%0 Journal Article
%T Precondicionamiento isqu¨¦mico a distancia en la revascularizaci¨®n mioc¨¢rdica
%A Hern¨¢ndez Ortega
%A Rudy
%A Gonz¨¢lez Alfonso
%A Osvaldo
%A V¨¢zquez Roque
%A Javier
%A Hidalgo Men¨¦ndez
%A Pedro A
%A Rodr¨ªguez ¨¢lvarez
%A Juan Manuel
%J Revista Cubana de Anestesiolog£¿-a y Reanimaci£¿3n
%D 2012
%I Scientific Electronic Library Online
%X 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.
%K distant ischemic periods
%K postreperfution injury
%K coronary artery.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1726-67182012000200004&lng=en&nrm=iso&tlng=en