Cardiovascular Diseases Requiring Cardiac Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 years or older; 2. Patients undergoing cardiac or major vascular surgery (e.g., coronary artery bypass grafting, valve surgery, aortic surgery); 3. Availability of continuous intraoperative hemodynamic monitoring (including MAP, heart rate, stroke volume, etc.); 4. For prospective cohorts, provision of written informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with end-stage renal disease (ESRD) or requiring long-term dialysis before surgery; 2. Patients who already have irreversible brain injury, stroke, or cerebral hypoperfusion before surgery; 3. Irreversible brain injury or severe hemodynamic instability during surgery that prevents adequate hemodynamic monitoring; 4. Refusal to provide informed consent or inability to complete follow-up in a prospective study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major Adverse Cardiovascular and Cerebrovascular Events (MACCE); | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute Kidney Injury (AKI);30-day Readmission Rate;90-day Readmission Rate;Use of ECMO or IABP;Postoperative Heart Failure;Postoperative Stroke;All-cause Mortality; | — |
Countries
China
Contacts
Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School