Coronary Atherosclerotic Heart Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Undergoing elective off-pump coronary artery bypass grafting (CABG) in our hospital, meeting the surgical indications for CABG (left main coronary artery stenosis >50%; left-main-equivalent disease, defined as proximal stenosis >75% in both the LAD and LCX; three-vessel disease with stenosis >75%; coronary artery disease combined with left ventricular dysfunction; failed PCI or in-stent restenosis). 2.Age 40–80 years. 3.Good patient and family compliance, full understanding of the study protocol, and signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing surgery for reasons other than standard CABG indications. 2. Conversion from off-pump to on-pump CABG. 3. Planned concomitant valve surgery for valvular disease. 4. Emergency CABG for acute myocardial infarction. 5. History of arrhythmias requiring chronic anti-arrhythmic therapy. 6. Prior COPD, asthma, or other chronic lung disease; autoimmune disorders (e.g., SLE, Sjögren’s syndrome); or active malignancy. 7. Previous stroke documented by pre-operative CT/MRI and consultant report. 8. Pregnant, lactating, or planning pregnancy. 9. Dementia, cognitive impairment, or inability to understand or comply with study instructions. 10. Alcohol or drug abuse. 11. Known hypersensitivity to study drugs. 12. Inclisiran or any PCSK9 inhibitor within 12 weeks before enrollment. 13. Participation in another clinical trial within 6 months. 14. Any other condition that, in the investigator’s opinion, renders the patient unsuitable for participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of adverse cardiovascular and cerebrovascular events within three months;3-month graft patency rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of other postoperative adverse events; | — |
Countries
China
Contacts
Jiangsu Provincial People's Hospital