Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery

Perioperative acute myocardial dysfunction is an actual problem of cardiac surgery. Rational use of inotropes and mechanical circulatory support in the postoperative period remains a subject of debate. The outcomes of the combined coronary artery bypass grafting and heart valve prosthesis were analy...

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Autores principales:	Z. Z. Nadiradze, A. V. Muravskaya, Y. A. Bakhareva, A. V. Mikhaylov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2016
Materias:	acute heart failure combined heart surgery differentiated approach intra-aortic balloon counter pulsation Science Q
Acceso en línea:	https://doaj.org/article/cb896ece0cc1423c9067d3145d56f8e3
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spelling	oai:doaj.org-article:cb896ece0cc1423c9067d3145d56f8e32021-11-23T06:14:33ZChange of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery2541-94202587-959610.12737/21480https://doaj.org/article/cb896ece0cc1423c9067d3145d56f8e32016-02-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/149https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Perioperative acute myocardial dysfunction is an actual problem of cardiac surgery. Rational use of inotropes and mechanical circulatory support in the postoperative period remains a subject of debate. The outcomes of the combined coronary artery bypass grafting and heart valve prosthesis were analyzed in Irkutsk Cardiac Surgery Center after 80 patients were operated on. As a result of the conducted research, authors proposed a method of differentiated approach to the treatment of acute heart failure in the early postoperative period. Failure to escalate therapy beta agonists in the absence of adequate response hemodynamics and the transition to a mechanical circulatory support improves performance of the cardiovascular system and clinical outcomes, reduces hospitalization duration in the department of intensive therapy. The study showed the superiority of an early beginning of an intra-aortic balloon counterpulsation before traditional inotropic therapy in the treatment of postcardiotomy heartfailure at combined cardiac surgery.Z. Z. NadiradzeA. V. MuravskayaY. A. BakharevaA. V. MikhaylovScientific Сentre for Family Health and Human Reproduction Problemsarticleacute heart failurecombined heart surgerydifferentiated approachintra-aortic balloon counter pulsationScienceQRUActa Biomedica Scientifica, Vol 1, Iss 1, Pp 20-25 (2016)
institution	DOAJ
collection	DOAJ
language	RU
topic	acute heart failure combined heart surgery differentiated approach intra-aortic balloon counter pulsation Science Q
spellingShingle	acute heart failure combined heart surgery differentiated approach intra-aortic balloon counter pulsation Science Q Z. Z. Nadiradze A. V. Muravskaya Y. A. Bakhareva A. V. Mikhaylov Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
description	Perioperative acute myocardial dysfunction is an actual problem of cardiac surgery. Rational use of inotropes and mechanical circulatory support in the postoperative period remains a subject of debate. The outcomes of the combined coronary artery bypass grafting and heart valve prosthesis were analyzed in Irkutsk Cardiac Surgery Center after 80 patients were operated on. As a result of the conducted research, authors proposed a method of differentiated approach to the treatment of acute heart failure in the early postoperative period. Failure to escalate therapy beta agonists in the absence of adequate response hemodynamics and the transition to a mechanical circulatory support improves performance of the cardiovascular system and clinical outcomes, reduces hospitalization duration in the department of intensive therapy. The study showed the superiority of an early beginning of an intra-aortic balloon counterpulsation before traditional inotropic therapy in the treatment of postcardiotomy heartfailure at combined cardiac surgery.
format	article
author	Z. Z. Nadiradze A. V. Muravskaya Y. A. Bakhareva A. V. Mikhaylov
author_facet	Z. Z. Nadiradze A. V. Muravskaya Y. A. Bakhareva A. V. Mikhaylov
author_sort	Z. Z. Nadiradze
title	Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
title_short	Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
title_full	Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
title_fullStr	Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
title_full_unstemmed	Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
title_sort	change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2016
url	https://doaj.org/article/cb896ece0cc1423c9067d3145d56f8e3
work_keys_str_mv	AT zznadiradze changeofapproachtousingintraaorticballooncounterpulsationincombinedcardiacsurgery AT avmuravskaya changeofapproachtousingintraaorticballooncounterpulsationincombinedcardiacsurgery AT yabakhareva changeofapproachtousingintraaorticballooncounterpulsationincombinedcardiacsurgery AT avmikhaylov changeofapproachtousingintraaorticballooncounterpulsationincombinedcardiacsurgery
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Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery

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