Comparison of CKMB, Lactate Levels and Ejection Fraction with Warm and Cold Cardioplegia on First Post Operative Day in Elective CABG Cases

Objectives: The main objective of the study is to find comparison CKMB, Lactate levels and ejection fraction with warm cold cardioplegia on first post OP day in elective CABG cases. Material methods: This cross sectional was conducted Armed forces institute cardiology AFIC /NIHD Rawalpindi during 1st October 2022 30th November 2022. Data collected permission ethical committee hospital. variables were included level troponin I intraoperative post-operative period, time taken for cardiac standstill, cardioplegia, improvement fraction, number days ICU. Results: data from 100 patients. There no statistically significant difference between two groups as regards bypass clamp times. Mean age group patients 61.3 ± 12.5 years II 67.4 10.4 years. P value serum lactate <0.01, which significant. All had elevated but range increase seen those who didn’t take adenosine compared took adenosine. Practical Implications: Enzymes play an important role both cardioplegia. Conclusion: It concluded that there less enzymes release after application blood myocardial protection undergoing crystalloid Keywords: Cardioplegia, Troponin, CABG, Cold