Natriuretic peptides for perioperative management of cardiac surgery

被引：13

作者：

Sezai, Akira ^{[1
]}

Shiono, Motomi ^{[1
]}

机构：

[1] Nihon Univ, Sch Med, Dept Cardiovasc Surg, Tokyo 1738610, Japan

来源：

JOURNAL OF CARDIOLOGY | 2016年 / 67卷 / 1-2期

关键词：

Natriuretic peptide; Cardiac surgery; Atrial natriuretic peptide; Postoperative management; CHRONIC KIDNEY-DISEASE; LEFT-VENTRICULAR DYSFUNCTION; ACUTE-RENAL-FAILURE; ATRIAL-FIBRILLATION; CONTINUOUS-INFUSION; HEART-FAILURE; MYOCARDIAL PROTECTION; DIALYSIS PATIENTS; HANP SHOT; BYPASS;

D O I：

10.1016/j.jjcc.2015.09.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial natriuretic peptide (carperitide) is used to treat heart failure in Japan, while brain natriuretic peptide (nesiritide) is employed in Europe/USA. Patients undergoing cardiac surgery have a complex underlying pathologic state that features increased levels of neurohumoral factors due to activation of the renin-angiotensin-aldosterone system and/or increased sympathetic activity. We considered that perioperative administration of carperitide could be beneficial for cardiac surgery patients, and we have conducted clinical investigations of its use. This article reviews the effects of natriuretic peptides in cardiac surgery patients based on our experience and on previous reports about perioperative management with carperitide or nesiritide. (C) 2015 Published by Elsevier Ltd on behalf of Japanese College of Cardiology.

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页码：15 / 21

页数：7

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