Low cardiac output syndrome MedDRA version: 17.1 Level: PT Classification code 10024899 Term: Low cardiac output syndrome System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients where inotropic support is considered appropiate because of a diagnosis of low cardiac output, cardiac index, which remains below 2 L/min/m2 with POP greater than 15 mmHg and / or less than 65% satVO2) syndrome. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 60 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: . History of adverse reaction to levosimendan. ? Pregnant ? Combined surgery (eg valve repair or carotid surgery). ? Patients in situations of hemodynamic instability. ? preoperative renal dysfunction, estimated by the rate of preoperative GFR (creatinine clearance 4 mmol / L)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effects of postoperative administration of levosimendan in patients with low output syndrome after cardiac surgery, renal and neurological level, measured by prognostic marker N-GAL and S 100 protein, compared with the rest of inotropic therapies and the initial situation of the patient.;Secondary Objective: To assess the effects on the various hemodynamic parameters (cardiac index and mixed venous saturation), biochemical marker of cardiac dysfunction (Nt-proBNP) and cardioprotective (troponin T) and the use of vasoactive drugs. ? Evaluate the relationship between therapy and renal function parameters. ? Assess whether there are differences in the incidence of arrhythmias in each of the groups.;Primary end point(s): To assess the effects of postoperative administration of levosimendan in patients with low output syndrome after cardiac surgery, renal and neurological level, measured by prognostic marker N-GAL and S 100 protein, compared with the rest of inotropic therapies and the initial situation of the patient.;Timepoint(s) of evaluation of this end point: Monthly | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To assess the effects on the various hemodynamic parameters (cardiac index and mixed venous saturation), biochemical marker of cardiac dysfunction (Nt-proBNP) and cardioprotective (troponin T) and the use of vasoactive drugs. ? Evaluate the relationship between therapy and renal function parameters. ? Assess whether there are differences in the incidence of arrhythmias in each of the groups.;Timepoint(s) of evaluation of this end point: Monthly | — |
Countries
Spain
Contacts
FIMABIS