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Klyshko N.K.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Shchava S.P.

Far Eastern Federal University, Medical Center, Vladivostok, Russia

Furgal A.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Rapovka V.G.

Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Shumatov V.B.

Pacific State Medical University, 690002, Vladivostok, Russia

Silaev A.A.

GBUZ "Gorodskaia klinicheskaia bol'nitsa #7 DZM", Moskva

Zenina A.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Filippova E.A.

Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia

Goncharuk R.A.

Tikhookeanskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Vladivostok

Sorokin V.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Cardioplegia and myocardial protection in adult cardiac surgery: current trends

Authors:

Klyshko N.K., Shchava S.P., Furgal A.A., Rapovka V.G., Shumatov V.B., Silaev A.A., Zenina A.A., Filippova E.A., Goncharuk R.A., Sorokin V.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2): 108‑113

DOI: 10.17116/kardio202013021108

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Table of contents

CARDIOPLEGIA AND MYOCARDIAL PROTECTION IN ADULT CARDIAC SURGERY: CURRENT TRENDS
CARDIOPLEGIA AND MYOCARDIAL PROTECTION IN ADULT CARDIAC SURGERY: CURRENT TRENDS

To cite this article:

Klyshko NK, Shchava SP, Furgal AA, et al. . Cardioplegia and myocardial protection in adult cardiac surgery: current trends. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2):108‑113. (In Russ.)
https://doi.org/10.17116/kardio202013021108

 
ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Opti­mal cardioplegia for coro­nary artery bypass grafting in patients with heart failure: a randomized study. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):405-411
Prevention of repe­rfusion injury in cardiac surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):471-477
Abstract:

Adequate myocardial protection is essential to achieve favorable postoperative outcomes in cardiac surgery. Searching for the optimal method of intraoperative myocardial protection against ischemia and reperfusion injury is still an important and urgent problem. According to various recent studies, blood cardioplegia is preferable over crystalloid solutions. A modern alternative may be del Nido cardioplegia. However, there are no qualitative studies comparing del Nido and crystalloid cardioplegia, in particular Custodiol. Warm and cold blood cardioplegia demonstrate comparable clinical results. However, warm blood cardioplegia may be preferred in emergency interventions for acute myocardial ischemia. Large-scale randomized studies of modern techniques of myocardial protection are required. These trials are especially required in high-risk patients.

Keywords:

cardioplegia
myocardial protection
del Nido
custodiol
blood cardioplegia
crystalloid cardioplegia

Authors:

Klyshko N.K.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Shchava S.P.

Far Eastern Federal University, Medical Center, Vladivostok, Russia

Furgal A.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Rapovka V.G.

Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Shumatov V.B.

Pacific State Medical University, 690002, Vladivostok, Russia

Silaev A.A.

GBUZ "Gorodskaia klinicheskaia bol'nitsa #7 DZM", Moskva

Zenina A.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

Filippova E.A.

Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia

Goncharuk R.A.

Tikhookeanskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Vladivostok

Sorokin V.A.

Far Eastern Federal University, Medical Center, Vladivostok, Russia;
Pacific State Medical University of the Ministry of Health of Russia, Department of ophthalmology and otorhinolaryngology, Vladivostok, Russia

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