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Reversible Cardiac Sympathectomy by High Thoracic Epidural Anesthesia Improves Regional Left Ventricular Function in Patients Undergoing Coronary Artery Bypass Grafting—Invited Critique
Andrew E. Luckey, MD;
Cyrus J. Parsa, MD;
Alden H. Harken, MD
Oakland, Calif
Arch Surg. 2003;138:1291.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In this issue of the ARCHIVES, Berendes et al report improved regional left ventricular function when patients undergoing myocardial revascularization are protected with a transient cardiac sympathectomy by high TEA. We commend the authors on their timely and insightful clinical trial examining the effects of high TEA on regional and global myocardial function and perioperative risk in patients undergoing elective CABG while using a cardiac pump. Seventy-three patients with a left ventricular ejection fraction of 50% or more were randomized with 36 patients who received general anesthesia and high TEA and 37 patients who received only general anesthesia. The primary outcome measure was regional left ventricular function assessed via multiple slice transesophageal echocardiography. In addition, Berendes et al measured the levels of cardiac troponin I and the plasma concentrations of ANP that reflect atrial dilation while BNP indicates . . . [Full Text of this Article]
RELATED ARTICLE
Reversible Cardiac Sympathectomy by High Thoracic Epidural Anesthesia Improves Regional Left Ventricular Function in Patients Undergoing Coronary Artery Bypass Grafting: A Randomized Trial
Elmar Berendes, Christoph Schmidt, Hugo Van Aken, Maike Grosse Hartlage, Stefan Wirtz, Holger Reinecke, Markus Rothenburger, Hans Heinrich Scheld, Bernhard Schlüter, Gerhard Brodner, and Michael Walter
Arch Surg. 2003;138(12):1283-1290.
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