1993
DOI: 10.1055/s-2007-1013873 View full text |Buy / Rent full text
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Abstract: Commencing in September 1991, 30 consecutive patients who underwent coronary artery bypass grafting were operated on employing continuous normothermic blood cardioplegia (Group 1). 2.83 +/- 0.81 distal anastomoses per patient were performed. The next 30 consecutive patients were operated on employing intermittent cold crystalloid cardioplegia (Group 2). 2.72 +/- 0.95 distal anastomoses per patient were performed in this group. Cross clamping and cardiopulmonary bypass times were similar in both groups. Electro… Show more

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“…Early supraventricular arrhythmic events have been related to various operative factors such as perioperative inferior infarction, pericardial closure, incomplete revascularization of the right coronary artery, endarterectomy, or inadequate cardioplegic protection of the atria (25,26). It has been suggested that blood cardioplegia may improve the outcome in this respect (3,4); however, we noted a similar rate of supraventricular tachyarrhythmias as previously reported using this type of cardioprotection. Only age and left ventricular ejection fraction were strong predictors of postoperative supraventricular tachyarrhythmias in the present analysis.…”
Section: Incidence and Predictors Of Supraventricular Tachyarrhythmiassupporting
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“…Early supraventricular arrhythmic events have been related to various operative factors such as perioperative inferior infarction, pericardial closure, incomplete revascularization of the right coronary artery, endarterectomy, or inadequate cardioplegic protection of the atria (25,26). It has been suggested that blood cardioplegia may improve the outcome in this respect (3,4); however, we noted a similar rate of supraventricular tachyarrhythmias as previously reported using this type of cardioprotection. Only age and left ventricular ejection fraction were strong predictors of postoperative supraventricular tachyarrhythmias in the present analysis.…”
Section: Incidence and Predictors Of Supraventricular Tachyarrhythmiassupporting
“…Although this is not a life-threatening event, it may lead to subjective discomfort and anxiety, cause hypotension, heart failure, and/or thromboembolic events (2,5), and thereby a prolonged hospital stay (2,5). It has been suggested that this complication could be reduced by modern cardioprotection during general anesthesia (3,4). Several antiarrhythmic drugs have been used to treat or prevent these supraventricular arrhythmias such as digoxine (6,7), beta-adrenergic blocking drugs (8)(9)(10), calcium antagonists (11), quinidine (12), propafenone (13), flecainide (14), procainamide (15), amiodarone (16,17), and magnesium (18).…”
mentioning
“…Altri autori [32][33][34] hanno riscontrato una incidenza significativamente maggiore di FAP nei pazienti sottoposti a cardioplegia ipotermica moderata [28°C] rispetto a quelli sottoposti a cardioplegia fredda ma a temperatura più elevata [34°C]. Questi risultati, in contrasto con quelli riportati da Ducceschi et al, sono comunque in linea con un'altra segnalazione di maggiore incidenza di FAP nei pazienti sottoposti a cardioplegia normotermica [35].…”
Section: Il Possibile Ruolo Delle Variabili Intraoperatorieunclassified