| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 58, 961-971, Copyright © 1994 by The Society of Thoracic Surgeons
N Hayashida, JS Ikonomidis, RD Weisel, T Shirai, J Ivanov, SM Carson, MK Mohabeer, LC Tumiati and DA Mickle
Seventy-two patients undergoing coronary artery bypass grafting were
randomized to receive cold (8 degrees C) antegrade or retrograde, tepid (29
degrees C) antegrade or retrograde, or warm (37 degrees C) antegrade or
retrograde blood cardioplegia (n = 12 in each group). Myocardial oxygen
utilization as well as lactate and acid metabolism were assessed
intraoperatively and cardiac function was assessed postoperatively.
Myocardial oxygen consumption and anaerobic lactate release were greatest
during warm, intermediate during tepid, and least during cold cardioplegic
arrest. Myocardial oxygen consumption and lactate release were
underestimated during retrograde cardioplegia because of contamination of
aortic root samples. Warm retrograde and tepid retrograde cardioplegia
resulted in greater lactate and acid washout with reperfusion. Left
ventricular stroke work indices were greater after warm antegrade and tepid
antegrade cardioplegia than after cold antegrade cardioplegia, and right
ventricular stroke work indices were greatest after warm antegrade
cardioplegia. Warm antegrade cardioplegia increased aerobic metabolism
during and after cardioplegia and preserved left and right ventricular
function. Tepid antegrade cardioplegia reduced anaerobic lactate and acid
release during arrest and preserved cardiac function.
ARTICLES
The optimal cardioplegic temperature
Department of Clinical Biochemistry, Toronto Hospital, Ontario, Canada.
This article has been cited by other articles:
|
|
 |
|
  R. M. Mentzer Jr, M. S. Jahania, and R. D. Lasley Myocardial Protection Card. Surg. Adult, January 1, 2008; 3(2008): 443 - 464. [Full Text]
|
|
|
|
 |
|
 J. Martin and C. Benk Blood cardioplegia MMCTS, October 9, 2006; 2006(1009): 745. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Nesher, G. Uretzky, S. Insler, P. Nataf, I. Frolkis, E. Pineau, E. Cantoni, G. Bolotin, M. Vardi, D. Pevni, et al. Thermo-wrap technology preserves normothermia better than routine thermal care in patients undergoing off-pump coronary artery bypass and is associated with lower immune response and lesser myocardial damage J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1371 - 1378. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. E. Tan, S. Ahmed, and H. S Paterson Intermittent Tepid Blood Cardioplegia Improves Clinical Outcome Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 116 - 121. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Nesher, E. Zisman, T. Wolf, R. Sharony, G. Bolotin, M. David, G. Uretzky, and R. Pizov Strict Thermoregulation Attenuates Myocardial Injury During Coronary Artery Bypass Graft Surgery as Reflected by Reduced Levels of Cardiac-Specific Troponin I Anesth. Analg., February 1, 2003; 96(2): 328 - 335. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. J. Flameng, P. Herijgers, S. Dewilde, and E. Lesaffre Continuous retrograde blood cardioplegia is associated with lower hospital mortality after heart valve surgery J. Thorac. Cardiovasc. Surg., January 1, 2003; 125(1): 121 - 125. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Mentzer Jr., M. S. Jahania, and R. D. Lasley Myocardial Protection Card. Surg. Adult, January 1, 2003; 2(2003): 413 - 438. [Full Text]
|
|
|
|
 |
|
 P.-E. Falcoz, D. Kaili, S. Chocron, G. Toubin, M. Puyraveau, J.-F. Viel, and J.-P. Etievent Warm and tepid cardioplegia: Do they provide equal myocardial protection? Ann. Thorac. Surg., December 1, 2002; 74(6): 2156 - 2160. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-i. Oka, M. Imamura, E. Hatta, R. Maruyama, M. Isaka, T. Murashita, and K. Yasuda Carrier-Mediated Norepinephrine Release and Reperfusion Arrhythmias Induced by Protracted Ischemia in Isolated Perfused Guinea Pig Hearts: Effect of Presynaptic Modulation by alpha 2-Adrenoceptor in Mild Hypothermic Ischemia J. Pharmacol. Exp. Ther., November 1, 2002; 303(2): 681 - 687. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Kulshrestha, J. A. Rousou, R. M. Engelman, J. E. Flack III, D. W. Deaton, R. B. Wait, and H. M. Hampf Does warm blood retrograde cardioplegia preserve right ventricular function? Ann. Thorac. Surg., November 1, 2001; 72(5): 1572 - 1575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Yau, M. A. Borger, R. D. Weisel, and J. Ivanov The changing pattern of reoperative coronary surgeryTrends in 1230 consecutive reoperations J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 156 - 163. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Chocron, D. Kaili, Y. Yan, G. Toubin, L. Latini, F. Clement, J.-F. Viel, and J.-P. Etievent INTERMEDIATE LUKEWARM (20{degrees}C) ANTEGRADE INTERMITTENT BLOOD CARDIOPLEGIA COMPARED WITH COLD AND WARM BLOOD CARDIOPLEGIA J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 610 - 616. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Yau, P. W. M. Fedak, R. D. Weisel, C. Teng, and J. Ivanov PREDICTORS OF OPERATIVE RISK FOR CORONARY BYPASS OPERATIONS IN PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1006 - 1013. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Cohen, M. A. Borger, R. D. Weisel, and V. Rao Intraoperative myocardial protection: current trends and future perspectives Ann. Thorac. Surg., November 1, 1999; 68(5): 1995 - 2001. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. B. Ericsson, S. Takeshima, and J. Vaage Warm or cold continuous blood cardioplegia provides similar myocardial protection Ann. Thorac. Surg., August 1, 1999; 68(2): 454 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. B. Ericsson, T. Kawakami, and J. Vaage Intermittent warm blood cardioplegia does not provide adequate myocardial resuscitation after global ischaemia Eur. J. Cardiothorac. Surg., August 1, 1999; 16(2): 233 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Cook Changing Temperature Management for Cardiopulmonary Bypass Anesth. Analg., June 1, 1999; 88(6): 1254 - 1254. [Full Text] [PDF]
|
|
|
|
|
|
A. C. Fiore, M. T. Swartz, R. Nevett, P. J. Vieth, R. A. Magrath, A. Sherrick, and H. B. Barner Intermittent Antegrade Tepid Versus Cold Blood Cardioplegia in Elective Myocardial Revascularization Ann. Thorac. Surg., June 1, 1998; 65(6): 1559 - 1564. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Hayashida, T. Isomura, T. Sato, H. Maruyama, T. Higashi, K. Arinaga, and S. Aoyagi Minimally Diluted Tepid Blood Cardioplegia Ann. Thorac. Surg., March 1, 1998; 65(3): 615 - 621. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Rao, G. Cohen, R. D. Weisel, N. Shiono, Y. Nonami, S. M. Carson, J. Ivanov, M. A. Borger, R. J. Cusimano, and D. A. Mickle Optimal flow rates for integrated cardioplegia J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 226 - 230. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Birdi, G. D. Angelini, and A. J. Bryan Biochemical Markers of Myocardial Injury During Cardiac Operations Ann. Thorac. Surg., March 1, 1997; 63(3): 879 - 884. [Abstract] [Full Text]
|
|
|
|
|
|
M. Tonz, O. N. Krogmann, O. M. Hess, B. Leskosek, T. Mihaljevic, L. K. von Segesser, and M. I. Turina Effect of Intermittent Warm Blood Cardioplegia on Functional Recovery After Prolonged Cardiac Arrest Ann. Thorac. Surg., October 1, 1996; 62(4): 1146 - 1151. [Abstract] [Full Text]
|
|
|
|
|
|
T. Shirai, V. Rao, R. D. Weisel, J. S. Ikonomidis, N. Hayashida, J. Ivanov, S. Carson, M. K. Mohabeer, and D. A. G. Mickle ANTEGRADE AND RETROGRADE CARDIOPLEGIA: ALTERNATE OR SIMULTANEOUS? J. Thorac. Cardiovasc. Surg., September 1, 1996; 112(3): 787 - 796. [Abstract] [Full Text]
|
|
|
|
|
|
V. Rao, J. Ivanov, R. D. Weisel, J. S. Ikonomidis, G. T. Christakis, and T. E. David PREDICTORS OF LOW CARDIAC OUTPUT SYNDROME AFTER CORONARY ARTERY BYPASS J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 38 - 51. [Abstract] [Full Text]
|
|
|
|
|
|
M. Carrier, T. K. Leung, B. C. Solymoss, R. Cartier, Y. Leclerc, and L. C. Pelletier Clinical Trial of Retrograde Warm Blood Reperfusion Versus Standard Cold Topical Irrigation of Transplanted Hearts Ann. Thorac. Surg., May 1, 1996; 61(5): 1310 - 1314. [Abstract] [Full Text]
|
|
|
|
|
|
I. B. Krukenkamp and S. Levitsky Myocardial Protection: Modern Studies Ann. Thorac. Surg., May 1, 1996; 61(5): 1581 - 1582. [Full Text]
|
|
|
|
 |
|
 S. V. Lichtenstein, C. D. Naylor, C. M. Feindel, K. Sykora, J. G. Abel, A. S. Slutsky, C. D. Mazer, G. T. Christakis, B. S. Goldman, and S. E. Fremes Intermittent Warm Blood Cardioplegia Circulation, November 1, 1995; 92(9): 341 - 346. [Abstract] [Full Text]
|
|
|
|
|
|
P. Kaukoranta, M. Lepojarvi, J. Nissinen, P. Raatikainen, and K. J. Peuhkurinen Normothermic Versus Mild Hypothermic Retrograde Blood Cardioplegia: A Prospective, Randomized Study Ann. Thorac. Surg., October 1, 1995; 60(4): 1087 - 1093. [Abstract] [Full Text]
|
|
|
|
|
|
J. S. Ikonomidis, V. Rao, R. D. Weisel, N. Hayashida, and T. Shirai Myocardial Protection for Coronary Bypass Grafting: The Toronto Hospital Perspective Ann. Thorac. Surg., September 1, 1995; 60(3): 824 - 832. [Abstract] [Full Text]
|
|
|
|
|
|
N. Hayashida, J. S. Ikonomidis, R. D. Weisel, T. Shirai, J. Ivanov, S. Carson, M. K. Mohabeer, L. C. Tumiati, and D. A. G. Mickle Adequate distribution of warm cardioplegic solution J. Thorac. Cardiovasc. Surg., September 1, 1995; 110(3): 800 - 812. [Abstract] [Full Text]
|
|
|
|
|
|
N. Hayashida, R. D. Weisel, T. Shirai, J. S. Ikonomidis, J. Ivanov, S. M. Carson, M. K. Mohabeer, L. C. Tumiati, and D. A. G. Mickle Tepid Antegrade and Retrograde Cardioplegia Ann. Thorac. Surg., March 1, 1995; 59(3): 723 - 729. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
