Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients?
Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and metho...
Ausführliche Beschreibung
Autor*in: |
V. V. Lomivorotov [verfasserIn] S. M. Efremov [verfasserIn] E. A. Pokushalov [verfasserIn] A. B. Romanov [verfasserIn] D. N. Ponomarev [verfasserIn] A. M. Chernyavsky [verfasserIn] A. N. Shilova [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Russisch |
Erschienen: |
2014 |
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Übergeordnetes Werk: |
In: Общая реаниматология - Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017, 10(2014), 5, Seite 33-43 |
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Übergeordnetes Werk: |
volume:10 ; year:2014 ; number:5 ; pages:33-43 |
Links: |
Link aufrufen |
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DOI / URN: |
10.15360/1813-9779-2014-5-33-43 |
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Katalog-ID: |
DOAJ000287474 |
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520 | |a Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF | ||
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10.15360/1813-9779-2014-5-33-43 doi (DE-627)DOAJ000287474 (DE-599)DOAJ7067e19005634cb7ac850bfbf176bab7 DE-627 ger DE-627 rakwb eng rus RC86-88.9 V. V. Lomivorotov verfasserin aut Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF фибрилляция предсердий искусственное кровообращение шунтирование коронарных артерий омега3 полиненасыщенные жирные кислоты Medical emergencies. Critical care. Intensive care. First aid S. M. Efremov verfasserin aut E. A. Pokushalov verfasserin aut A. B. Romanov verfasserin aut D. N. Ponomarev verfasserin aut A. M. Chernyavsky verfasserin aut A. N. Shilova verfasserin aut In Общая реаниматология Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017 10(2014), 5, Seite 33-43 (DE-627)822100088 (DE-600)2817379-X 24117110 nnns volume:10 year:2014 number:5 pages:33-43 https://doi.org/10.15360/1813-9779-2014-5-33-43 kostenfrei https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 kostenfrei https://www.reanimatology.com/rmt/article/view/1419 kostenfrei https://doaj.org/toc/1813-9779 Journal toc kostenfrei https://doaj.org/toc/2411-7110 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2014 5 33-43 |
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10.15360/1813-9779-2014-5-33-43 doi (DE-627)DOAJ000287474 (DE-599)DOAJ7067e19005634cb7ac850bfbf176bab7 DE-627 ger DE-627 rakwb eng rus RC86-88.9 V. V. Lomivorotov verfasserin aut Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF фибрилляция предсердий искусственное кровообращение шунтирование коронарных артерий омега3 полиненасыщенные жирные кислоты Medical emergencies. Critical care. Intensive care. First aid S. M. Efremov verfasserin aut E. A. Pokushalov verfasserin aut A. B. Romanov verfasserin aut D. N. Ponomarev verfasserin aut A. M. Chernyavsky verfasserin aut A. N. Shilova verfasserin aut In Общая реаниматология Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017 10(2014), 5, Seite 33-43 (DE-627)822100088 (DE-600)2817379-X 24117110 nnns volume:10 year:2014 number:5 pages:33-43 https://doi.org/10.15360/1813-9779-2014-5-33-43 kostenfrei https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 kostenfrei https://www.reanimatology.com/rmt/article/view/1419 kostenfrei https://doaj.org/toc/1813-9779 Journal toc kostenfrei https://doaj.org/toc/2411-7110 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2014 5 33-43 |
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10.15360/1813-9779-2014-5-33-43 doi (DE-627)DOAJ000287474 (DE-599)DOAJ7067e19005634cb7ac850bfbf176bab7 DE-627 ger DE-627 rakwb eng rus RC86-88.9 V. V. Lomivorotov verfasserin aut Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF фибрилляция предсердий искусственное кровообращение шунтирование коронарных артерий омега3 полиненасыщенные жирные кислоты Medical emergencies. Critical care. Intensive care. First aid S. M. Efremov verfasserin aut E. A. Pokushalov verfasserin aut A. B. Romanov verfasserin aut D. N. Ponomarev verfasserin aut A. M. Chernyavsky verfasserin aut A. N. Shilova verfasserin aut In Общая реаниматология Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017 10(2014), 5, Seite 33-43 (DE-627)822100088 (DE-600)2817379-X 24117110 nnns volume:10 year:2014 number:5 pages:33-43 https://doi.org/10.15360/1813-9779-2014-5-33-43 kostenfrei https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 kostenfrei https://www.reanimatology.com/rmt/article/view/1419 kostenfrei https://doaj.org/toc/1813-9779 Journal toc kostenfrei https://doaj.org/toc/2411-7110 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2014 5 33-43 |
allfieldsGer |
10.15360/1813-9779-2014-5-33-43 doi (DE-627)DOAJ000287474 (DE-599)DOAJ7067e19005634cb7ac850bfbf176bab7 DE-627 ger DE-627 rakwb eng rus RC86-88.9 V. V. Lomivorotov verfasserin aut Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF фибрилляция предсердий искусственное кровообращение шунтирование коронарных артерий омега3 полиненасыщенные жирные кислоты Medical emergencies. Critical care. Intensive care. First aid S. M. Efremov verfasserin aut E. A. Pokushalov verfasserin aut A. B. Romanov verfasserin aut D. N. Ponomarev verfasserin aut A. M. Chernyavsky verfasserin aut A. N. Shilova verfasserin aut In Общая реаниматология Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017 10(2014), 5, Seite 33-43 (DE-627)822100088 (DE-600)2817379-X 24117110 nnns volume:10 year:2014 number:5 pages:33-43 https://doi.org/10.15360/1813-9779-2014-5-33-43 kostenfrei https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 kostenfrei https://www.reanimatology.com/rmt/article/view/1419 kostenfrei https://doaj.org/toc/1813-9779 Journal toc kostenfrei https://doaj.org/toc/2411-7110 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2014 5 33-43 |
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10.15360/1813-9779-2014-5-33-43 doi (DE-627)DOAJ000287474 (DE-599)DOAJ7067e19005634cb7ac850bfbf176bab7 DE-627 ger DE-627 rakwb eng rus RC86-88.9 V. V. Lomivorotov verfasserin aut Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF фибрилляция предсердий искусственное кровообращение шунтирование коронарных артерий омега3 полиненасыщенные жирные кислоты Medical emergencies. Critical care. Intensive care. First aid S. M. Efremov verfasserin aut E. A. Pokushalov verfasserin aut A. B. Romanov verfasserin aut D. N. Ponomarev verfasserin aut A. M. Chernyavsky verfasserin aut A. N. Shilova verfasserin aut In Общая реаниматология Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, 2017 10(2014), 5, Seite 33-43 (DE-627)822100088 (DE-600)2817379-X 24117110 nnns volume:10 year:2014 number:5 pages:33-43 https://doi.org/10.15360/1813-9779-2014-5-33-43 kostenfrei https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 kostenfrei https://www.reanimatology.com/rmt/article/view/1419 kostenfrei https://doaj.org/toc/1813-9779 Journal toc kostenfrei https://doaj.org/toc/2411-7110 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2014 5 33-43 |
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are there the antiarrhythmic effects of omega3 polyunsaturated fatty acids in cardiosurgical patients? |
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RC86-88.9 |
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Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? |
abstract |
Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF |
abstractGer |
Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF |
abstract_unstemmed |
Objective: to test the hypothesis that the perioperative use of omega3 polyunsaturated fatty acids (ω3PUFA) as intravenous infusion will reduce the risk of postoperative atrial fibrillation (POAF) in patients with coronary heart disease operated on under extracorporeal circulation.Subjects and methods. A doubleblind prospective controlled study was conducted in 39 patients who were randomized into two groups: 1) 18 patients were infused with ω3PUFA (Omegaven, Fresenius Kabi, Germany), beginning before inducing anesthesia in a dose of 200 mg/kg/day within the first 24 hours and 100 mg/kg/day on days 2 to 7 postsurgery; 2) 21 received placebo (Intralipid, Fresenius Kabi, Germany) in the equivalent dose. The primary end point was freedom from POAF during 2 months after surgery. POAF was examined using a subcutaneously implanted continuous cardiac rhythm monitoring device (Reveal XT, Medtronic, USA). Monitoring readings were taken on day 10 at 3, 6, 12, and 24 months following surgery.Results. POAF was observed in 4 (19%) patients in the placebo group and in 5 (27.8%) in the ω3PUFA group on days 10 postsurgery (p=0.88). During 2year followup, POAF was revealed in 5 (27.8%) patients in the control group and in 6 (35.3%) in the ω3PUFA group (p=0.9). The duration of POAF was associated with the risk of rehospitalizations for decompensated heart failure (regression coefficient, 0.24; standard error, 0.02; p<0.0001; R2=0.74).Conclusion. The results of the study do not support the efficiency of perioperatively using ω3PUFA to prevent POAF |
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Are There the Antiarrhythmic Effects of Omega3 Polyunsaturated Fatty Acids in Cardiosurgical Patients? |
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https://doi.org/10.15360/1813-9779-2014-5-33-43 https://doaj.org/article/7067e19005634cb7ac850bfbf176bab7 https://www.reanimatology.com/rmt/article/view/1419 https://doaj.org/toc/1813-9779 https://doaj.org/toc/2411-7110 |
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S. M. Efremov E. A. Pokushalov A. B. Romanov D. N. Ponomarev A. M. Chernyavsky A. N. Shilova |
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S. M. Efremov E. A. Pokushalov A. B. Romanov D. N. Ponomarev A. M. Chernyavsky A. N. Shilova |
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up_date |
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