BACKGROUND: Cardiopulmonary bypass (CPB) in on-pump cardiac surgery can have harmful systemic effects, triggered in part by radical oxygen species (ROS) produced by ischemia-reperfusion in the heart and the lung. We determined the relationship between levels of oxidative stress markers (8-isoprostane and nitrites/nitrates) in plasma with aortic cross clamp duration in patients undergoing cardiac surgery with CPB. METHODS: Thirty patients with CPB were studied: 14 with coronary artery bypass graft surgery and 16 with valve surgery. Plasma levels of 8-isoprostane, and nitrites/nitrates were measured over a 24-hour time course: before (T0) and after CPB: 5 minutes (T1), 1 hour (T2), 12 hours (T3), and 24 hours (T4). RESULTS: Plasma levels of 8-isoprostane and nitrites/nitrates increased early after CPB, with a subsequent and progressive decline. Levels of oxidative stress markers in T1-T2 were positively correlated with the aortic cross clamp duration. Aortic cross clamp duration times greater than 50 minutes were correlated with higher oxidative stress levels. There were no significant differences in the levels of oxidative stress markers between surgery types. CONCLUSION: Cardiac surgery with CPB is associated with an early increase of oxidative stress markers in systemic blood. Aortic cross clamp duration is positively correlated with oxidative stress injury.
BACKGROUND: Cardiopulmonary bypass (CPB) in on-pump cardiac surgery can have harmful systemic effects, triggered in part by radical oxygen species (ROS) produced by ischemia-reperfusion in the heart and the lung. We determined the relationship between levels of oxidative stress markers (8-isoprostane and nitrites/nitrates) in plasma with aortic cross clamp duration in patients undergoing cardiac surgery with CPB. METHODS: Thirty patients with CPB were studied: 14 with coronary artery bypass graft surgery and 16 with valve surgery. Plasma levels of 8-isoprostane, and nitrites/nitrates were measured over a 24-hour time course: before (T0) and after CPB: 5 minutes (T1), 1 hour (T2), 12 hours (T3), and 24 hours (T4). RESULTS: Plasma levels of 8-isoprostane and nitrites/nitrates increased early after CPB, with a subsequent and progressive decline. Levels of oxidative stress markers in T1-T2 were positively correlated with the aortic cross clamp duration. Aortic cross clamp duration times greater than 50 minutes were correlated with higher oxidative stress levels. There were no significant differences in the levels of oxidative stress markers between surgery types. CONCLUSION: Cardiac surgery with CPB is associated with an early increase of oxidative stress markers in systemic blood. Aortic cross clamp duration is positively correlated with oxidative stress injury.
Authors: R Ferrari; O Alfieri; S Curello; C Ceconi; A Cargnoni; P Marzollo; A Pardini; E Caradonna; O Visioli Journal: Circulation Date: 1990-01 Impact factor: 29.690
Authors: Linda Turnu; Alessandro Di Minno; Benedetta Porro; Isabella Squellerio; Alice Bonomi; Chiara Maria Manega; José Pablo Werba; Alessandro Parolari; Elena Tremoli; Viviana Cavalca Journal: Oxid Med Cell Longev Date: 2017-06-04 Impact factor: 6.543
Authors: Umit Mentese; Orhan Veli Dogan; Ibrahim Turan; Sefer Usta; Emre Dogan; Seda Oztas Mentese; Selim Demir; Tanil Ozer; Ahmet Cagri Aykan; Ahmet Alver Journal: ScientificWorldJournal Date: 2014-08-18