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Induced Heart Arrest (Cardioplegia)

1541  relevant articles (121 outcomes, 185 trials/studies) found for this Therapy

Description: A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate).

Also Known As:
Cardioplegia; Heart Arrest, Induced; Induced Cardiac Arrest; Cardioplegias; Cardiac Arrest, Induced

Relationship Network

Therapy Context: Research Results

Experts

1. Angelini, Gianni D: 2 articles (02/2008 - 08/2002)
2. Januska, J: 2 articles (06/2004 - 01/2000)
3. Klövekorn, W P: 2 articles (10/2003 - 10/2000)
4. Bauer, E P: 2 articles (10/2003 - 10/2000)
5. Roth, M: 2 articles (10/2003 - 10/2000)
6. Shaw, Sidney: 1 article (09/2008)
7. Rieben, Robert: 1 article (09/2008)
8. Carrel, Thierry: 1 article (09/2008)
9. Meier, Pascal: 1 article (09/2008)
10. Berdat, Pascal: 1 article (09/2008)

Related Diseases

1. Ischemia
2. Hypothermia
08/01/1992 - "The findings suggest that, even though no consensus exists about its ideal composition, cardioplegia in conjunction with hypothermia is currently the strategy most often used for pediatric myocardial protection."
01/01/1987 - "Cardioplegia is most effective when combined with the additive properties of hypothermia, which plays a significant role in decreasing myocardial metabolism"
09/01/1996 - "RESULTS: In hypertrophied hearts, protection by topical hypothermia alone resulted in significantly improved postischemic recoveries of maximum left ventricular pressure and rate of pressure rise compared with the method of slow cooling or application of cardioplegia (40.6% +/- 5.0% and 38.1% +/- 5.9%, mean +/- standard error of the mean; p < 0.05)"
03/01/1983 - "The small increase in risk compared to the significant improvement from the combined approach has led to the following principles: coronary arteriography on all adult patients requiring valvular operations; bypass of all significant coronary lesions; restoration of valvular function and hemodynamics; and myocardial preservation with cold cardioplegia during a single period of cross clamping, topical cold, and systemic hypothermia."
12/01/1992 - "These techniques deviate from conventional practice, and they infer that normothermia is superior to hypothermia, retrograde cardioplegia is more advantageous than antegrade administration, and continuous cardioplegic delivery is preferable to intermittent dosage"
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3. Stroke (Strokes)
11/01/1989 - "However, the left ventricular stroke work index, when expressed as a function of its prebypass control value, was significantly improved (p less than 0.01) in the cohort administered combined cardioplegia"
04/01/1984 - "We found slight but significant improvement in the blood cardioplegia group regarding left ventricular stroke work index"
01/01/1987 - "Postoperatively, blood cardioplegia resulted in better LV performance (higher LV stroke work index at a similar LV end-diastolic volume index [EDVI]) (p = .01), better LV systolic function (similar systolic blood pressures at smaller LV end-systolic volume indexes [ESVI]), (p = .04), and improved LV diastolic function (lower left atrial pressures at similar LVEDVIs) (p = .03).(ABSTRACT TRUNCATED AT 250 WORDS)"
06/01/2003 - "RESULTS: Compared with normocalcemic cardioplegia, hypocalcemic cardioplegia improved preservation of left ventricular (LV) systolic function (88% +/- 2.2% vs 64% +/- 15% recovery of end-systolic elastance, p = 0.02), diastolic function (12% +/- 21% vs 38% +/- 11% increase in end-diastolic stiffness, p = 0.04), and myocardial contractility (97% +/- 9.6% vs 75.2% +/- 13% recovery of preload recruitable stroke work [PRSW], p = 0.04)"
07/01/1995 - "Furthermore, if only warm (> 33 degrees C) versus cold (< 30 degrees C) systemic perfusion is examined in all studies for the incidence of stroke irrespective of cardioplegia temperature or antegrade versus retrograde coronary perfusion (warm 2.1%; cold 1.6%), the above study remains a significant outlier"
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4. Heart Arrest (Cardiac Arrest)
5. Reperfusion Injury

Related Drugs and Biologics

1. Potassium
2. crystalloid solutions
3. Adenosine
4. Calcium
5. Adenosine Triphosphate (ATP)
6. Oxygen
7. Cardioplegic Solutions
8. Creatine Kinase (Creatine Phosphokinase)
9. Arginine (L-Arginine)
10. Glucose (Dextrose)

Related Therapies and Procedures

1. Cardiopulmonary Bypass (Heart-Lung Bypass)
2. Transplants (Transplant)
3. Coronary Artery Bypass (Coronary Artery Bypass Surgery)
4. Extracorporeal Circulation
5. Heart Transplantation (Grafting, Heart)

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