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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«SILICEA-POLIGRAF» LLC
2005-10-01
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Series: | Кардиоваскулярная терапия и профилактика |
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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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