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Cardioprotective Effect of Reamberin in Ischemic — Reperfusion Injury

https://doi.org/10.15360/1813-9779-2016-4-49-56

Abstract

Objective: to identify the effectiveness of the drug Reamberin in complex intensive threatment of patients with cardiac surgery in heart fibrillation and remodeling of prosthetic heart valves and plastic defects of atrial and ventricular septa.
 Reamberin according the following protocol: 400 ml in the first 6 hours of the postoperative period as an intravenous drip at a rate of 60—90 drops/min. In group 2 (control group), 26 patients received standard intensive care medication. In addition to standard clinical and laboratory tests during the study following components were quantitavile determined in blood: troponin I, lactate dehydrogenase, creatine kinase, isofractions of creatine kinase
MB, transaminases (alanine aminotransferase and aspartate aminotransferase).
Results. Treatment of patients from the main group revealed the recovery of functional parametersof the myocardium, improved dynamics of cardiac enzymes and normalization of blood acid-base status.

Conclusion. Inclusion in the complex intensive therapy of post#cardiac surgery of the Reamberin in patients experiencing heart fibrillation after the cardiopulmonary bypass followed by electrical defibrillation improved the clinical course of the early postoperative period and reduced the risk of complications and early mortality.

About the Authors

L. V. Nowicka-Usenko
Dnepropetrovsk Medical Academy of the Ministry of Health of Ukraine
Russian Federation


A. V. Tsarev
Dnepropetrovsk Medical Academy of the Ministry of Health of Ukraine
Russian Federation


References

1. Canty J.M., Suzuki G., Banas M.D., Verheyen F., Borgers M., Fallavollita J.A. Hibernating myocardium: chronically adapted to ischemia but vulnerable to sudden death. Circ. Res. 2004; 94 (8): 1142#1149. PMID: 15016734

2. Indik J.H., Donnerstein R.L., Berg R.A., Hilwig R.W., Berg M.D., Kern K.B. Ventricular fibrillation frequency characteristics are altered in acute myocardial infarction. Crit. Care Med. 2007; 35 (4): 1133#1138. http://dx.doi.org/10.1097/01.CCM.0000259540.52062.99. PMID: 17334241

3. Nolan J.P., Neumar R.W., Adrie C., Aibiki M., Berg R.A., Böttiger B.W., Callaway C., Clark R.S., Geocadin R.G., Jauch E.C., Kern K.B., Laurent I., Longstreth W.T., Merchant R.M., Morley P., Morrison L.J., Nadkarni V., Peberdy M.A., Rivers E.P., RodriguezNunez A., Sellke F.W., Spaulding C., Sunde K., Hoek T.V. Post#cardiac arrest syndrome: epidemiology, patho# physiology, treatment, and prognostication. A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; the Council on Stroke. Resuscitation. 2008; 79 (3): 350379. http://dx.doi.org/10. 1016/j.resuscitation.2008.09.017. PMID: 18963350

4. Sandroni С., Cariou A., Cavallaro F., Cronberg T., Friberg H., Hoedemaekers C., Horn J., Nolan J.P., Rossetti A.O., Soar J. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine. Resuscitation. 2014; 85 (12): 1779-1789. http://dx.doi.org/10.1016/j.resuscitation.2014.08.011. PMID: 25438253

5. Valentinuzzi M.E. Cardiac fibrillation#defibrillation. In: Clinical and engineering aspects. Singapore: World Scientific Publishing; 2011: 279.

6. Akar F.G., Aon M.A., Tomaselli G.F. O’Rourke B. The mitochondrial origin of postischemic arrhythmias. J. Clin. Invest. 2005; 115 (12): 3527-3535. PMID: 16284648

7. Vasquez A., Kern K.B. Myocardial dysfunction postresuscitation. In:Ornato J.P., Peberdy M.A. (eds.). Cardiopulmonary Resuscitation.Humana Press; 2005: 503-522.

8. Aversano T. Reperfusion injury in cardiac arrest and cardiopulmonary resuscitation. In: Paradis N., Halperin H.R., Kern K.B., Wenzel V., Chemberlain D.A. (eds.). Cardiac arrest: the science and practice of resuscitation medicine. Cambridge University Press; 2007: 282-297.

9. Singh D., Kolarova J.D., Wang S., Ayoub I.M., Gazmuri R.J. Myocardial protection by erythropoietin during resuscitation from ventricular fibrillation. In: Paradis N., Halperin H.R., Kern K.B., Wenzel V., Chemberlain D.A. (eds.). Cardiac arrest: the science and practice of resuscitation medicine. Cambridge University Press; 2007: 829-847.

10. Gelis L.G., Medvedeva E.A., Ostrovsky Yu.P., Sevruk T.V., Ustinova I.B.,Petrov Yu.P. Farmakologicheskaya zashchita miokarda pri koronarnom shuntirovanii u bolnykh postinfarktnoi stenokardiei. [Pharmacological protection of myocardium in coronary bypass surgery in patients with postinfartion angina pectoris]. Vestnik Intensivnoi Terapii. 2007; 2: 36-42. [In Russ.]

11. Shakh B.N., Lapshin V.N., Kyrnyshev A.G., Smirnov D.B., KravchenkoBerezhnaya N.R. Metabolicheskie effekty substratnogo antigipoksanta na osnove yantarnoi kisloty. Obshchaya Reanimatologiya. [Metabolic effects of a succinic acid. General Reanimatology]. 2014; 10 (1): 33-42. http://dx.doi.org/10.15360/1813#9779#2014#1#33#42. [In Russ.]12. Лазарев В.В., Ермолаева К.Р., Кочкин В.С., Цыпин Л.Е., Попова Т.Г., Николаев Д.В., Бологов А.А., Ваганов Н.Н. Влияние сукцинатсодержащего инфузионного раствора на функцию клеточных структур в периоперационном периоде у детей. Общая реаниматология. 2015; 11 (1): 33-38. http://dx.doi.org/10.15360/1813-9779-2015-1-33-38

12. Lazarev V.V., Ermolaeva K.R., Kochkin V.S., Tsypin L.E., Popova T.G., Nikolaev D.V., Bologov A.A., Vaganov N.N. Vliyanie suktsinatsoderzhashchego infuzionnogo rastvora na funktsiyu kletochnykh struktur v perioperatsionnom periode u detei. Obshchaya Reanimatologiya. [Effect of succinate-containing infusion solution on cellular structures in children in the perioperative period. General Reanimatology]. 2015; 11 (1): 33-38. http://dx.doi.org/10.15360/1813-9779-2015-1-33-38. [In Russ.]

13. Orlov Y.P., Govorova N.V. Rol suktsinatov pri kriticheskikh sostoy-aniyakh. Obshchaya Reanimatologiya. [Role of succinates in critical conditions. General Reanimatology]. 2014; 10 (6): 65-82. http://dx.doi.org/10.15360/1813-9779-2014-6-65-82. [In Russ.]

14. Yakovlev A.Yu. Reamberin v praktike infuzionnoi terapii kriticheskikh sostoyanii. [Reamberin practice of infusion therapy of critical states]. Sankt-Peterburg; 2011: 32. [In Russ.]

15. Lakin G.F. Biometriya. 4-e izd. [Biometrics. 4-th. ed.]. Moscow; Vysshaya Shkola; 1990: 352. [In Russ.]


Review

For citations:


Nowicka-Usenko L.V., Tsarev A.V. Cardioprotective Effect of Reamberin in Ischemic — Reperfusion Injury. General Reanimatology. 2016;12(4):49-56. https://doi.org/10.15360/1813-9779-2016-4-49-56

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ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)