Document Detail


Monitoring regional myocardial function after myocardial revascularization.
MedLine Citation:
PMID:  7087529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A system using only small platinum electrodes for monitoring intramyocardial polarographic oxygen tension (MP02), electrograms (ECG), and impedance-derived wall motion (WM) was experimentally tested and clinically implemented. In nine open-chest, anesthetized dogs. two platinum electrodes were inserted along the subepicardial direction of the muscle fibers. As verified by cinefluoroscopy, WM corresponded to changes in distance between the platinum electrodes (r = 0.91 +/- 0.02). The system responded to a 10 minute occlusion of the left anterior descending coronary artery (LAD) as follows: Dyskinetic WM appeared in 10 seconds (p less than 0.05); MP02 decreased (26.4 +/- 1.8 to 14.8 +/= 1.9 mm Hg, p less than 0.05) in 1 minute; ST segments increased (4.8 +/- 1.5 to 12.3 +/- 3.1 mV, p less than 0.05) in 3 minutes. On reperfusion, WM, ST segments, and MP02 normalized in 15 seconds, 30 seconds, and 1 minute, respectively. Hence, ischemia affects WM more acutely than either ECG or MP02. In five patients, ischemic changes before coronary bypass were reversed over 5 days: MP02 (17.4 +/-; 1.9 to 19.6 +/-1.7 mm Hg), ST segment (2.2 +/- 6 to 1.0 +/- 0.4 mV), and WM returned to normal. Thus a system has been designed which simultaneously monitors regional WM, MP02, and ECG. The method has proved to be a sensitive and practical approach for assessing perioperative myocardial function.
Authors:
L Wiener; W Santamore; J Y Templeton; L Plzak
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  84     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-08-26     Completed Date:  1982-08-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  130-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiography, Impedance
Cardiopulmonary Bypass
Dogs
Electrocardiography
Electrodes
Heart / physiology*,  physiopathology
Humans
Monitoring, Physiologic / methods*
Myocardial Contraction
Myocardial Revascularization*
Platinum
Grant Support
ID/Acronym/Agency:
HL 22815/HL/NHLBI NIH HHS; HL 26592/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
7440-06-4/Platinum

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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