Peri-operative renal protective strategies in cardiac surgery

Pediatric Peri-Operative Cardiac Arrest (POCA) Registry.

Hemodynamic effects of peri-operative statin therapy in on-pump cardiac surgery patients

BACKGROUND Peri-operative statin therapy in cardiac surgery cases is reported to reduce the rate of mortality, stroke, postoperative atrial fibrillation, and systemic inflammation. Systemic inflammation could affect the hemodynamic parameters and stability. We set out to study the effect of statin therapy on perioperative hemodynamic parameters and its clinical outcome. METHODS In a single ce...

Cardiac surgery in octogenarians; peri-operative outcome and long-term results.

AIMS Because the elderly are increasingly referred for operation, we reviewed the results of cardiac surgery in patients of 80 years or older. METHODS AND RESULTS Records of 182 consecutive octogenarians who had had cardiac operations between 1992 and 1998 were reviewed. Follow-up was 100% complete. Seventy patients had coronary grafting (CABG), 70 aortic valve replacement, 30 aortic valve re...

Lactate dehydrogenase isoenzyme-1 in serum for detection of peri-operative myocardial infarction after cardiac surgery.

We prospectively studied changes in serum lactate dehydrogenase isoenzyme-1 (LD-1, EC 1.1.1.27) in 99 consecutive patients after either coronary artery bypass grafting (CABG, n = 61), isolated cardiac-valve replacement (n = 24), or the two procedures combined (n = 14); 86 of these had no clinical evidence of peri-operative myocardial infarction (MI). Blood was sampled immediately after surgery ...

Improved peri-operative risk stratification in non-cardiac surgery: going beyond established clinical scores.

Risk stratification represents an important clinical strategy to assess the patient’s prognosis precisely in various settings and/ or tailor therapeutic interventions to his or her specific needs. Initially this was done by clinical judgement based on the patient’s history, a physical examination, and measuring select parameters from the clinical chemistry profile. In cardiovascular medicine, n...