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ISSN 2078-7170 (Electronic)

2019, Number 2

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CorSalud 2019; 11 (2)

Renal and hepatic protection due to remote ischemic conditioning in coronary artery bypass grafting

Hernández OR, González AO, Cabrera PAJ, Cruz BR, Suárez LJM, Bulies AG, Sánchez HY

Language: Spanish
References: 22
Page: 139-145
PDF size: 574.95 Kb.


ABSTRACT

Introduction: Short periods of distant ischemia can limit myocardial damage caused by ischemia/reperfusion.
Objectives: To identify the effect of remote ischemic preconditioning in relation to the postoperative behavior of creatinine, glutamic transaminase, pyruvic and oxaloacetic levels.
Method: A quasi-experimental, explanatory, comparative study with historical control was carried out in two groups of 247 patients each; all candidates for coronary artery bypass grafting. A blood-pressure cuff was placed on the right arm in the study group alternating three inflations with three deflations of five minutes at 200 mmHg. This procedure was performed prior to during and after the major ischemic episode caused by the coronary artery impingement.
Results: A significant decrease in the values of creatinine, pyruvic glutamic transaminase and glutamic oxaloacetic transaminase was achieved.
Conclusions: Remote ischemic conditioning is an important tool to take into account for renal and hepatic protection in coronary artery bypass grafting.


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