proteção miocárdica ao coração hipertrofiado: o eterno desafio myocardial protection to the hypertrophied heart: the eternal challenge

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ID: 195019
2008
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Abstract
A proteção miocárdica permitiu enorme avanço na moderna cirurgia cardíaca, reduzindo a mortalidade e permitindo que operações cada vez mais complexas pudessem ser realizadas. A alteração na população eleita para procedimentos cirúrgicos cardiológicos mudou significativamente nas últimas décadas, com o aumento de pacientes mais idosos, com função ventricular deprimida e miocárdio hipertrofiado. Essa última condição, desde os primórdios da cirurgia cardíaca, constituiu-se em grande desafio. Diversas técnicas de proteção ao miocárdio hipertrofiado foram descritas, porém com resultados não alentadores. As características da hipertrofia miocárdica no adulto com cardiopatia cirúrgica apresentam particularidades desafiadoras. Nesse artigo, procuramos atualizar o estado da arte sobre a proteção miocárdica ao coração hipertrofiado.
The myocardial protection allowed great advance in cardiac surgery, decreasing the mortality and making more feasible complex surgeries. Latterly, the patient population elected for cardiac procedures has been changing towards elderly patients with ventricular function depressed and myocardial hypertrophy. The myocardial hypertrophy condition represents a great challenge since the beginning of the cardiac surgery. Several techniques have been described to protect the myocardial hypertrophy, however with no satisfactory results. In this manuscript we present the state of the art technique of myocardial protection.
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Authors ;Elthon Silveira Cressoni;Luiz Ernesto Avanci;Domingo Marcolino Braile;Antonio Carlos Cicogna;Ana Paula Marques Lima-Oliveira;Milena Alonso Egéa Gerez;Antonio Sérgio Martins
Journal 2017 international conference on information technology systems and innovation, icitsi 2017 - proceedings
Year 2008
DOI
10.1590/S0102-76382008000100015
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382008000100015
Keywords
hypertrophy heart arrest

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