Heart Failure after Cardiac Surgery: The Role of Halogenated Agents, Myocardial Conditioning and Oxidative Stress.

Heart disease requires a surgical approach sometimes. Cardiac-surgery patients develop heart failure associated with ischemia induced during extracorporeal circulation. This complication could be decreased with anesthetic drugs. The cardioprotective effects of halogenated agents are based on pre- an...

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Detalles Bibliográficos
Autores: Guerrero-Orriach, José Luis, Carmona-Luque, Maria Dolores, Gonzalez-Alvarez, Laura
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/18588
Acceso en línea:http://hdl.handle.net/20.500.12105/18588
Access Level:acceso abierto
Palabra clave:ACDHUVV-16
halogenated
heart failure
postconditioning
preconditioning
Anesthetics, Inhalation
Cardiac Surgical Procedures
Cardiomyopathies
Cardiotonic Agents
Heart Failure
Humans
Hydrocarbons, Halogenated
Isoflurane
Myocardium
Oxidative Stress
Propofol
Sevoflurane
Descripción
Sumario:Heart disease requires a surgical approach sometimes. Cardiac-surgery patients develop heart failure associated with ischemia induced during extracorporeal circulation. This complication could be decreased with anesthetic drugs. The cardioprotective effects of halogenated agents are based on pre- and postconditioning (sevoflurane, desflurane, or isoflurane) compared to intravenous hypnotics (propofol). We tried to put light on the shadows walking through the line of the halogenated anesthetic drugs' effects in several enzymatic routes and oxidative stress, waiting for the final results of the ACDHUVV-16 clinical trial regarding the genetic modulation of this kind of drugs.