The clinical study on myocardial protection in aged patients undergoing coronary artery bypass grafting
- VernacularTitle:70岁以上老年人冠状动脉旁路移植术的心肌保护
- Author:
Guohua FAN
;
Zhiwei WANG
;
Zhongfan TU
;
Shangzhi GAO
;
Zhifu MAO
;
- Publication Type:Journal Article
- Keywords:
Extracorporeal circulation;
Coronary artery bypass;
Myocardium
- From:
Chinese Journal of Geriatrics
2003;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the myocardial protective effect between off pump coronary artery bypass(OPCAB) and on pump coronary artery bypass in the aged. Methods Four five patients were randomly divided into 3 groups:off pump coronary artery bypass (n=15),tepid blood cardioplegia group(n=15) and cold blood cardioplegia group (n=15).There was no statistical difference in heart function,sex,age and lesion of coronary artery .Venous blood samples were taken for determineing the serum concentration of creatine kinase MB isoenzyme(CK MB),troponin I perioperatively and the clinical situations were observed postoperatively. Results CK MB,troponin I release in beating group during and after bypass was lower than that in on pump groups( P