{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T21:56:37Z","timestamp":1776462997594,"version":"3.51.2"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Cardiogenic shock (CS) remains a major cause of in-hospital mortality in the setting of acute myocardial infarction (AMI). However, little evidence is available regarding the optimal order of intra-aortic balloon counter-pulsation (IABP) insertion and primary percutaneous coronary intervention (PPCI). The aim of this study was to assess the hospital and short-term survival benefits of two different IABP insertion approaches, before versus after PPCI in patients with acute myocardial infarction and cardiogenic shock.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Total mortality was 80 patients representing 48.4% of the total 165 studied patients; 60 patients died during the hospital admission period, while the remaining 20 patients died post-discharge. In-hospital mortality was significantly higher in Post-PPCI\u2013IABP group 40 (49.4%) versus Pre-PPCI\u2013IABP group 20 (23.8%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.001). Moreover, the mortality difference between the two groups was sustained over six-month follow-up period, where 15 patients (18.5%) died in the Post-PPCI\u2013IABP group, while only 5 patients 6.0% died in the Pre-PPCI\u2013IABP (<jats:italic>P\u2009<\/jats:italic>=\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Early IABP insertion before PPCI is associated with improved in-hospital and long-term survival when used for patients presenting with AMI complicated by hemodynamic instability.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00527-w","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T21:02:17Z","timestamp":1722978137000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Survival benefit of IABP in pre- versus post-primary percutaneous coronary intervention in patients with cardiogenic shock"],"prefix":"10.1186","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0661-556X","authenticated-orcid":false,"given":"Ahmed","family":"Azazy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walaa Abdaziz","family":"Farid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walid Abdu","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wassam ELDin Hadad","family":"El Shafey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"issue":"2","key":"527_CR1","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.medin.2016.06.009","volume":"41","author":"R de la Espriella-Juan","year":"2017","unstructured":"de la Espriella-Juan R, Valls-Serral A, Trejo-Velasco B, Berenguer-Jofresa A, Fabregat-Andr\u00e9s \u00d3, Perdomo-Londo\u00f1o D, Albiach-Monta\u00f1ana C, Vilar-Herrero JV, Sanmiguel-Cervera D, Rumiz-Gonzalez E, Morell-Cabedo S (2017) Impact of intra-aortic balloon pump on short-term clinical outcomes in ST-elevation myocardial infarction complicated by cardiogenic shock: a \u201creal life\u201d single center experience. 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The Institutional Review Board (IRB) NO: H1RI-27-Jul21-01committee found that the research met the applicability criteria and was eligible for exempt review. The need for consent is waived by the cardiology department in King Saud Medical City because this research uses secondary electronic data.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"99"}}