PRESENTATION OUTLINE
NEUTRALIZES THE OXIDATIVE ACTIVITY OF HEMOGLOBIN
What has research shown so far?
"HP PHENOTYPE IS AN INDEPENDENT RISK FACTOR FOR CARDIOVASCULAR DISEASE IN INDIVIDUALS WITH Dm"
"Haptoglobin: a major susceptibility gene for dm vascular complications"
"HP POLYMORPHISM PREDICTS 30-DAY MORTALITY AND HEART FAILURE IN PATIENTS WITH DM AND AMI"
"haptoglobin genotype predicts development of coronary artery calcification in patients with type-1 dm"
"HP GENOTYPE IS PREDICTIVE OF MAJOR ADVERSE CARDIAC EVENTS IN THE 1-YEAR PERIOD AFTER PTCA IN INDIVIDUALS WITH DM."
But how does this all fit in with CT surgery?
relevant complications of CABG
"hemolysis is a fact in all extracorporeal circuits...by increasing levels of plasma-free Hb and decreasing levels of Hp during and after cpb."
"...tubular injury resulting from heme proteins should be considered as a cause of decreased kidney function in all patients with a cardiac valvular disease or prosthesis."
DOES HP PHENOTYPE PREDICT THE INCIDENCE OF POST-OP RENAL FAILURE?
wide range of applications in surgical context
HYPOTHETICAL FOCUS essentially INTERCHANGEABLE
PATIENT TAILORED ANTIOXIDANT THERAPY PRE AND POST-OP