The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 5 , Pages 1171-1178 , May 2007

Warm nondepolarizing adenosine and lidocaine cardioplegia: Continuous versus intermittent delivery

  • Kathryn L. Sloots, BSc (Hons)

      Affiliations

    • Department of Physiology and Pharmacology, Molecular Science Building, James Cook University, Townsville, Queensland, Australia
  • ,
  • Jakob Vinten-Johansen, PhD

      Affiliations

    • Cardiothoracic Research Laboratory, Carlyle Fraser Heart Center, Emory University, Atlanta, Ga.
  • ,
  • Geoffrey P. Dobson, PhD

      Affiliations

    • Department of Physiology and Pharmacology, Molecular Science Building, James Cook University, Townsville, Queensland, Australia
    • Corresponding Author InformationAddress for reprints: Geoffrey P. Dobson, PhD, Molecular Science Building, James Cook University, Townsville, Queensland, Australia.

Received 20 October 2006 ,Revised 6 December 2006 ,Accepted 18 December 2006.

  • Image Result

    CVR measured after 38-minute arrest (A) and 58-minute arrest (B) in hearts arrested for 40 or 60 minutes with continuous or intermittent delivery of AL or lidocaine cardioplegia. (*P ≤ .05 lidocaine g

    CVR measured after 38-minute arrest (A) and 58-minute arrest (B) in hearts arrested for 40 or 60 minutes with continuous or intermittent delivery of AL or lidocaine cardioplegia. (*P ≤ .05 lidocaine group compared with AL intermittent group after 38-minute arrest; **P ≤ .01 lidocaine group compared with AL intermittent group after 58-minute arrest.) For the method of CVR calculation, see “Materials and Methods.” AL, Adenosine and lidocaine; CVR, coronary vascular resistance; Cont, continuous; Int, intermittent.

  • Image Result
    Percentage of pre-arrest values of (A) aortic flow and (B) coronary flow recorded during the 60-minute reperfusion period in hearts arrested with ♢: 40 minutes of continuous AL, □: 40 minutes of inter

    Percentage of pre-arrest values of (A) aortic flow and (B) coronary flow recorded during the 60-minute reperfusion period in hearts arrested with ♢: 40 minutes of continuous AL, □: 40 minutes of intermittent AL, x: 60 minutes of continuous AL, Δ: 60 minutes of intermittent AL, and ■: 60 minutes of intermittent lidocaine. *Significant difference in aortic flow between the 60-minute intermittent lidocaine group compared with 60-minute AL intermittent group (P ≤ .01) and 60-minute AL continuous group (P ≤ .05), and *significant difference in coronary flow between the 60-minute intermittent lidocaine group compared with 60-minute AL intermittent group (P ≤ .01).

 Part of the study was supported by the National Heart Foundation of Australia Grant G 05B 2034 (G. P. D.).

PII: S0022-5223(07)00218-8

doi: 10.1016/j.jtcvs.2006.12.058

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 5 , Pages 1171-1178 , May 2007