[Effect of fructose-1,6-diphosphete on myocardial preservation during pulmonary operations].
OBJECTIVE
To investigate the effect of fructose-1,6-diphosphete(FDP) on myocardial preservation in pulmonary operations.


METHODS
One hundred and six patients undergoing selective pulmonary lobectomy or segmentectomy were randomly divided into 2 groups with 53 patients each. FDP 200 mg/kg was infused intravenously before anesthesia in the FDP group, while 5% glucose with the same volume was given instead of FDP in the control group. ECGs were monitored from before the anesthesia to 72 h after the operation;the time and type of arrhythmia were recorded. Blood samples were taken before the operation (T0), immediately after the operation(T1), at 24 h(T2),48 h(T3)and 72 h(T(4)) after the operation to determine plasma creatine kinase isoenzyme MB(CK-MB) and cardiac troponin I(cTnI) concentrations.


RESULTS
The incidence of arrhythmia in FDP group (35 times) was significantly lower than that in the control group(67 times). The incidence of all types of arrhythmia in the FDP group was also significantly lower than that in the control group. The concentrations of CK-MB and cTnI in the FDP group were significantly lower than those in the control group at T1, T2, T3, and T4.


CONCLUSIONS
FDP is effective for myocardial preservation in pulmonary operations.
Xu
Xiang-hui
XH
Department of Anesthesiology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Chang
Ye-tian
YT
Li
Li
L
Li
Jing
J
Zhang
Dong-mei
DM
Zou
Xiao-hua
XH
D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000517:prevention & control*; D052279:Creatine Kinase, MB Form / Q000097:blood; D005260:Female; D005635:Fructosediphosphates / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D019210:Troponin I / Q000097:blood*
D000889:Anti-Arrhythmia Agents; D005635:Fructosediphosphates; D019210:Troponin I; D052279:Creatine Kinase, MB Form; C029063:fructose-1,6-diphosphate