com/eurheartj/article/44/12/1040/6775293

load-dependent.bsky.social•10 days ago

As @mirvz.bsky.social writes in her article, mortality is lower than you would expect in patients with cardiogenic shock. How shocked were they really? I’m also very puzzled by the common use of adrenaline in this setting (30%).

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