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ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación

2019, Number 1

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Revista Cubana de Anestesiología y Reanimación 2019; 18 (1)

Myocardial protection by ischemic remote conditioning in coronary revascularization

Hernández OR, Agüero MMO, González AO, Cordero EMI, Tamargo BTO

Language: Spanish
References: 17
Page: 1-14
PDF size: 212.27 Kb.


ABSTRACT

Introduction: A series of short periods of distant ischemia, prior to the major ischemic event, can limit the myocardial damage produced by ischemia or reperfusion.
Objective: To evaluate the usefulness of remote ischemic conditioning in patients scheduled for surgical procedures of coronary revascularization.
Methods: A quasi-experimental, explanatory, comparative study with historical control was conducted in two groups of 247 patients proposed for coronary revascularization. A tourniquet was placed in the right arm in the study group, alternating 3 insufflations with 3 dessufflations with a pressure of 200 mmHg, keeping each for 5 minutes. This procedure was performed before, during and after the major ischemic event, caused by the impingement of the coronary artery.
Results: A significant decrease in enzymatic parameters was achieved. No significant differences were found (p>0.05) according to a set of variables that represent the initial state of the patients.


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