Efficacy of continuous low-dose hANP administration in patients undergoing emergency coronary artery bypass grafting for acute coronary syndrome

  • Sezai Akira
    Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Hata Mitsumasa
    Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Wakui Shinji
    Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Niino Tetsuya
    Department of Cardiovascular Surgery, Nihon University School of Medicine
  • Takayama Tadateru
    Department of Cardiology, Nihon University School of Medicine
  • Hirayama Atsushi
    Department of Cardiology, Nihon University School of Medicine
  • Saito Satoshi
    Department of Cardiology, Nihon University School of Medicine
  • Minami Kazutomo
    Department of Cardiovascular Surgery, Nihon University School of Medicine

書誌事項

タイトル別名
  • Efficacy of Continuous Low-Dose hANP Administration in Patients Undergoing Emergent Coronary Artery Bypass Grafting for Acute Coronary Syndrome

この論文をさがす

説明

Background Low-dose continuous human atrial natriuretic peptide (hANP) administration during cardiac surgery has been reported on previously. In the present study, the efficacy of the therapy during emergent coronary artery bypass grafting (CABG) for acute coronary syndrome (ACS) is investigated. Methods and Results One hundred and twenty-four patients patients undergoing emergent CABG for ACS were divided into 2 groups; a group receiving administration of hANP (hANP group) and a group not receiving hANP infusion (non-hANP group). The postoperative peak levels of creatine kinase-MB were significantly lower in the hANP group as compared with those in the non-hANP group. The incidence of postoperative arrhythmias was also significantly lower in the hANP group as compared with that in the non-hANP group. The postoperative brain natriuretic peptide was significantly lower in the hANP group as compared with that in the non-hANP group until 1 year after the operation. The free-rate of cardiac events after the operation was also significantly higher in the hANP group as compared with that in the non-hANP group. Conclusions It is therefore considered that hANP might not only be effective for overcoming some major shortcomings of cardiopulmonary bypass, but also might be effective to attenuate ischemia-reperfusion injury, protect the myocardium, have an anti-arrhythmic effect, and suppress left ventricular remodeling. (Circ J 2007; 71: 1401 - 1407)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 71 (9), 1401-1407, 2007

    一般社団法人 日本循環器学会

被引用文献 (21)*注記

もっと見る

参考文献 (34)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ