Myocardial injury after ischemia-reperfusion
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Eligible patients are required to be between 18 and 90 years old and undergo the following elective open heart surgery alone: coronary artery bypass surgery; Aortic valve, mitral valve or tricuspid valve replacement or repair surgery; Aortic root or ascending aorta surgery without low-temperature circulatory arrest; Or maze radiofrequency ablation.
Exclusion criteria
Exclusion criteria: Including emergency surgery; Infections expected to affect postoperative recovery; Persistent heart failure or low output syndrome ;Syndromes (pre determined significant positive muscle strength support, mechanical ventilation, extracorporeal membrane oxygenation support, aortic bulb) ;Balloon counterpulsation, left ventricular mechanical assistance, left ventricular ejection fraction below 20%, or other similar preoperative conditions; End stage renal disease (estimated glomerular filtration rate [GFR]<20mL/min); Hemophilia A or B; The patient refuses blood products or derivatives; Use ticagrelor, prasugrel, clopidogrel, apixaban or rivaroxaban within 2 days before surgery, or use dabigatran within 3 days before surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Apolipoprotein C-?; | — |
Secondary
| Measure | Time frame |
|---|---|
| Creatine Kinase, MB Form;Total Cholesterol;Triglycerides ;Low-Density Lipoprotein Cholesterol;High-Density Lipoprotein Cholesterol;Fasting Blood Glucose;Creatinine;Myoglobin;Cardiac Troponin I;Cardiac Troponin T;B-type Natriuretic Peptide;Lactate Level;C-Reactive Protein;Procalcitonin;Cardiopulmonary Bypass Duration;Aortic Clamp Time ;Anesthesia Duration;Operation Duration; | — |
Countries
China
Contacts
Guangdong Medical University Affiliated Hospital