Análise dos resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea

Cantero, Marcos Antonio; Almeida, Rui; Galhardo, Roberto

doi:10.5935/1678-9741.20120007

Cited by 17 publications

(9 citation statements)

References 26 publications

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“…Coronary artery bypass grafting (CABG) aims to increase the life expectancy of patients with improved quality of life, relief of myocardial ischemia symptoms, and improvement of ventricular function [2] , but there are still high rates of complications [3] .…”

Section: Introductionmentioning

confidence: 99%

Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial

Miozzo¹,

Stein²,

Marcolino³

et al. 2018

Braz J Cardiovasc Surg

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ObjectiveEvaluate the interaction between high-intensity inspiratory muscle training (IMT) and aerobic exercise on physical capacity, respiratory muscle strength, peripheral muscle strength, and quality of life of patients who underwent coronary artery bypass grafting (CABG).MethodsTwenty-four patients underwent CABG were randomized into two groups. During 36 sessions, one group received IMT associated with aerobic exercise and the other group received only aerobic exercise. Primary outcome was the distance in the six-minute walk distance (6MWD) test. Secondary outcomes included respiratory muscle strength, peripheral muscle strength, and quality of life. Measures were taken at the baseline, at the 12th session, the 24th session, and 36th session.ResultsBaseline characteristics were similar between the groups. There was no statistically significant difference between the two groups in any outcome [6MWD - P=0.935; peak oxygen consumption (PeakVO2) - P=0.853; maximal inspiratory pressure (MIP) - P=0.243; maximal expiratory pressure (MEP) - P=0.268; sitting-rising test (SRT) - P=0.212], but there was interaction in MIP (P=0.000) and all outcomes improved in the two groups (6MWD - P=0.000; PeakVO2 - P=0.000; MIP - P=0.000; MEP - P=0.000; SRT - P=0.000).ConclusionThere was an improvement of all outcomes in both groups, but IMT was not able to provide additional benefits. The use of this combination should be used with caution to not generate higher costs in the rehabilitation process of these patients.

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Section: Introductionmentioning

confidence: 99%

Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial

Miozzo¹,

Stein²,

Marcolino³

et al. 2018

Braz J Cardiovasc Surg

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“…All patients in our study underwent surgery with cardiopulmonary bypass. Various data available in the literature indicate advantage of CABG technique without cardiopulmonary bypass in selected [ 25 ] cases, however, although controversial in some points the "ROOBY" study showed no difference between the results of neuropsychological outcomes between CABG with and without CPB [ 26 ] .…”

Section: Discussionmentioning

confidence: 99%

Improvement in cardioplegic perfusion technique in single aortic clamping - Initial Results

Sobral¹,

Júnior²,

Sá³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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Introduction The most common method used for myocardial protection is administering cardioplegic solution in the coronary circulation. Nevertheless, protection may be achieved by intermittent perfusion of the coronary system with patient's own blood. The intermittent perfusion may be performed by multiple sequences of clamping and opening of the aortic clamp or due single clamping and accessory cannulation of the aortic root as in the improved technique proposed in this study, reperfusion without the need for multiple clamping of the aorta. Objective To evaluate the clinical outcome and the occurrence of neurological events in in-hospital patients submitted to myocardial revascularization surgery with the "improved technique" of intermittent perfusion of the aortic root with single clamping. Methods This is a prospective, cross-sectional, observational study that describes a myocardial management technique that consists of intermittent perfusion of the aortic root with single clamping in which 50 patients (mean age 58.5±7.19 years old) have been submitted to the myocardial revasculrization surgery under the proposed technique. Clinical and laboratory variables, pre- and post-surgery, have been assessed. Results The mean peak level of post-surgery CKMB was 51.64±27.10 U/L in the second post-surgery and of troponin I was 3.35±4.39 ng/ml in the fourth post-surgery, within normal limits. No deaths have occurred and one patient presented mild neurological disorder. Hemodynamic monitoring has not indicated any changes. Conclusion The myocardial revascularization surgery by perfusion with the improved technique with intermittent aortic root with single clamping proved to be safe, enabling satisfactory clinical results.

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“…Neste contexto, para tratamento da doença arterial coronariana (DAC), a cirurgia de revascularização do miocárdio (CRM) é uma opção com indicações precisas de médio a longo prazo e com bons resultados. 1,3 A CRM tem permitido, durante as últimas décadas, que os pacientes com DAC aumentem a sobrevida, reduzam os sintomas e melhorem a qualidade de vida. No entanto, esse tipo de cirurgia está associado a um índice de morbidade em torno de 15%, incluindo infecção, acidente vascular encefálico (AVE), hemorragia, síndrome do baixo débito, complicações pulmonares e fibrilação atrial.…”

Section: Introductionunclassified

Comportamento do fluxo arterial periférico em pacientes submetidos a cirurgia cardíaca: Um estudo piloto

Schroeder

Hopp

Wagner

et al. 2018

Rev Epidemiol Control Infect

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Análise dos resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea

Cited by 17 publications

References 26 publications

Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial

Effects of High-Intensity Inspiratory Muscle Training Associated with Aerobic Exercise in Patients Undergoing CABG: Randomized Clinical Trial

Improvement in cardioplegic perfusion technique in single aortic clamping - Initial Results

Comportamento do fluxo arterial periférico em pacientes submetidos a cirurgia cardíaca: Um estudo piloto

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