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The Annals of Thoracic Surgery, Vol 29, 8-14, Copyright © 1980 by The Society of Thoracic Surgeons
C du Cailar, JG Maille, W Jones, BC Solymoss, M Chabot, C Goulet, E Delva and CM Grondin
Myocardial injury was studied in 104 patients undergoing coronary artery
grafting without cold chemical cardioplegia using the quantity of the
isoenzyme MB of the creatine kinase liberated as an indicator. This method
of evaluation, which is said to permit comparison of different techniques
of myocardial protection, allowed us to consider the relative importance of
several factors believed to have an influence on intraoperative myocardial
injury. Indices of significance were duration of symptoms before operation,
presence of chronic arterial hypertension, and the type of antiangina
treatment employed. Other operative factors included severity of the
arterial lesions, number of anastomoses performed, and duration of
extracorporeal circulation and of aortic cross-clamping.
ARTICLES
MB creatine kinase and the evaluation of myocardial injury following aortocoronary bypass operation
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