Pabst et al identified factors associated with survival of a patient placed on extracorporeal membrane oxygenation (ECMO) after suffering an acute myocardial infarction. The authors are from
Patient selection: acute myocardial infarction with cardiogenic shock requiring veno-arterial ECMO
Factors associated with better survival:
(1) age < 65 years (odds ratio 14.6)
(2) body mass index (BMI) < 32 kg per square meter (odds ratio 5.5)
(3) INR < 2 (odds ratio 7.3)
Additional findings associated with better survival:
(1) blood lactate < 3 mmol/L
(2) single vessel coronary artery disease (particularly the left anterior descending)
(3) intra-aortic balloon pump prior to ECMO insertion
(4) avoiding severe shock
The authors also found that the ENCOURAGE score was predictive in the study population.
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Specialty: Critical Care, Cardiology
