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Submitted: 30 May 2017 Modified: 30 May 2017
HERDIN Record #: NCR-PHC-17053010332886

The use of modified Del Nido cardioplegia in coronary artery bypass grafting (CABG) surgery in the Philippine Heart Center .

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Background: Cardioplegia is an integral and essential method of myocardial protection for patients of all ages requiring cardiac surgery in which the heart must be stopped.1 Upon the advent of cardiac surgery these cardioplegia solutions had an important role in myocardial quiescence and protection. Thus the outcome of the CABG patients given the Del Nido Cardioplegia was determined.

Method: A total of 22 patients which underwent Coronary artery bypass grafting using the Del Nido Cardioplegia solution were included in the study. We reviewed the different variables such as the Pre-operative data which comprised the age, gender, creatinine, LVEF (simpson's), comorbid condition, Functional class (NYHA). Intraoperatively, the pre-op, on-bypass, and post-bypass levels of the potassium, Calcium and Hematocrit were recorded, as well as the need for defibrillation.

Results: Twenty two patients were included in the study, among which 19 were male which counts the majority and 3 were female. Majority were hypertensive at 86.4%, followed by DM at 40.9%, stroke and COPD accounting for 4.6% each. The potassium and calcium levels preoperatively, on-bypass, and post bypass were within normal levels. The hemoconcentration was noted to be low during bypass and post-bypass with a mean hematocrit of 0.26 and 0.29 respectively and defibrillation was done among 2 patients.

Conclusion: There have been 22 patients included in the study, ages ranges from 42 to 67 years old which. Only a few patients required defibrillation. The  electrolytes were maintained at a normal level which is important and reflective of myocardial preservation. All patients regardless of NYHA condition and co-morbidities were all discharged

Publication Type
Research Project
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Philippine Heart Center Medical Library PHC.R.0161.16 Fulltext Print Format