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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
HERNANDEZ ORTEGA, Rudy et al. Distant ischemic precondition in myocardic revascularitation. Rev cuba anestesiol reanim [online]. 2012, vol.11, n.2, pp. 89-95. ISSN 1726-6718.
Introduction: A sort of distant ischemic periods could limite miocardic injury due to critical ischemic and resulting postreperfusion symdrome, previous to mayor ischemic event. Objective: Demostrating the eficiency of the distant ischemic precondictioning in patients with coronary revascularitation. Methodologycal desing: It was used a experimental prospective method in 60 patients divived into two groups, in which revascularitation of coronary artery by graft was apply. Patients with no dominant arm received a tourniquet, three insufflation shuffling with three deflating under 200 mmHg pressure, keeping it for five minutes each, previously, during and after the ischemic mayor event, by clamping the cornonary artery. Results: An importat diminish of seric creatinine, CPK-MB, and inotropyc and vasoactivity drugs was achieved. A diminish of lethal ventrocularies arrythmias, out put cardiac and postperatory death was also achieved and checked, in all cases beneath the previous complicactions predicted. Conclusions: The distant ischemic preconditioning can be an decisory tool to pay attention to in the antischemic protection of myocardic revascularitation.
Palabras clave : distant ischemic periods; postreperfution injury; coronary artery.