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Protección renal y hepática por condicionamiento isquémico a distancia en la revascularización miocárdica quirúrgica


 
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CorSalud

 ISSN 2078-7170

HERNANDEZ ORTEGA, Rudy et al. Renal and hepatic protection due to remote ischemic conditioning in coronary artery bypass grafting. []. , 11, 2, pp. 139-145. ISSN 2078-7170.

Introduction:

Short periods of distant ischemia can limit myocardial damage caused by ischemia/reperfusion.

Objective:

To identify the effect of remote ischemic preconditioning in relation to the postoperative behavior of creatinine, glutamic transaminase, puruvic and oxalacetic levels.

Method:

A quasi-experimental, explanatory, comparative study with historical control was carried out in two groups of 247 patients each; all candidates for coronary artery bypass grafting. A blood-pressure cuff was placed on the right arm in the study group alternating three inflations with three deflations of five minutes at 200 mmHg. This procedure was performed prior to during and after the major ischemic episode caused by the coronary artery impingement.

Results:

A significant decrease in the values ​​of creatinine, puruvic glutamic transaminase and glutamic oxalacetic transaminase was achieved.

Conclusions:

Remote ischemic conditioning is an important tool to take into account for renal and hepatic protection in coronary artery bypass grafting.

: Remote ischemic preconditioning; Reperfusion injury; Myocardial revascularization; Enzymes; Creatinine; Transaminases.

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