postoperative new-onset atrial fibrillation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for elective isolated off-pump coronary artery bypass grafting (OPCABG), without gender restriction; 2.Aged 18–70 years, with a body mass index (BMI) of 18–30 kg/m^2; 3.American Society of Anesthesiologists (ASA) physical status class III or IV; 4. Willing and able to provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. History of atrial fibrillation; 2.New York Heart Association (NYHA) functional class IV, or left ventricular ejection fraction (LVEF) 25%); severe mitral valve disease (mitral valve area 4 cm^2); 8.Moderate to severe hepatic impairment, or concurrent use (including within 2 weeks of discontinuation) of hepatic enzyme inducers or inhibitors; 9.Decompensated renal dysfunction or renal failure (serum creatinine > 177 µmol/L); 10. Severe disturbance of consciousness, or presence of psychiatric disorders (schizophrenia, mania, bipolar disorder, psychosis, etc.) or cognitive dysfunction; 11. Use of class I or III antiarrhythmic drugs before surgery; 12.Diseases requiring radiotherapy, chemotherapy, or long-term corticosteroid therapy; 13. Poorly controlled thyroid function; 14. Participation in another clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative atrial fibrillation within 7 days after OPCAB; | — |
Secondary
| Measure | Time frame |
|---|---|
| AF burden;Maximum heart rate during AF;Maximum AF episode duration;Heart rate variability parameters;Plasma inflammatory markers;Antiarrhythmic therapy status;Patient clinical outcomes; | — |
Countries
China
Contacts
General Hospital of Northern Theater Command