BACKGROUND:Heart manipulation during off-pump coronary artery bypass surgery may cause hemodynamic instability, and temporary coronary arterial occlusion may lead to myocardial ischemia. To reduce this, perioperative β-blocking agents or calcium antagonists can be administrated. The effects of perioperative administration of magnesium on myocardial function were studied in patients undergoing coronary artery bypass grafting.OBJECTIVE:The aim of the study was to evaluate the effects of preoperative magnesium administration on perioperative hemodynamia, ventricular arrhythmias and myocardial protection.MATERIALS AND METHODS:We reviewed 2 groups of patients undergoing off-pump coronary artery bypass surgery – 24 patients (control group) that had not received preoperative intravenous infusion of magnesium and 23 patients (treatment group) that had received preoperative intravenous magnesium sulfate.RESULTS:The results demonstrated that it had reduced the heart rate, changes of ST segments, the need of β-blocking agents and the use of intra-operative intra-aortic balloon pump and the inotropic usage.CONCLUSION:This treatment may provide hemodynamic optimization during off-pump coronary artery bypass.
Introduction: In this study, we aimed to compare the early postoperative
period results of type 2 diabetes patients taking oral antidiabetics or
insulin medications, with microalbuminuria and normal creatinine levels
after coronary artery bypass. Materials and methods: Eighty patients
with type 2 diabetes and taking oral antidiabetics or receiving insulin
medication all with normal creatinine levels with microalbuminuria were
included in this study. Preoperative creatinine values of the patients,
albumin levels in spot urine, creatinine levels on the postoperative 3rd
day, duration of ventilation, amount of drainage, length of stay in the
intensive care unit, length of stay in the hospital, mediastinitis and
mortality rates were recorded. Results: A statistically significant
increase in creatinine was found in both taking oral antidiabetics type
2 diabetes and insulin medication patient groups with microalbuminuria.
When the two groups were compared with each other, increase in
creatinine levels of the patients using insulin was higher than the
patients taking oral antidiabetics, and was statistically significant.
Conclusion: According to the result of our study it can be suggested
that postoperative creatinine elevation is observed in patients with
type 2 diabetes mellitus with microalbuminuria and with normal
creatinine levels, either having insulin medication or not. The
elevation is higher in patients having insulin medication while other
results are similar, except for impaired renal function. Keywords: Type
2 diabetes mellitus, insulin, microalbuminuria, coronary artery bypass.
Amaç: Bu çalışmanın amacı açık kalp cerrahisi öncesi 72 saatlik trimetazidin (TMZ) uygulamasının miyokard iskemisi üzerine etkilerini göstermektir.Results: When the TnI values were measured just before the patients were anesthesized, immediately after the cross-clamp was removed, and at the 6th, 12th and 24th hours, there was no statistically significant difference between the groups (p=0. 7734, p=0.3390, p=0.5624, p=0.1296, p=0.1796, respectively).
Conclusion:It was found that preoperative short-term TMZ treatment had no effect on myocardial protection in open heart surgery.
The treatment of the massive pulmonary embolism concomitant hemodynamic instability in pregnancy is difficult and controversial and carries a high risk for both the baby and the mother. The catheter-directed thrombectomy with or without extracorporeal membrane oxygenation support may be a suitable management strategy in suitable cases but pregnancy-related complications may follow the treatment of pulmonary embolism and atypical hemolytic uremic syndrome should be considered in the differential diagnosis. We present a case of a 32-year-old patient who had a pulmonary embolism with shock in the 8th week of pregnancy complicated by atypical hemolytic uremic syndrome.
The assessment of the cardioprotective effectiveness of levosimendan on patients with impaired left ventricle functions and less than %40 of ejection fraction who will receive coronary artery bypass graft operation Sol ventrikül fonksiyonları bozulmuş, ejeksiyon fraksiyonu %40'ın altında olan, koroner arter bypass greft operasyonu yapılacak hastalara verilen levosimendan tedavisinin, kardiyoprotektif etkinliğinin postoperatif olarak değerlendirilmesi
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