Why the study?
Does protamine infusion alter right ventricular performance in patients receiving it to reverse heparin?
Population
Patients receiving protamine infusion to reverse heparin, including a subgroup with pulmonary artery…
Comparison
Protamine infusion. vs Baseline measurements prior to protamine…
Design
Cohort
Follow-up
Intraoperative (up to prior to sternal closure)
Authors
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Supports protamine use in heparin reversal without routine RV concern; leaves open effects in severe pulmonary hypertension.
Does protamine infusion alter right ventricular performance in patients receiving it to reverse heparin?
Protamine administration to reverse heparin does not consistently exert a significant detrimental effect on right or left ventricular performance, even in patients with pulmonary hypertension.
Hines et al. (1986) studied this question.
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