Patients received cardiothoracic surgery with congestive heart failure.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Patient show body weight increase 1.5kg or more compared with preoperative weight in 2POD, with fluid retention after cardiothoracic surgery.. 2 In hospitalized patients. 3 The patient is willing to participate in the study.
Exclusion criteria
Exclusion criteria: 1 Patients with cardiogenic shock. 2 Patients with cardiac assist device. 3 Patients with disease, complication, and symptom, as follows. 1.Dehydration, 2.Adipsia, 3.Hypertrophic cardiomyopathy, 4.Hepatic coma, 5.Uncontrolled diabetes mellitus, 6.Anuria, 7.Disability of urinary excretion. 4 Amyloid myocarditis. 5 Patients with systolic blood pressure <90mmHg. 6 Patients with serum Na > 147 mEq/L or serum K > 5.5 mEq/L or T - bilirubin > 3.0 mg/dL. 7 Patients otherwise judged by the investigator or subinvestigator to be inappropriate for inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 The days before returning to the preoperative weight 2 Nomarization ratio of the serum creatinine after cardiothoracic surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Body weight, cumulative urine volume, and volume of drinking water. 2. Incidence of the arrhythmia. 3. Congestive signs. 4. Thoracic X-ray, echocardiography. 5. Serum Na, K, osmolality, rennin activity. 6. Urinary Na, K, osmolality, 7. Usage of diuretics in hospitalization period. 8. The number of Re-hospitalization times and total days in hospitalization period after surgery. | — |
Countries
Japan
Contacts
Osaka City General Hospital Cardiovascular Surgery