Health Condition 1: I20-I25- Ischemic heart diseases
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of ASA3 of either sex, aged between 40-70 years, scheduled to undergo on pump assisted beating heart coronary artery bypass graft surgery for isolated ischemic heart disease with triple vessel disease with ejection fraction >40%
Exclusion criteria
Exclusion criteria: 1 Refusal by participant 2 Contraindication of Trans-esophageal echocardiography probe insertion 3 Right ventricular dysfunction 4 Cardiac arrhythmias or conduction defect 5 Redo cardiac surgeries 6 Pregnancy 7 Cardiomyopathies 8 Pericardial effusion 9 Regional wall motion abnormality of basal left ventricle segments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricular ejection fraction using: 1. Mitral annular plane systolic excursion 2. Mitral annular tissue peak velocity of septal and lateral auunulus 3.Modified Smpsons MethodTimepoint: The first two measurements will be taken at: a. after induction of anesthesia b. after sternotomy c. after pericardioctomy d. after aortic and venous cannulation e. after sternal closure. measurment of ejection fraction will be done using modified Simsons method after induction and after sternal closure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Heart rate 2. Mean blood pressure 3. Adverse effects including: a. intraoperative hypotension b. arrhythmias c.Mediastinal bleeding Timepoint: Hemodynamic variables will be observed Intraoperatively only while other variables will be also be in immediate post-operative period upto 48 hours. | — |
Countries
India
Contacts
KING GEORGES MEDICAL UNIVERSITY, LUCKNOW