Health Condition 1: I220- Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
Conditions
Interventions
None listed
Sponsors
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Eligibility
Inclusion criteria
Inclusion criteria: All Adult patients scheduled for elective cardiac surgery under Cardio pulmonary bypass( CPB). Normal sinus rhythm. Left ventricle function ( EF > 30% )
Exclusion criteria
Exclusion criteria: Patients in whom the pulsatality of the great vessels may not be reliably assessed such as, chest wall deformities, pleural effusion, pericardial effusion, open sternum, pulmonary edema. Contraindication to TEE probe placement incuding esophageal strictures, esophageal varices, esophageal tumours ,gastric ulcer, previous esophagectomy, esophageal diverticulum, tracheoesophageal fistula, previous bariatric surgery, hiatus hernia, large descending thoracic aortic aneurysm, unilateral vocal cord paralysis, esophageal varices, post radiation therapy. Patient refusing to participate in the study. Poor 3D TEE image quality. Emergency and Redo surgeries. Patient with very severe LV dysfunction (LVEF Patients with cardiac arrythmias. Patients with aortic aneurysm. Patients undergoing concomitant valve surgeries.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| our primary objective will be to compare the Cardiac output, Stroke Volume Variation, Ventricular Ejection time and Systemic Vascular Resistance measured using bioreactance method with that of 3D TEE method.Timepoint: Baseline, Before and After passive leg rise, Before and After Sternotomy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objective will be to compare the bioreactance method with 3D TEE for assessing volume responsiveness following passive leg rising test.Timepoint: 12 MONTHS | — |
Countries
India
Contacts
Public ContactNithiyanandhan Palanisamy
SCTIMST, Trivandrum
Outcome results
None listed