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Release of Cardiac Biochemical and Inflammatory Markers in Patients on Cardiopulmonary Bypass Undergoing Coronary Artery Bypass Grafting
Open accessAbstract
BACKGROUND: Determination of cardiac markers can assess cardiac injury induced by cardiopulmonary bypass (CPB) during coronary artery bypass grafting (CABG). However, the markers and their release pattern are not well defined. This study was aimed at assessing the release and timing of cardiac biochemical and inflammatory markers in patients undergoing elective CABG with CPB. METHODS: Forty patients undergoing elective CABG were included in this study. Blood samples were collected for biochemical measurements at the following time points: immediately prior to the induction of anesthesia, one, six, 12, and 24 hours after initiation of CPB. RESULTS: Increased release of cardiac troponin I was observed one hour after initiation of CPB (p < 0.05) and reached the maximum at 12 hours after CPB (p < 0.01). Serum CK-MB enzyme activity and CK-MB mass both were highly elevated starting at one hour after initiation of CPB, peaked at six hours, and remained elevated until 24 hours after CPB. Both lactate and lactate dehydrogenase were highly elevated six hours after CPB and peaked at 12 hours after CPB (p < 0.01). Serum levels of interleukin-6 and tumor necrosis factor-alpha increased significantly one hour after initiation of CPB and peaked at six hours (p < 0.01), while serum high sensitivity C-reactive protein levels started to elevate 12 hours after CPB (p < 0.01). CONCLUSION: Monitoring of these markers could help to determine implementation of protective interventions during CABG with CPB to prevent myocardial deterioration and to predict the risk and prognosis.
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“Cardiopulmonary bypass (CPB) is an immuno-reactive state where neutrophils are activated and accumulate in different tissues.”
From Oral neutrophils are an independent marker of the systemic inflammatory response after cardiac bypass (2014) · cites this paper as [3]
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Metadata
- Authors
- Meng, Q. H., Zhu, S., Sohn, N., Mycyk, T., Shaw, S. A., Dalshaug, G., & Krahn, J.
- Affiliations
- Department of Pathology and Laboratory Medicine
- Division of Cardiovascular Surgery, Department of Surgery
- Royal University Hospital (CA)
- ORCID
- Meng, Qing H.
- Venue
- Journal of Cardiac Surgery
- Publisher
- Hindawi Limited
- Published
- 2008-10-27
- Volume
- 23
- Issue
- 6
- Pages
- 681-687
- ISSN
- 0886-0440 (ISSN-L)
- 1540-8191
- OpenAlex
- W2120378164
- Cited by
- 32
- References
- 45
- Citations by year
- 2025: 1 · 2022: 2 · 2020: 1 · 2018: 2 · 2017: 4 · 2016: 3 · 2014: 4 · 2013: 4 · 2012: 3
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- onlinelibrary.wiley.com/termsAndConditions#vor (vor)
- doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
- Locations
- Journal of Cardiac Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Mechanical Circulatory Support Devices
- Keywords
- cardiopulmonary bypass, coronary artery bypass grafting, cardiac biomarkers, inflammatory markers, cardiac troponin I, CK-MB, lactate, lactate dehydrogenase, interleukin-6, TNF-α, high-sensitivity C-reactive protein, myocardial injury
- MeSH terms
- Adult, Aged, Coronary Artery Bypass, C-Reactive Protein, Cardiopulmonary Bypass, Female, Humans, Inflammation, L-Lactate Dehydrogenase, Male, Middle Aged, Prospective Studies, Tumor Necrosis Factor-alpha, Cohort Studies, Biomarkers, Interleukin-6, Oxidative Stress, Troponin I, Lactic Acid, Creatine Kinase, MB Form
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