title: Concepts and techniques of myocardial protection for adult open heart surgery.
abstract: Discussions of myocardial protection are often limited to the subject of cardioplegia. However, numerous aspects of operative and perioperative care are of comparable importance. This article outlines the broad topic of myocardial protection, provides strategies for its practical implementation, and reports the author's personal results.
authors.forename: D M
authors.initials: DM
authors.lastname: Shahian
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000328:Adult; D000758:Anesthesia; D001794:Blood Pressure; D001831:Body Temperature; D002118:Calcium / Q000097:blood; D002121:Calcium Channel Blockers / Q000008:administration & dosage; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass / Q000379:methods*; D004562:Electrocardiography; D006324:Heart Arrest, Induced / Q000379:methods*; D006438:Hemodilution; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007036:Hypothermia, Induced / Q000379:methods; D008991:Monitoring, Physiologic; D009206:Myocardium / Q000378:metabolism; D009566:Nitrates / Q000008:administration & dosage; D009994:Osmolar Concentration; D010101:Oxygen Consumption; D010477:Perfusion / Q000379:methods; D011184:Postoperative Period; D011188:Potassium / Q000097:blood; D011300:Preoperative Care
chemical_list: D000319:Adrenergic beta-Antagonists; D002121:Calcium Channel Blockers; D009566:Nitrates; D011188:Potassium; D002118:Calcium