Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic

Aim. To assess the effects of external muscular counter-pulsation (MCP) in early post-operation period among coronary heart disease (CHD) patients, who underwent coronary aortic bypass graft (CABG) surgery. Мaterial and methods. 47 CHD patients (all males, functional class of angina 3.4±0.08), after...

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Main Authors: L. A. Bokeriya, Yu. I. Buziashvili, L. V. Lapanashvili, G. I. Kassirsky, S. T. Matskeplishvili, T. G. Lobzhanidze, V. I. Ioshina, D. Kh. Kamardinov
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2005-10-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/997
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author L. A. Bokeriya
Yu. I. Buziashvili
L. V. Lapanashvili
G. I. Kassirsky
S. T. Matskeplishvili
T. G. Lobzhanidze
V. I. Ioshina
D. Kh. Kamardinov
author_facet L. A. Bokeriya
Yu. I. Buziashvili
L. V. Lapanashvili
G. I. Kassirsky
S. T. Matskeplishvili
T. G. Lobzhanidze
V. I. Ioshina
D. Kh. Kamardinov
author_sort L. A. Bokeriya
collection DOAJ
description Aim. To assess the effects of external muscular counter-pulsation (MCP) in early post-operation period among coronary heart disease (CHD) patients, who underwent coronary aortic bypass graft (CABG) surgery. Мaterial and methods. 47 CHD patients (all males, functional class of angina 3.4±0.08), after on-pump CABG, were divided into two groups. In the main group (n=29), starting at Day 1-2 after CABG, standard therapy was combined with MCP course (CardioLa device, Switzerland). Control group (n=18) was observed according to standard protocol. The methods used included echocardiography (EchoCG) and tetrapolar thoracic impedancometry at rest. Results. MCP facilitated normalization of central and peripheral hemodynamics, disturbed due to on-pump intervention. In main group, stroke volume (р<0.002), stroke index (р<0.003), minute volume (р<0.0001), cardiac index (р<0.0001) and total ejection fraction (р<0.0001) increased, according to EchoCG at rest, and total peripheral resistance decreased, according to tetrapolar thoracic impedancometry results, comparing to control group. The number of post-operation days at the hospital was significantly lower in main group, comparing with controls (р<0.0001). Conclusion. MCP is highly effective for stabilization and improvement of central and peripheral hemodynamics in early post-CABG period.
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spelling doaj.art-5be620a9969549a6bf3add3912f7ad332024-10-17T12:21:23Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252005-10-0145411711Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinicL. A. Bokeriya0Yu. I. Buziashvili1L. V. Lapanashvili2G. I. Kassirsky3S. T. Matskeplishvili4T. G. Lobzhanidze5V. I. Ioshina6D. Kh. Kamardinov7A.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowResearch Center for Medical and Biological Research, Georgian Academy of Medical Science, TbilisiA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowA.N. Bakoulev Research Center for Cardiovascular Surgery, Russian Academy of Medical Science, MoscowAim. To assess the effects of external muscular counter-pulsation (MCP) in early post-operation period among coronary heart disease (CHD) patients, who underwent coronary aortic bypass graft (CABG) surgery. Мaterial and methods. 47 CHD patients (all males, functional class of angina 3.4±0.08), after on-pump CABG, were divided into two groups. In the main group (n=29), starting at Day 1-2 after CABG, standard therapy was combined with MCP course (CardioLa device, Switzerland). Control group (n=18) was observed according to standard protocol. The methods used included echocardiography (EchoCG) and tetrapolar thoracic impedancometry at rest. Results. MCP facilitated normalization of central and peripheral hemodynamics, disturbed due to on-pump intervention. In main group, stroke volume (р<0.002), stroke index (р<0.003), minute volume (р<0.0001), cardiac index (р<0.0001) and total ejection fraction (р<0.0001) increased, according to EchoCG at rest, and total peripheral resistance decreased, according to tetrapolar thoracic impedancometry results, comparing to control group. The number of post-operation days at the hospital was significantly lower in main group, comparing with controls (р<0.0001). Conclusion. MCP is highly effective for stabilization and improvement of central and peripheral hemodynamics in early post-CABG period.https://cardiovascular.elpub.ru/jour/article/view/997coronary heart diseasecoronary aortic bypass graft surgeryexternal muscular counter-pulsation
spellingShingle L. A. Bokeriya
Yu. I. Buziashvili
L. V. Lapanashvili
G. I. Kassirsky
S. T. Matskeplishvili
T. G. Lobzhanidze
V. I. Ioshina
D. Kh. Kamardinov
Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
Кардиоваскулярная терапия и профилактика
coronary heart disease
coronary aortic bypass graft surgery
external muscular counter-pulsation
title Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
title_full Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
title_fullStr Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
title_full_unstemmed Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
title_short Original method of external muscular counter-pulsation in coronary heart disease patients at cardiosurgery clinic
title_sort original method of external muscular counter pulsation in coronary heart disease patients at cardiosurgery clinic
topic coronary heart disease
coronary aortic bypass graft surgery
external muscular counter-pulsation
url https://cardiovascular.elpub.ru/jour/article/view/997
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