Coronary artery bypass surgery perioperative management of myocardial dysfunction: Difference between revisions
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Hardik Patel (talk | contribs) (/* 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT){{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery...) |
(/* Transfusion (DO NOT EDIT){{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foun...) |
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| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''2.''' Measurement of biomarkers of myonecrosis (eg, [[creatine kinase]]-MB, [[troponin]]) is reasonable in the first 24 hours after CABG.<ref name="pmid18721510">{{cite journal| author=Yau JM, Alexander JH, Hafley G, Mahaffey KW, Mack MJ, Kouchoukos N et al.| title=Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting (from PRoject of Ex-vivo Vein graft ENgineering via Transfection [PREVENT] IV). | journal=Am J Cardiol | year= 2008 | volume= 102 | issue= 5 | pages= 546-51 | pmid=18721510 | doi=10.1016/j.amjcard.2008.04.069 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18721510 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | | bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''2.''' Measurement of biomarkers of myonecrosis (eg, [[creatine kinase]]-MB, [[troponin]]) is reasonable in the first 24 hours after CABG.<ref name="pmid18721510">{{cite journal| author=Yau JM, Alexander JH, Hafley G, Mahaffey KW, Mack MJ, Kouchoukos N et al.| title=Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting (from PRoject of Ex-vivo Vein graft ENgineering via Transfection [PREVENT] IV). | journal=Am J Cardiol | year= 2008 | volume= 102 | issue= 5 | pages= 546-51 | pmid=18721510 | doi=10.1016/j.amjcard.2008.04.069 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18721510 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki> | ||
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===Transfusion (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= |pmid=22064599|doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>=== | |||
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Revision as of 17:23, 8 November 2012
Coronary Artery Bypass Surgery Microchapters | |
Pathophysiology | |
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Diagnosis | |
Treatment | |
Perioperative Monitoring | |
Surgical Procedure | |
Special Scenarios | |
Coronary artery bypass surgery perioperative management of myocardial dysfunction On the Web | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]
2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]
Perioperative Myocardial Dysfunction (DO NOT EDIT)[1]
Class IIa |
"1. In the absence of severe, symptomatic aorto-iliac occlusive disease or peripheral artery disease, the insertion of an intra-aortic balloon is reasonable to reduce mortality rate in CABG patients who are considered to be at high risk (eg, those who are undergoing reoperation or have LVEF <30% or left main CAD).[2][3][4][5][6][7] (Level of Evidence: B)" |
"2. Measurement of biomarkers of myonecrosis (eg, creatine kinase-MB, troponin) is reasonable in the first 24 hours after CABG.[8] (Level of Evidence: B)" |
Transfusion (DO NOT EDIT)[1]
Class I |
"1. Aggressive attempts at blood conservation are indicated to limit hemodilutional anemia and the need for intraoperative and perioperative allogeneic red blood cell transfusion in CABG patients.[9][10][11][12] (Level of Evidence: B)" |
Guidelines Resources
- 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]
References
- ↑ 1.0 1.1 1.2 1.3 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
- ↑ Christenson JT, Cohen M, Ferguson JJ, Freedman RJ, Miller MF, Ohman EM; et al. (2002). "Trends in intraaortic balloon counterpulsation complications and outcomes in cardiac surgery". Ann Thorac Surg. 74 (4): 1086–90, discussion 1090-1. PMID 12400750.
- ↑ Christenson JT, Simonet F, Badel P, Schmuziger M (1999). "Optimal timing of preoperative intraaortic balloon pump support in high-risk coronary patients". Ann Thorac Surg. 68 (3): 934–9. PMID 10509987.
- ↑ Christenson JT, Licker M, Kalangos A (2003). "The role of intra-aortic counterpulsation in high-risk OPCAB surgery: a prospective randomized study". J Card Surg. 18 (4): 286–94. PMID 12869172.
- ↑ Christenson JT, Schmuziger M, Simonet F (2001). "Effective surgical management of high-risk coronary patients using preoperative intra-aortic balloon counterpulsation therapy". Cardiovasc Surg. 9 (4): 383–90. PMID 11420164.
- ↑ Urban PM, Freedman RJ, Ohman EM, Stone GW, Christenson JT, Cohen M; et al. (2004). "In-hospital mortality associated with the use of intra-aortic balloon counterpulsation". Am J Cardiol. 94 (2): 181–5. doi:10.1016/j.amjcard.2004.03.058. PMID 15246896.
- ↑ Santa-Cruz RA, Cohen MG, Ohman EM (2006). "Aortic counterpulsation: a review of the hemodynamic effects and indications for use". Catheter Cardiovasc Interv. 67 (1): 68–77. doi:10.1002/ccd.20552. PMID 16342217.
- ↑ Yau JM, Alexander JH, Hafley G, Mahaffey KW, Mack MJ, Kouchoukos N; et al. (2008). "Impact of perioperative myocardial infarction on angiographic and clinical outcomes following coronary artery bypass grafting (from PRoject of Ex-vivo Vein graft ENgineering via Transfection [PREVENT] IV)". Am J Cardiol. 102 (5): 546–51. doi:10.1016/j.amjcard.2008.04.069. PMID 18721510.
- ↑ Koch CG, Li L, Duncan AI, Mihaljevic T, Loop FD, Starr NJ; et al. (2006). "Transfusion in coronary artery bypass grafting is associated with reduced long-term survival". Ann Thorac Surg. 81 (5): 1650–7. doi:10.1016/j.athoracsur.2005.12.037. PMID 16631651.
- ↑ Surgenor SD, DeFoe GR, Fillinger MP, Likosky DS, Groom RC, Clark C; et al. (2006). "Intraoperative red blood cell transfusion during coronary artery bypass graft surgery increases the risk of postoperative low-output heart failure". Circulation. 114 (1 Suppl): I43–8. doi:10.1161/CIRCULATIONAHA.105.001271. PMID 16820613.
- ↑ van Straten AH, Bekker MW, Soliman Hamad MA, van Zundert AA, Martens EJ, Schönberger JP; et al. (2010). "Transfusion of red blood cells: the impact on short-term and long-term survival after coronary artery bypass grafting, a ten-year follow-up". Interact Cardiovasc Thorac Surg. 10 (1): 37–42. doi:10.1510/icvts.2009.214551. PMID 19815567.
- ↑ van Straten AH, Kats S, Bekker MW, Verstappen F, ter Woorst JF, van Zundert AJ; et al. (2010). "Risk factors for red blood cell transfusion after coronary artery bypass graft surgery". J Cardiothorac Vasc Anesth. 24 (3): 413–7. doi:10.1053/j.jvca.2010.01.001. PMID 20231104.