Left ventricular dysfunction, Aortic/Mitral valve stenosis, Aortic/Mitral valve regurgitation cardiac disease, circulatory depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Moderate or severe aortic/mitral valve regurgitation (2) Moderate or severe aortic/mitral valve stenosis (3) Left ventricular ejection fraction <=50%
Exclusion criteria
Exclusion criteria: Disease, condition, and physical status that affect adrenaline metabolism. (1) Off pump CABG (2) Arrhythmia requiring care (3) Patients who are administered with catecholamine (4) Patients under mechanical ventilation (5) Unruptured cerebral aneurysm of surgical indication (6) Allergy or contradiction for investigative drugs (7) Dialysis patients (8) Hepatic dysfunction (Child-Pugh grade C) (9) One lung ventilation (10) Height=30 kg/m2 (12) Patients administered with anti-psychotic or -depressant drug (13) Patients administered with monoamine oxidase inhibitor (14) Patients administered with steroids (15) Hyperthyroidism (16) Patients considered inappropriate for trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| serum adrenaline concentration | — |
Secondary
| Measure | Time frame |
|---|---|
| hypotensive events | — |
Contacts
Department of Anesthesiology and Critical Care Medicine, Yokohama City University