Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ?Patients undergoing elective, isolated multiple graft ( > 2 grafts) on-pump coronary artery bypass grafting surgery. ?Patients in the age group of 30-65 years of either gender
Exclusion criteria
Exclusion criteria: •Patients declining to give consent. •Patients having pre-operative abnormal ( •Patients not having sinus rhythm at the time of performing TEE/TTE. •Patients on Pacemaker. •Patients with recent ( •Patients with more than mild valvular regurgitation and/or stenosis. •Patients for emergency or re-do CABG. •Patients having contraindications to insertion of TEE transducer. •Patients having low cardiac output syndrome/mechanical cardiac support/prolonged ( >24 hours) mechanical ventilation/suspected or confirmed graft occlusion or kink/re exploration/respiratory or liver or kidney dysfunction/significant arrhythmia/sepsis/shock/cardiac arrest in the postoperative period. •Patients having poor TTE window at the time of hospital discharge. •Patients requiring inotropic/vasopressor support or mechanical cardiac support prior to induction of anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To find out the change in peak LV GLS from immediate post-operative period to immediate pre-hospital discharge period in patients undergoing elective uneventful CABG surgeryTimepoint: Immediate post-operative period Immediate pre-Hospital discharge period | — |
Secondary
| Measure | Time frame |
|---|---|
| •To compare the changes in peak LV GLS from immediate post-operative period to immediate pre-hospital discharge period between patients with normal vs abnormal Peak LV GLS in the immediate pre-operative period •To find the correlation between the change in left ventricular peak GLS from immediate post-operative period to immediate pre-hospital discharge period and the Vasoactive Inotropic Score (VIS) in the immediate post-operative periodTimepoint: Immediate post-operative period Immediate pre-Hospital discharge period | — |
Countries
India
Contacts
PGIMER