No important adverse effect was detected during levosimendan infusion. Because levosimendan at a dose of 0.03-0.05 μg/kg/min increased myocardial performance significantly in the postoperative period, it can be used safely in end-stage renal disease patients undergoing isolated CABG. The requirement of vasopressors were lower in SG.
Because unusual cardiovascular complications are the main cause of maternal and/or fetus death during pregnancy, prompt and exact diagnosis is very important. Life-saving surgical strategy with the help of appropriate teams are necessary to optimize outcome for both mother and baby.
Objective: Acute kidney disease develops 16%-30% of patients with preoperative impaired renal functions. Our aim of this study was to compare postoperative renal outcomes using two open heart surgery techniques, on-pump beating heart (OPBH) and conventional on-pump (COP), in patients who have preoperative low glomerular filtration rate (eGFR) as an indicator of creatinine clearance. Methods: From 2004 to 2015, 341 patients with preoperative creatinine clearance were lower than 90 ml/min/1.73m 2 were selected for this study. On-Pump beating heart was performed in 111 patients (Group I). Conventional on-pump technique was used in 200 patients. In the remaining patients, we measured postoperative Tumor Necrosis Factor Alpha (TNF-alpha), cardiac troponin I (cTn-I), Brain natriuretic peptid (NT-Pro-BNP), creatinine (Cr), blood urea nitrogen (BUN) and postoperative eGFR daily until day four after surgery. Results: There were no differences in baseline levels of TNF-alpha, NT-Pro-BNP, BUN, cTn-I, Cr levels between the groups. Cardiopulmonary bypass (CPB) time were much longer and cumulative inotrope use was significantly higher in patients underwent COP (P < 0.05). Postoperative TNF-alpha and c-TnI was significantly higher in group II (P < 0.001).
antral seröz korioretinopati (SSKR), koroid patolojisine ilaveten retina pigment epiteli (RPE)'nin bir veya daha fazla lokal lezyonu birlikteliğinde; arka kutupta, çoğunlukla makulayı da içerecek şekilde nörosensöriyel retinanın iyi sınırlı seröz dekolmanı ile karakterize, sporadik ve etiyolojisi henüz tam olarak bilinmeyen bir korioretinal hastalıktır. 1 SSKR, sıklıkla yaş aralığı 20-50 yıl olan erkekleri etkilemekte (%85) ve etkilenen hastalarda klasik bulgu metamorfopsi olmasına rağmen; bulanık görme, görme keskinliğinde azalma, mikropsi, renk görme, karanlık uyumunda bozulma ve görme alanında skotomlar da eşlik edebilmektedir. 1,2 SSKR'nin genellikle tek gözü etkilediği belirtilse de SSKR saptanan hastaların diğer
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