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Cited by 32Cardiac and Coronary Surgery TechniquesHemodynamic Monitoring and TherapyMechanical Circulatory Support Devices

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.

Release of Cardiac Biochemical and Inflammatory Markers in Patients on Cardiopulmonary Bypass Undergoing Coronary Artery Bypass Grafting

Open access
Meng, Qing H., Zhu, Shiming, Sohn, Namseok, Mycyk, Taras, Shaw, Susan A., Dalshaug, Greg, Krahn, John·2008·Journal of Cardiac Surgery

Abstract

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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Crossref · 10.1111/j.1540-8191.2008.00701.x

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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)
Venue
Journal of Cardiac Surgery
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
Licence
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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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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