Why the study?
Does thoracic epidural anesthesia improve cardiac outcomes and myocardial oxygen supply in patients with heart disease?
Population
Patients with coronary artery disease and chronic cardiovascular disease undergoing surgery, as well as…
Design
Review
Authors
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May support sympathetic modulation for myocardial protection in CAD; leaves open contractility effects and clinical outcome benefits.
Does thoracic epidural anesthesia improve cardiac outcomes and myocardial oxygen supply in patients with heart disease?
Thoracic epidural anesthesia may offer cardioprotective effects in patients with coronary artery disease by blunting sympathetic stress responses and improving myocardial oxygen supply-demand balance, though hemodynamic stability must be maintained.
MeiBner et al. (1997) studied this question.
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