title: [Application of high thoracic epidural analgesia with naropine to patients with acute coronary syndrome].
abstract: The perioperative period was studied in 50 patients aged 44-79 years who had acute coronary syndrome. The patients underwent aortocoronary bypass surgery at O. M. Filatov Moscow City Clinical Hospital No. 15 in 2002 to 2004. They were divided into 2 groups: 1) 25 patients (21 males and 4 females) who received high thoracic epidural naropine analgesia at least 24 hours before surgery (a study group); 2) 25 patients (19 males and 6 females) who were prepared for surgery through conventional antiischemic therapy. The indication for surgical myocardial revascularization in these patients was not only severe coronary bed lesion, but also frequent resting anginal attacks. The occurrence of resting anginal episodes during the maximally possible antianginal therapy was a criterion for inclusion of patients into this study. The purpose of the study was to improve the results of surgical treatment of patients with acute coronary syndrome, by using high thoracic epidural naropine analgesia.
authors.forename: V V
authors.initials: VV
authors.lastname: Moroz
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Nikiforov
authors.forename: D Iu
authors.initials: DIu
authors.lastname: Spirochkin
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000577:Amides / Q000008:administration & dosage*; D015360:Analgesia, Epidural; D000779:Anesthetics, Local / Q000008:administration & dosage*; D000789:Angina, Unstable / Q000601:surgery*; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012189:Retrospective Studies; D000077212:Ropivacaine; D013577:Syndrome; D013904:Thoracic Vertebrae
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine