I48
Conditions
Interventions
Group 1: Continuous electrocardiographic monitoring before and after cardiac surgery
Sponsors
Bayern Innovativ
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: Signed patient consent Sinus rhythm at admission (in a high-resolution 12-lead ECG recording of at least 2 minutes); first-degree AV block, frequent (supra-)ventricular extrasystoles, or (in)complete bundle branch block at admission are permissible Adult patients > 18 years If applicable, chronic therapy with beta-blockers (beta-blockade with heart rate 60-80/min) If applicable, with comorbidities: chronic kidney insufficiency (stage 1 and 2 according to KDIGO classification) heart failure (EF > 35%) arterial hypertension liver limitations stage A and B according to Child-Pugh classification Planned elective first heart surgery: CABG, AVR, MVR, MV repair with or without CABG and with or without thoracic aorta intervention.
Exclusion criteria
Exclusion criteria: ge < 18 years Lack of patient consent Emergency surgery Participation in other clinical studies Implanted permanent pacemaker or ICD Contraindication for beta-blocker use Preoperative antiarrhythmic therapy (except beta-blockers and calcium antagonists) Previous heart surgery Preoperative AV block grade II/III Type 2 diabetes mellitus (DM II) with neurological complications or other polyneuropathies Newly occurring thyroid disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reliable prediction of common arrhythmias after heart surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Determination of potential predictive factors for postoperative cardiac arrhythmias through the analysis of: - Preoperative status - Intraoperative parameters - Postoperative course | — |
Countries
Germany
Outcome results
None listed