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Moreover, DEX treatment (0.5 g/kg/h, pumping injection, before induction of anesthesia to the end of surgery) has been reported to reduce cardiac troponin I and MDA levels and to decrease the incidence of arrhythmias in patients undergoing cardiac valve replacement [234, 235]

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J Mol Cell Cardiol Plus 11:100278

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Rajaram R, Correa AM, Xu T, Nguyen QN, Antonoff MB, Rice D, Mehran R, Roth J, Walsh G, Swisher S , Hofstetter WL, Vaporciyan A, Cascone T, Tsao AS, Papadimitrakopoulou VA, Gandhi S, Liao Z, Sepesi B

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They may undergo extensive firstpass metabolism (phase II conjugation in the intestine and liver) which drastically reduces the free (unmodified) compound reaching systemic circulation

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van der Heide V, Jangra S, Cohen P, Rathnasinghe R, Aslam S, Aydillo T, et al

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