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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
HERNANDEZ ORTEGA, Rudy et al. Myocardial protection by ischemic remote conditioning in coronary revascularization. Rev cuba anestesiol reanim [online]. 2019, vol.18, n.1 Epub 30-Jun-2019. ISSN 1726-6718.
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.
Palabras clave : remote ischemic conditioning; ischemia; reperfusion; coronary revascularization; enzymatic parameters; cardiac protection.