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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.46624/bjmhr.2019.v6.i06.004</article-id>
      <article-id pub-id-type="publisher-id">BJMHR0606005</article-id>
      <title-group>
        <article-title>To Study The Effect Of Magnesium Sulfate On Rhythm Disturbances  While Coming  Of Cardio Pulmonary Bypass In Patients Undergoing cardiac Surgery</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>MISHRA</surname>
            <given-names>SATISH KUMAR</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Veena</surname>
            <given-names>M N</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mishra</surname>
            <given-names>Sumit .</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">MH CTC PUNE</aff>
      <aff id="aff2">KVJ MEDICAL COLLEGE SULIYA KARNATAKA</aff>
      <aff id="aff3">Department of Clinical Pharmacology, KVG Medical College Sullia Karnataka</aff>
      <pub-date pub-type="epub" iso-8601-date="2019-06-01">
        <month>06</month>
        <day>01</day>
        <year>2019</year>
      </pub-date>
      <volume>6</volume>
      <issue>6</issue>
      <abstract>
        <p>Objective: To evaluate the effect of intravenous magnesium sulfate on post-operative complications when given prophylactically while coming of cardio pulmonary bypass (CPB) in patients undergoing cardiac surgery. Methodology: A double-blinded randomized studyconducted at a tertiary care center in western Maharashtra from Nov 2017 to April 2019. Patients were divided into two groups. Group A (Magnesium sulfate group) (n=130) &amp; Group B (control group) (n=130). Patients undergoing on pump Coronary artery bypass grafting (CABG), Mitral valve replacement/repair (MVR), Aortic Valve Replacement (AVR) or both AVR &amp; MVR (DVR) on CPB were included in the study.Once surgery was over, aortic cross clamp taken out &amp; temperature of 36Â°c was attained, Group A patients received Injection Magnesium sulfate 1 gm IV slowly over 10 minutes.Patients were monitored for heart rate, intra-arterial blood pressure oxygen saturation, continuous electrocardiograph with automatic ST segment analysis apart from this ECG mapping was done. Results:There was no significant Statistical difference regarding the demographic data, comorbidities &amp; ejection fraction between the two groups. The result shows a statistically significant difference (P=0.032) between the two groups with regards to the incidence of atrial fibrillation. In group A 10 patients (7.70%) had atrial fibrillation compared to group B where 28 patients (21.6%) had atrial fibrillation.Weaning from CPB was easier in group A patient compared to group B &amp; also group A patient needed smaller doses of pharmalogical support, than group B. Conclusion: A single bolus 1Gm dose of magnesium sulfate while coming off from CPB has an excellent effect in reducing the incidence of atrial fibrillation. Further magnesium reduced the amount of pharmacological support which was required to come off CPB.</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>CABG: Coronary artery bypass grafting</kwd>
        <kwd>MVR: Mitral valve replacement/ repair</kwd>
        <kwd>AVR: Aortic valve replacement</kwd>
        <kwd>DVR: Dual valve replacement</kwd>
        <kwd>IABP: Intra-aortic balloon pump</kwd>
        <kwd>CPB:Cardio-Pulmonary Bypass.</kwd>
      </kwd-group>
    </article-meta>
  </front>
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