The effect of preoperative prophylactic use of intraa-ortic balloon pump on my-ocardial biomarker and lactate in coronary artery diease patients with low left ventricular function undergoing off-pump coronary bypass grafting
Wang Jin-hong
Yang Feng
Jiang Chun-jing
Hao Xing
Xing Zhi-cheng
Xu Bo
Du Zhong-tao
Xing Jia-lin
Hou Xiao-tong
Abstract：Objective To explore the effect of preoperative prophylactic use of intraa-ortic balloon pump on myocardial bio?markers and lactate after off-pump artery bypass grafting in the high-risk coronary diease patients. Methods Clinical data of 284 crit?ical CAD patients who underwent off-pump coronary artery bypass grafting from January 2011 to December 2013 were retrospective ana?lysed.These patients were divided into two groups 132 patients in IABP group, and 152 patients in control group. The postoperative CK?MB,cTnI and lactate were compared between the two groups. Results The inhospital mortality was significantly lower in IABP groups. CKMB, cTnIlevels at 8 h,48 h,72 h postoperative than the control groupe ( P<0.05) andand the lactate level of IABP group was also lowerthan the control group at 12 h,24 h,36 h,48 h and 72 h ( P<0.05) . The postoperative hospital stay and total hospital stay were shorter in the IABP group( P<0.05).Transfusion amounts were significantly fewer in IABP groupe ( P<0.05). Conclusion Preoper?ative prophylactic use of IABP in the high-risk CAD patients can alleviate the postoperative myocardial injury,supress the rise of lactate level postoperative and reduce the inhospital mortality.Besides,it can improve postoperative recovery without increasing the incidence of complications.
Keywords：Intraarotic balloon pumpOff-pump cornory artery bypass graftingMyocardial biomarkerLactateProphylactic
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 204-208 )