Research Article

Captopril Pretreatment Produces an Additive Cardioprotection to Isoflurane Preconditioning in Attenuating Myocardial Ischemia Reperfusion Injury in Rabbits and in Humans

Table 2

Intraoperative and postoperative procedure characteristics of the patients.

ItemControlCap1hrCap3dCap1hr+IsoCap3d+Iso

Operation time (min)147 ± 43147 ± 45142 ± 41144 ± 45148 ± 42
Aortic clamping time (min)46 ± 1846 ± 1745 ± 1947 ± 1643 ± 18
Bypass time (min)65 ± 1967 ± 1968 ± 2067 ± 2268 ± 21
Automatic rebeating rate (%)4050507080
Arrhythmia incidence (%)4535353020
Dopamine (mg)687 ± 63513 ± 71478 ± 67317 ± 46243 ± 54
Sodium nitroprusside (mg)813 ± 64796 ± 66749 ± 81706 ± 83641 ± 83
ICU stay (h)68.6 ± 9.162.0 ± 8.959.1 ± 8.854.5 ± 8.943.1 ± 9.3
Hospital stay (d)16.2 ± 2.514.69 ± 2.913.2 ± 2.812.8 ± 2.110.3 ± 1.6
Death in hospital ()00000

Control: untreated control; Cap1hr: captopril treatment for 1 h before surgery (12.5 mg, p.o., 1 h before surgery); Cap3d: captopril treatment for 3 days (12.5 mg, p.o., 3 times a day) before surgery; Cap1hr+Iso: captopril treatment for 1 h in combination with inhalational isoflurane (Iso) at 1.1% end tidal concentration administrated for 30 min before CPB; Cap3d+Iso: captopril treatment for 3 days in combination with Iso before CPB. Values are means ± S.D. or the number of patients. versus Control, versus Cap1hr+Iso.