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[Experimental study of myocardial protective effect of cardiac arrest versus beating heart during open heart surgery].

AbstractOBJECTIVE:
To investigate the myocardial protective effects of beating heart versus heart arrest in goats undergoing open heart surgery with cardiopulmonary bypass (CPB).
METHODS:
Eighteen healthy and homologous goats were randomly divided into three groups: groupI (n=6), with intermittent cold crystalloid cardioplegia; group II (n=6), with continuous warm blood cardioplegia; group III (n=6), with beating heart. Animals in group II and group III were operated with mild hypothermic CPB. The changes in malondialdehyde (MDA) in the myocardium of the right ventricles and atrial natriuretic peptide (ANP) in venous blood were measured respectively. The myocardial tissues were examined for ultrastructural changes.
RESULTS:
In group I, contents of MDA and ANP rose significantly during CPB, especially when blood was reperfused routinely. While in group II and group III, the levels were lower than those in group I at the same time points. There was no difference in the values between group II and group III. Ultrastructural changes were distinctly seen in group I, while they were mild in group II and group III.
CONCLUSION:
Continuous warm blood cardioplegia to keep the heart beating during operation can prevent ischemia-reperfusion injury and protect heart better.
AuthorsJian-fei Song, Yue-pei Liang, An-gui Li, Zhen-zong Du, Min Zheng, Feng Lin, Chang-fu Hu
JournalZhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue (Zhongguo Wei Zhong Bing Ji Jiu Yi Xue) Vol. 15 Issue 5 Pg. 288-91 (May 2003) ISSN: 1003-0603 [Print] China
PMID12837189 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cardioplegic Solutions
Topics
  • Animals
  • Cardioplegic Solutions
  • Cardiopulmonary Bypass (methods)
  • Goats
  • Heart Arrest, Induced (methods)
  • Myocardial Contraction
  • Myocardial Reperfusion Injury (prevention & control)

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