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Off pump coronary artery bypass graft (OPCAB) still requires myocardial protection owing to intermittent regional ischemic episode. The investigators retrospectively evaluated the cardioprotective and clinical outcomes of propofol versus isoflurane anesthesia in patients undergoing OPCAB.
Several experimental and clinical researches have suggested that volatile anesthetics may reduce mortality in cardiac surgery owing to its preconditioning induced cardioprotective effect. Off-pump coronary artery bypass graft (OPCAB) surgery still requires cardioprotective strategies due to coronary hypoperfusion during anastomosis. The aim of this study was to evaluate the possible cardioprotective effect and clinical outcomes of propofol versus isoflurane anesthesia in patients undergoing OPCAB using propensity matching.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isoflurane group | Isoflurane inhalational anesthesia during OPCAB |
| |
| Propofol group | Total intravenous anesthesia with propofol during OPCAB |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isoflurane | Drug | Comparison between isoflurane and propofol, Retrospective study |
|
| Measure | Description | Time Frame |
|---|---|---|
| CK-MB, CRP | Comparison of CK-MB and CRP values between propofol and isoflurane groups on postoperative day, POD1 and POD 2 | Change from preoperative value in CK-MR and CRP at Postoperative day(POD), POD 1 and 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical adverse outcomes | clinical adverse outcomes until postoperative 1 year | until 1 year after OPCAB |
| Measure | Description | Time Frame |
|---|---|---|
| Cardioprotection and clinical adverse outcomes in diabetic patients | primary and secondary outcome analysis in diabetic patients | POD, POD 1, POD 2, one month, one year |
Inclusion Criteria:
Exclusion Criteria:
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patients underwent OPCAB from January, 2010 to December, 2012
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung medical center | Seoul | 135-710 | South Korea |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D007530 | Isoflurane |
| ID | Term |
|---|---|
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D009930 | Organic Chemicals |
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