The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Mechanical circulatory support for decompensated heart failure: the last remaining indication for intra-aortic balloon pump?

EuroIntervention 2019;15:571-573. DOI: 10.4244/EIJV15I7A104

1. Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark; 2. Department of Cardiology, Odense University Hospital, Odense, Denmark; 3. Department of Cardiology, Rigshospitalet and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
Chronic heart failure (CHF) is associated with risk of volume overload due to progression of the underlying disease or as a result of patient-related causes such as poor compliance with water and salt restrictions, diuretics and other medication regimens. Decompensation episodes are clinically significant as they are related to increased mortality, readmission rates and patient discomfort, even though mortality seems to be decreasing slightly1. One focus for the treatment of acute heart failure is unloading of the heart. While often managed by increasing diuretics, some patients deteriorate and present with low cardiac output failure, which may progress into cardiogenic shock (...

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