Health Condition 1: I259- Chronic ischemic heart disease, unspecified
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients undergoing off pump CABG with LVEF less than 50%.
Exclusion criteria
Exclusion criteria: 1.Patients with mitral/aortic valve insufficiency or other significant valve abnormalities 2.Patients in non-sinus rhythm 3.Patients requiring inotropic support/IABP/haemodynamically unstable pre-operatively 4.Patients with right ventricular assist device 5.Patients with esophageal diseases 6.Patients requiring conversion from off pump CABG to on pump CABG 7.Patients with ventricular septal defects (VSD) and right ventricle outflow tract (RVOT) / LVOT obstruction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Cardiac output by thermodilution method 2.Cardiac output by trans-esophageal echocardiography at aortic valve level Timepoint: T1: Clinical steady state 15minutes after induction of anaesthesia T2: After sternal closure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Hemodynamic monitoring including heart rate, systolic, diastolic and mean arterial pressures and pulmonary artery pressure.Timepoint: Every 60minutes throughout the operative period;2.Complications associated with each techniqueTimepoint: intra-operative and post-operative till patient is discharged from ICU;Clinical outcome assessment: a)Total inotropic score b)Number of shock if needed c)Arrhythmia if noted d)Morbidity and mortality after risk adjustment Timepoint: Intra-operative and post-operative till patient is discharged from ICU | — |
Countries
India
Contacts
GIPMER