Postpericardiotomy Syndrome
Conditions
Keywords
Postpericardiotomy Syndrome, Pericarditis, Prevention, Colchicine, Recurrence
Brief summary
The purpose of the study is to determine whether colchicine is safe and effective in the prevention of the postpericardiotomy syndrome.
Detailed description
The postpericardiotomy syndrome is a frequent complication after cardiac surgery affecting from 20 to 40% of patients. The etiology of this complication is a subject of debate. It is commonly believed to be an autoimmune response to pericardial and/or pleural bleeding or surgical trauma. Colchicine is safe and effective in the treatment and prevention of pericarditis and preliminary data have shown that it may be effective also in the primary prevention of the postpericardiotomy syndrome. Comparisons: The study will compare the safety and efficacy of colchicine in the primary prevention of the postpericardiotomy syndrome in addition to optimal standard care.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients in the third day after a cardiac surgery operation * Age≥ 18 years * Informed consent
Exclusion criteria
All evaluated before the surgical operation: * Known severe liver disease and/or elevated transaminases \>1.5 times the upper limit of normality * Serum creatinine \>2.5 mg/dl * Serum creatine kinase (CK) over the upper limit of normality or known myopathy * Known gastrointestinal or blood disease * Pregnant or lactating women or women not protected by a contraception method * Known hypersensibility to colchicine * Treatment with colchicine at enrolment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postpericardiotomy syndrome | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Disease-related hospitalization, cardiac tamponade, constrictive pericarditis and relapses | — |
Countries
Italy