Analgesia epidural torácica para el tratamiento de la angina inestable

作者: M. Castro , P. G. Atanassoff

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摘要: SUMMARY Ischemic cardiomyopathy in patients with unstable angina refractory to medical therapy is a difficult condition. Unfavorable anatomy or excessive surgical risk can advise against the performance of angioplasty coronary bypass surgery. This study has reviewed use thoracal epidural analgesia/anesthesia for management and stabilization this type patients, brief description physiopathology cardiac ischemia, experimental studies animals human beings, surgery side effects. © 2005 Sociedad Espanola del Dolor. Published by Aran Ediciones S.L.

参考文章(33)
G G Neri Serneri, M Boddi, L Arata, C Rostagno, P Dabizzi, M Coppo, M Bini, S Lazzerini, A Dagianti, G F Gensini, Silent ischemia in unstable angina is related to an altered cardiac norepinephrine handling. Circulation. ,vol. 87, pp. 1928- 1937 ,(1993) , 10.1161/01.CIR.87.6.1928
Attilio Maseri, Role of coronary artery spasm in symptomatic and silent myocardial ischemia Journal of the American College of Cardiology. ,vol. 9, pp. 249- 262 ,(1987) , 10.1016/S0735-1097(87)80372-8
Christian W. Hamm, Walter Bleifeld, Unstable angina: current concepts of medical management. Cardiovascular Drugs and Therapy. ,vol. 2, pp. 333- 339 ,(1988) , 10.1007/BF00054640
G.G. Neri Serneri, G.F. Gensini, L. Poggesi, F. Trotta, P.A. Modesti, M. Boddi, A. Ieri, M. Margheri, G.C. Casolo, M. Bini, C. Rostagno, M. Carnovali, R. Abbate, Effect of heparin, aspirin, or alteplase in reduction of myocardial ischaemia in refractory unstable angina. The Lancet. ,vol. 335, pp. 615- 618 ,(1990) , 10.1016/0140-6736(90)90407-V
Sture Blomberg, H??kan Emanuelsson, Sven-Erik Ricksten, Thoracic epidural anesthesia and central hemodynamics in patients with unstable angina pectoris. Anesthesia & Analgesia. ,vol. 69, pp. 558- 562 ,(1989) , 10.1213/00000539-198911000-00002
Tiong H. Liem, Leo H.D.J. Booij, Mathieu J.M. Gielen, Marcel A.W.M. Hasenbos, Jan van Egmond, Coronary artery bypass grafting using two different anesthetic techniques: Part 3: Adrenergic responses. Journal of Cardiothoracic and Vascular Anesthesia. ,vol. 6, pp. 162- 167 ,(1992) , 10.1016/1053-0770(92)90191-9
C.P. HENNY, J.A. ODOOM, H. TEN CATE, J.W. TEN CATE, R.J.F. OOSTERHOFF, N.F. DABHOIWALA, I.L. SIH, EFFECTS OF EXTRADURAL BUPIVACAINE ON THE HAEMOSTATIC SYSTEM BJA: British Journal of Anaesthesia. ,vol. 58, pp. 301- 305 ,(1986) , 10.1093/BJA/58.3.301
Tiong H. Liem, Leo H.D.J. Booij, Marcel A.W.M. Hasenbos, Mathieu J.M. Gielen, Coronary artery bypass grafting using two different anesthetic techniques: Part I: Hemodynamic results. Journal of Cardiothoracic and Vascular Anesthesia. ,vol. 6, pp. 148- 155 ,(1992) , 10.1016/1053-0770(92)90189-E
E G Nabel, P Ganz, J B Gordon, R W Alexander, A P Selwyn, Dilation of normal and constriction of atherosclerotic coronary arteries caused by the cold pressor test. Circulation. ,vol. 77, pp. 43- 52 ,(1988) , 10.1161/01.CIR.77.1.43