caa a22 4500 397495706 CHVBK 20180308164520.0 cr unu---uuuuu 161202e199508 xx s 000 0 eng 10.1016/S1010-7940(05)80074-0 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80074-0 Continuous warm versus intermittent cold blood cardioplegia for coronary bypass surgery in patients with left ventricular dysfunction [Elektronische Daten] Between October 1991 and March 1994, 108 consecutive patients withmoderate to severe left ventricular dysfunction underwent non-emergencyisolated coronary artery surgery under the care of one surgeon (A.R.). Theywere prospectively randomised to receiving either intermittent cold (Group1-50 patients) or continuous warm (Group 2-58 patients) blood cardioplegiafor myocardial protection. There were no significant differences inclinical outcome between the two groups, as judged by operative mortality,rates of perioperative myocardial infarction, the serum CKMB isoenzymelevel at 2 and 18 h after operation, need for circulatory support,postoperative neurological deficit, or duration of hospital stay. Group 2patients required significantly more potassium (68 vs 29 mmol, P <0.001) to maintain diastolic arrest and also had higher serum potassiumlevels after removal of the cross-clamp (P < 0.001). However, sinusrhythm returned spontaneously with greater frequency (91.2% vs 45.8%, P< 0.001) in Group 2 patients. In conclusion this report suggests thatretrograde continuous warm blood cardioplegia provides comparablemyocardial protection to that achieved with retrograde intermittent coldblood cardioplegia in patients with moderate to severe left ventriculardysfunction undergoing isolated coronary artery surgery. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/8(1995-08), 405-408 1010-7940 9:8<405 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80074-0 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80074-0 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/8(1995-08), 405-408 1010-7940 9:8<405 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford