Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Jun 2013
Randomized Controlled TrialPerioperative use of a beta blocker in coronary artery bypass grafting.
Atrial fibrillation after cardiac surgery is associated with increases in the risk of complications, length of intensive care unit stay, and cost of care. Beta blockers are effective for controlling myocardial ischemia and arrhythmia and suppressing inflammatory cytokines. The purpose of this study was to examine the effect of administrating a short-acting beta-adrenoceptor antagonist, landiolol, on postoperative atrial fibrillation. ⋯ Low-dose continuous infusion of landiolol reduced the incidence of postoperative atrial fibrillation, and significantly suppressed inflammation.
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Asian Cardiovasc Thorac Ann · Jun 2013
Comparative StudyDiabetic control and coronary artery bypass: effect on short-term outcomes.
To evaluate the effect of preoperative glycemic control on hospital morbidity and mortality in diabetic patients undergoing primary coronary artery bypass grafting. ⋯ Short-term outcomes were not affected by the degree of preoperative glycemic control or type of treatment used in diabetic patients undergoing primary coronary artery bypass grafting. A plausible explanation is strict protocol-driven glycemic control in the perioperative period.
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Asian Cardiovasc Thorac Ann · Jun 2013
Mini-invasive diagnosis and synchronous treatment of solitary pulmonary nodule.
to develop a simplified method to make a rapid, cost-effective, and precise diagnosis of solitary pulmonary nodules, and to perform synchronous treatment of solitary pulmonary nodules. ⋯ our results indicate that the simplified mini-invasive diagnosis and treatment is an accurate, safe, rapid, and cost-saving method, which may translate into fundamentally reducing the medical cost and time for lung cancer patients.
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Asian Cardiovasc Thorac Ann · Jun 2013
Comparative StudyMonitoring pulmonary artery pressure in children undergoing the Fontan procedure.
To compare external and internal jugular venous pressures to monitor pulmonary artery pressure during the Fontan procedure. ⋯ The external jugular venous pressure correlates well with both internal jugular venous pressure and femoral venous pressure as a marker of pulmonary artery pressure in children undergoing the Fontan procedure. The use of external jugular venous pressure may also preclude the risk of thrombosis.
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Asian Cardiovasc Thorac Ann · Jun 2013
Analysis of the sternum for sternal closure with bioabsorbable sternal pins.
Poly-L-lactide sternal pins have been reported to be beneficial for sternal closure. However, we sometimes experience a small sternum, and the size characteristics of the sternum have not been fully investigated. We analyzed size features of the sternum to determine the optimal size of sternal pin for sternal closure. ⋯ To select the appropriate size of sternal pin, preoperative measurement of the bone marrow width of the sternum is recommended because it cannot be predicted from body size.