Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery Health Condition 2: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients posted for off pump coronary artery bypass surgery either minimally invasive or robotic-assisted and direct coronary having Double or triple vessel disease posted for primary and isolated CABG with normal Carotid Doppler.
Exclusion criteria
Exclusion criteria: Patients with end-stage kidney disease with low estimated glomerular filtration rate or requiring dialysis A history of previous cardiac surgery Congenital heart disease Atrial Fibrillation Severe Pulmonary Hypertension Active or chronic inflammatory or autoimmune diseases and steroid therapy Who don t give consent for the study Severe pulmonary hypertension Deranged coagulation profile Recent heart failure Uncontrolled Diabetes or Hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of major adverse cerebro-cardiovascular events (MACCE), including all-cause mortality, non-fatal MI, stroke or transient ischemic attack, and the need for repeat revascularization (percutaneous coronary intervention or redo-CABG) in the immediate or early post operative period (with in 7 days )Timepoint: First and Second Year: Patient enrolment and sample and data collection The collected serum samples will be snap-frozen in liquid nitrogen and subsequently stored at -80 C before analysis. Third year -Analysis | — |
Secondary
| Measure | Time frame |
|---|---|
| Days of discharge from ICU, presence organ dysfunction with biomarkers & haematological marker observing inflammatory pattern during ICU stay & early post operative period (7 days) , renal failure after surgery, post operative wound infection & pain score.Timepoint: Marker will be taken at 4 time points namely T1 Baseline followed by T2 immediate post graft postoperative day 0 then post operative day 3 finally postoperative day 4 | — |
Countries
India
Contacts
Sanjay Gandhi Post Graduate Institute of Medical Sciences