<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cuba anestesiol reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182019000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Protección miocárdica por condicionamiento isquémico a distancia en la revascularización coronaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Myocardial protection by ischemic remote conditioning in coronary revascularization]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Ortega]]></surname>
<given-names><![CDATA[Rudy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agüero Martínez]]></surname>
<given-names><![CDATA[María Oslaida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Alfonso]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordero Escobar]]></surname>
<given-names><![CDATA[María Idoris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamargo Barbeito]]></surname>
<given-names><![CDATA[Teddy Osmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182019000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182019000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182019000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Una serie de breves períodos de isquemias a distancia, previo al evento isquémico mayor, pueden limitar el daño miocárdico producido por la isquemia/reperfusión.  Objetivo:  Evaluar la utilidad del condicionamiento isquémico a distancia, en pacientes programados para procedimientos quirúrgicos de revascularización coronaria.  Métodos:  Se realizó un estudio cuasiexperimental, explicativo, comparativo con control histórico, en dos grupos de 247 pacientes, propuestos para revascularización coronaria. Se colocó un torniquete en el brazo derecho, en el grupo estudio, alternando 3 insuflaciones con 3 desinsuflaciones con una presión de 200 mmHg, manteniéndola 5 min cada una. Este proceder se realizó previo, durante y después del evento isquémico mayor, provocado por el pinzamiento de la arteria coronaria.  Resultados:  Se logró una disminución significativa de los parámetros enzimáticos. No se encontraron diferencias significativas (p&gt;0,05) según un conjunto de variables que representan el estado inicial de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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&gt;0.05) according to a set of variables that represent the initial state of the patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[condicionamiento isquémico a distancia]]></kwd>
<kwd lng="es"><![CDATA[isquemia/reperfusión]]></kwd>
<kwd lng="es"><![CDATA[revascularización coronaria]]></kwd>
<kwd lng="es"><![CDATA[parámetros enzimáticos]]></kwd>
<kwd lng="es"><![CDATA[protección cardiaca]]></kwd>
<kwd lng="en"><![CDATA[remote ischemic conditioning]]></kwd>
<kwd lng="en"><![CDATA[ischemia]]></kwd>
<kwd lng="en"><![CDATA[reperfusion]]></kwd>
<kwd lng="en"><![CDATA[coronary revascularization]]></kwd>
<kwd lng="en"><![CDATA[enzymatic parameters]]></kwd>
<kwd lng="en"><![CDATA[cardiac protection]]></kwd>
</kwd-group>
</article-meta>
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