Myocardial Ischemia Clinical Trial
Official title:
Impact of Variable Types of Preconditioning Upon the Inotrope Score in Adult Patients, Undergoing Cardiac Surgery
Preconditioning (PC) of the heart occurs when brief exposure to a stimulus protects the heart from subsequent ischemia. PC stimulus may be (ischemic ; pharmacologic or Physical).
Preconditioning (PC) of the heart occurs when brief exposure to a stimulus protects the heart
from subsequent ischemia. PC stimulus may be ( ischemic ; pharmacologic or Physical)
Pharmacological PC may be induced by variable agents e.g. (Sevoflurane ;isoflorane, opioids
etc)
Ischemic PC includes local; remote and the idea is temporary interruption of blood supply to
the organ so that liberation of protective mediators occurs. The liberated mediators have
favorable effects not only upon the myocardium, but it extend to protect other organs against
inflammatory activation; ischemia reperfusion injury
Inotropic score (IS) is already an evident predictor of postoperative cardiac morbidity and
mortality
Aim of the work:
Is to validate the impact of Sevoflurane versus ischemic & Sevoflurane PC upon postoperative
inotropic score in adult patient undergoing open heart surgery
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