the atrial fibrillation after on-pump coronary artery bypass grafting
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Age =18 years old. ? Patients diagnosed as coronary artery disease who are admitted to Sir Run Run Shaw Hospital, Zhejiang University School of Medicine and scheduled to undergo elective on-pump coronary artery bypass grafting. ? American Society of Anesthesiologists (ASA) physical status classification I-III. ? Patients are able to understand the study procedures and various assessment scales, and communicate effectively with the researchers. ? Voluntarily participate in the study and sign for the informed consent.
Exclusion criteria
Exclusion criteria: ? Patients with permanent AF or left or right ventricular assist device implantation. ? Patients who do not require cardiopulmonary bypass. ? Patients requiring deep hypothermic circulatory arrest. ? Patients with active infection or sepsis. ? Patients on preoperative immunosuppressive medications (including steroid use). ? Patients with immunodeficiency syndrome. ? Patients with known neurological diseases. ? Patients who received vagus nerve stimulation or acupuncture treatment within 1 month prior to this study. ? Patients with ear dermatitis. ? Patients currently participating in other clinical trials. ? Vulnerable populations, including patients with psychiatric illnesses, cognitive impairment, critical illnesses, minors, pregnant women, illiterates, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative AF incidence;AF duration is measured by Holter monitoring recordings for 7 days postoperatively.; | — |
Secondary
| Measure | Time frame |
|---|---|
| demographic characteristics and basis information: height, weight, gender, age, history of hypertension, history of diabetes, and preoperative hemoglobin concentration. ;Operation time, crystalloid infusion volume, blood transfusion volume, urine output, postoperative hemoglobin concentration and duration of ICU respiratory support (hours) ;vital signs including blood pressure and heart rate.;CRP; Creatinine;prognosis and postoperative complications;IL-6;IL-10;TNF-a; | — |
Countries
China
Contacts
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University