Özet:

This study was designed to evaluate the effects of the heart-pneumatic machine on the heart muscle in cases of coronary throwing in the heart using and without use. The 20 facts referred to to our clinic to voluntary coronary bacteria, divided into two equal groups, were taken to study prospective and randomized. In the first group, the coronary bump was performed in the heart, and in the second group, the coronary bump was performed in the heart, using a cardiac machine. From preoperative creatinine kinase-myocardial bound (CK-MB), cardiac troponin I (cTnI), N-terminal pro-brain natriuretic peptide (NT-pro-BNP) and carbohydrate reactive protein (CRP) levels, postoperative 4, 12, 24, 48 hours with CK-MB with cTnI, 4, 24 hours with NT-pro-BNP and 24. Venuous blood samples were taken to monitor the CRP levels per hour. Related to the lower number of patients in group 1, the number of distal anastomosis (2.1±0.3) was significantly lower than in group 2 (3.3±0.9) (p=0.004). When we compared the CK-MB and cTnI levels we assess as myocardial damage indicators, there was no difference between the groups in terms of postoperative CK-MB levels. The cTnI levels in Group 2 were higher in postoperative 12, 24 and 48 hours. The NT-pro-BNP levels we looked at to evaluate postoperative cardiovascular functions were significantly higher in Group 2 in 4 hours. There is no significant difference between the groups in terms of the CRP levels we assess as inflammation indicators.