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bupivacaine and Myocardial Ischemia

bupivacaine has been researched along with Myocardial Ischemia in 21 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Myocardial Ischemia: A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).

Research Excerpts

ExcerptRelevanceReference
" The study's objectives were threefold: (i) evaluate the myocardial toxicity of levobupivacaine when administered intravenously; (ii) investigate levobupivacaine toxicity on cardiomyocytes mitochondrial functions and cellular structure; (iii) assess the protective effects of a lipid emulsion in the presence or absence of myocardial ischemia."7.81Electrophysiological, haemodynamic, and mitochondrial alterations induced by levobupivacaine during myocardial ischemia in a pig model: protection by lipid emulsions? ( Bui-Xuan, B; Chevalier, P; Descotes, J; Mamou, Z; Romestaing, C; Timour, Q, 2015)
"Myocardial ischemia sensitizes the cardiotoxic effects of bupivacaine, especially the propensity to ventricular fibrillation."7.69Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold. ( Aupetit, JF; Bertrix, L; Faucon, G; Freysz, M; Loufoua, J; Timour, Q, 1995)
"The incidence of spontaneous arrhythmias was reduced by 5 and 10 microM bupivacaine during ischemia and reperfusion and was enhanced by 1 microM bupivacaine during the ischemic phase."5.30Proarrhythmic and antiarrhythmic effects of bupivacaine in an in vitro model of myocardial ischemia and reperfusion. ( Babatasi, G; Bricard, H; Ducouret, P; Flais, F; Gérard, JL; Khayat, A; Picard, S; Potier, JC; Rouet, R, 1998)
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."5.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)
"To determine if epinephrine (EPI) added to a solution of bupivacaine (BUP) injected for use in superficial cervical plexus blockade (SCPB) lowers plasma BUP concentrations after injection and whether this addition of EPI resulted in tachycardia, cardiac arrhythmias, or both."5.09Plasma bupivacaine concentrations and effects of epinephrine after superficial cervical plexus blockade in patients undergoing carotid endarterectomy. ( Butterworth, JF; Colonna, DM; Harwood, TN; Samuel, M, 1999)
" Forty-three patients with coronary artery disease were allocated to receive either incremental spinal anaesthesia (bupivacaine 0."5.08Perioperative myocardial ischaemia in patients undergoing surgery for fractured hip randomized to incremental spinal, single-dose spinal or general anaesthesia. ( Brink, O; Carlsson, PS; Dalsgaard, J; Felsby, S; Jakobsen, KB; Juelsgaard, P; Sand, NP; Thygesen, K, 1998)
" The study's objectives were threefold: (i) evaluate the myocardial toxicity of levobupivacaine when administered intravenously; (ii) investigate levobupivacaine toxicity on cardiomyocytes mitochondrial functions and cellular structure; (iii) assess the protective effects of a lipid emulsion in the presence or absence of myocardial ischemia."3.81Electrophysiological, haemodynamic, and mitochondrial alterations induced by levobupivacaine during myocardial ischemia in a pig model: protection by lipid emulsions? ( Bui-Xuan, B; Chevalier, P; Descotes, J; Mamou, Z; Romestaing, C; Timour, Q, 2015)
"Myocardial ischemia sensitizes the cardiotoxic effects of bupivacaine, especially the propensity to ventricular fibrillation."3.69Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold. ( Aupetit, JF; Bertrix, L; Faucon, G; Freysz, M; Loufoua, J; Timour, Q, 1995)
"The impairment of intraventricular conduction by bupivacaine may result in reentrant arrhythmias including ventricular fibrillation."3.68Enhancement by ischemia of the risk of cardiac disorders, especially fibrillation, in regional anesthesia with bupivacaine. ( Bertrix, L; Faucon, G; Freysz, M; Loufoua-Moundanga, J; Omar, S; Timour, Q, 1993)
"Study endpoints included assessment of postoperative pain at rest and with coughing, rescue analgesic need, and postoperative course."2.78Effects of epidural anesthesia on acute and chronic pain after coronary artery bypass grafting. ( Kilickan, L; Onan, B; Onan, IS; Sanisoglu, I, 2013)
"In patients with ischemic heart disease, high thoracic epidural analgesia (TEA) has been proposed to improve abnormalities of coronary function by inhibiting cardiac sympathetic tone."2.71Effects of high thoracic epidural analgesia on myocardial blood flow in patients with ischemic heart disease. ( Aldershvile, J; Eliasen, K; Freiberg, J; Holm, S; Kelbaek, H; Kofoed, KF; Nygård, E, 2005)
"Postoperative myocardial ischemia is associated with adverse cardiac outcome."2.68Epidural analgesia and intravenous patient-controlled analgesia result in similar rates of postoperative myocardial ischemia after aortic surgery. ( Bois, S; Boudreault, D; Couture, P; Fugère, F; Girard, D; Lacombe, P; Nadeau, N, 1997)
"The incidence of spontaneous arrhythmias was reduced by 5 and 10 microM bupivacaine during ischemia and reperfusion and was enhanced by 1 microM bupivacaine during the ischemic phase."1.30Proarrhythmic and antiarrhythmic effects of bupivacaine in an in vitro model of myocardial ischemia and reperfusion. ( Babatasi, G; Bricard, H; Ducouret, P; Flais, F; Gérard, JL; Khayat, A; Picard, S; Potier, JC; Rouet, R, 1998)
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."1.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's13 (61.90)18.2507
2000's3 (14.29)29.6817
2010's5 (23.81)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Gonon, A1
Richter, A1
Cederholm, I1
Khan, J1
Novak, J1
Milovanovic, M1
Janerot-Sjoberg, B1
Onan, B1
Onan, IS1
Kilickan, L1
Sanisoglu, I1
Mamou, Z1
Descotes, J1
Chevalier, P1
Bui-Xuan, B1
Romestaing, C1
Timour, Q3
Garneau, SY1
Deschamps, A1
Couture, P2
Levesque, S1
Babin, D1
Lambert, J1
Tardif, JC1
Perrault, LP1
Denault, AY1
Tsuchiya, H1
Mizogami, M1
Shigemi, K1
Nygård, E1
Kofoed, KF1
Freiberg, J1
Holm, S1
Aldershvile, J1
Eliasen, K1
Kelbaek, H1
Shupak, RC1
Mizuyama, K1
Sato, S1
Okubo, N1
Naito, H1
Gannedahl, P1
Edner, M1
Lindahl, SG1
Ljungqvist, O1
Freysz, M2
Bertrix, L2
Loufoua, J1
Aupetit, JF1
Faucon, G2
Mergner, GW1
Stolte, AL1
Frame, WB1
Lim, HJ1
Loufoua-Moundanga, J1
Omar, S1
Alessandri, C1
Bergeron, P1
Olausson, K1
Magnusdottir, H1
Lurje, L1
Wennerblom, B1
Emanuelsson, H1
Ricksten, SE1
Bois, S1
Boudreault, D1
Lacombe, P1
Fugère, F1
Girard, D1
Nadeau, N1
Picard, S1
Rouet, R1
Flais, F1
Ducouret, P1
Babatasi, G1
Khayat, A1
Potier, JC1
Bricard, H1
Gérard, JL1
Juelsgaard, P1
Sand, NP1
Felsby, S1
Dalsgaard, J1
Jakobsen, KB1
Brink, O1
Carlsson, PS1
Thygesen, K1
Schroeder, TH1
Dieterich, HJ1
Mühlbauer, B1
Sbarigia, E1
DarioVizza, C1
Antonini, M1
Speziale, F1
Maritti, M1
Fiorani, B1
Fedele, F1
Fiorani, P1
Harwood, TN1
Butterworth, JF1
Colonna, DM1
Samuel, M1
Scheinin, H1
Virtanen, T1
Kentala, E1
Uotila, P1
Laitio, T1
Hartiala, J1
Heikkilä, H1
Sariola-Heinonen, K1
Pullisaar, O1
Yli-Mäyry, S1
Jalonen, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Study for the Evaluation of the Effectiveness of Stellate Ganglion Blockade in Preventing Postoperative Atrial Fibrillation[NCT03269383]Phase 40 participants (Actual)Interventional2019-12-31Withdrawn (stopped due to Lack of funding and other logistical issues)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trials

9 trials available for bupivacaine and Myocardial Ischemia

ArticleYear
Effects of thoracic epidural analgesia on exercise-induced myocardial ischaemia in refractory angina pectoris.
    Acta anaesthesiologica Scandinavica, 2019, Volume: 63, Issue:4

    Topics: Aged; Aged, 80 and over; Analgesia, Epidural; Anesthetics, Local; Angina Pectoris; Bupivacaine; Doub

2019
Effects of epidural anesthesia on acute and chronic pain after coronary artery bypass grafting.
    Journal of cardiac surgery, 2013, Volume: 28, Issue:3

    Topics: Aged; Anesthesia, Epidural; Anesthesia, General; Bupivacaine; Coronary Artery Bypass; Female; Humans

2013
Effects of high thoracic epidural analgesia on myocardial blood flow in patients with ischemic heart disease.
    Circulation, 2005, May-03, Volume: 111, Issue:17

    Topics: Aged; Analgesia, Epidural; Blood Flow Velocity; Bupivacaine; Coronary Circulation; Heart; Humans; Ma

2005
Anti-ischemic and anti-anginal effects of thoracic epidural anesthesia versus those of conventional medical therapy in the treatment of severe refractory unstable angina pectoris.
    Circulation, 1997, Oct-07, Volume: 96, Issue:7

    Topics: Aged; Anesthesia, Epidural; Angina, Unstable; Antihypertensive Agents; Bupivacaine; Electrocardiogra

1997
Epidural analgesia and intravenous patient-controlled analgesia result in similar rates of postoperative myocardial ischemia after aortic surgery.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:6

    Topics: Aged; Analgesia, Epidural; Analgesia, Patient-Controlled; Analgesics, Opioid; Anesthetics, Local; Ao

1997
Perioperative myocardial ischaemia in patients undergoing surgery for fractured hip randomized to incremental spinal, single-dose spinal or general anaesthesia.
    European journal of anaesthesiology, 1998, Volume: 15, Issue:6

    Topics: Aged; Aged, 80 and over; Anesthesia, General; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; C

1998
Locoregional versus general anesthesia in carotid surgery: is there an impact on perioperative myocardial ischemia? Results of a prospective monocentric randomized trial.
    Journal of vascular surgery, 1999, Volume: 30, Issue:1

    Topics: Aged; Alfentanil; Anesthesia, General; Anesthesia, Local; Anesthetics, Intravenous; Anesthetics, Loc

1999
Plasma bupivacaine concentrations and effects of epinephrine after superficial cervical plexus blockade in patients undergoing carotid endarterectomy.
    Journal of cardiothoracic and vascular anesthesia, 1999, Volume: 13, Issue:6

    Topics: Aged; Aged, 80 and over; Anesthetics, Local; Arrhythmias, Cardiac; Arteries; Bupivacaine; Cervical P

1999
Epidural infusion of bupivacaine and fentanyl reduces perioperative myocardial ischaemia in elderly patients with hip fracture--a randomized controlled trial.
    Acta anaesthesiologica Scandinavica, 2000, Volume: 44, Issue:9

    Topics: Aged; Aged, 80 and over; Anesthesia, Epidural; Anesthetics, Intravenous; Anesthetics, Local; Area Un

2000

Other Studies

12 other studies available for bupivacaine and Myocardial Ischemia

ArticleYear
Electrophysiological, haemodynamic, and mitochondrial alterations induced by levobupivacaine during myocardial ischemia in a pig model: protection by lipid emulsions?
    Fundamental & clinical pharmacology, 2015, Volume: 29, Issue:5

    Topics: Action Potentials; Anesthetics, Local; Animals; Arterial Pressure; Bradycardia; Bupivacaine; Calcium

2015
Preliminary experience in the use of preoperative echo-guided left stellate ganglion block in patients undergoing cardiac surgery.
    Journal of cardiothoracic and vascular anesthesia, 2011, Volume: 25, Issue:1

    Topics: Aged; Anesthesia, General; Anesthetics, Local; Arrhythmias, Cardiac; Autonomic Nerve Block; Blood Pr

2011
Increasing membrane interactions of local anaesthetics as hypothetic mechanism for their cardiotoxicity enhanced by myocardial ischaemia.
    Basic & clinical pharmacology & toxicology, 2012, Volume: 111, Issue:5

    Topics: 1,2-Dipalmitoylphosphatidylcholine; Anesthetics, Local; Animals; Bupivacaine; Cardiolipins; Chemical

2012
Lipid emulsion for bupivacaine toxicity: too soon to celebrate?
    Anesthesiology, 2007, Volume: 106, Issue:3

    Topics: Anesthetics, Local; Bupivacaine; Fat Emulsions, Intravenous; Heart Arrest; Humans; Male; Middle Aged

2007
Spinal anesthesia attenuates myocardial ischemia during coronary artery spasm induced by intraaortic methacholine in rats.
    Acta anaesthesiologica Scandinavica, 1995, Volume: 39, Issue:6

    Topics: Adrenergic alpha-Agonists; Adrenergic alpha-Antagonists; Adrenergic beta-Antagonists; Anesthesia, Sp

1995
Minimal influence of anaesthesia and abdominal surgery on computerized vectorcardiography recordings.
    Acta anaesthesiologica Scandinavica, 1995, Volume: 39, Issue:1

    Topics: Adult; Aged; Anesthesia, Intravenous; Anesthesia, Spinal; Bupivacaine; Cholecystectomy; Female; Fent

1995
Bupivacaine hastens the ischemia-induced decrease of the electrical ventricular fibrillation threshold.
    Anesthesia and analgesia, 1995, Volume: 80, Issue:4

    Topics: Action Potentials; Animals; Blood Pressure; Bupivacaine; Cardiac Pacing, Artificial; Female; Heart;

1995
Combined epidural analgesia and general anesthesia induce ischemia distal to a severe coronary artery stenosis in swine.
    Anesthesia and analgesia, 1994, Volume: 78, Issue:1

    Topics: Anesthesia, Epidural; Anesthesia, General; Animals; Blood Pressure; Bupivacaine; Coronary Circulatio

1994
Enhancement by ischemia of the risk of cardiac disorders, especially fibrillation, in regional anesthesia with bupivacaine.
    Acta anaesthesiologica Scandinavica, 1993, Volume: 37, Issue:4

    Topics: Action Potentials; Anesthesia, Conduction; Animals; Blood Pressure; Bupivacaine; Electrocardiography

1993
Local anesthesia in carotid angioplasty.
    Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery, 1996, Volume: 3, Issue:1

    Topics: Age Factors; Aged; Anesthesia, General; Anesthetics, Local; Angina, Unstable; Angioplasty, Balloon;

1996
Proarrhythmic and antiarrhythmic effects of bupivacaine in an in vitro model of myocardial ischemia and reperfusion.
    Anesthesiology, 1998, Volume: 88, Issue:5

    Topics: Action Potentials; Anesthetics, Local; Animals; Arrhythmias, Cardiac; Bupivacaine; Dose-Response Rel

1998
Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field.
    Acta anaesthesiologica Scandinavica, 1999, Volume: 43, Issue:4

    Topics: Acidosis; Alkalies; Anesthetics, Local; Antidotes; Axilla; Bupivacaine; Drug Interactions; Female; H

1999