Cardiac Surgery
Conditions
Keywords
Cardiac biomarker, cardiac surgery, elderly, postoperative complications, Patients aged 75 years or older undergoing cardiac surgery
Brief summary
To evaluate the use of new cardiac biomarker for the prediction of in-hospital cardiovascular complications in elderly patients undergoing elective cardiac surgery.
Detailed description
Plasma N-terminal pro-brain natriuretic peptide (NT-proBNP, cardiac troponin T (cTnT), pregnancy-associated plasma protein A (PAPP-A), ischemia-modified albumin (IMA), myeloperoxidase (MPO), metalloproteinase (MMP) soluble CD 40 ligand (sCD40L), and inflammatory cytokine levels will be measured in 100 elderly patients undergoing elective cardiac surgery with cardiopulmonary bypass before induction of anesthesia and 12 h, 24 h, and 48 h after surgery. Optimum discriminators for prediction of postoperative cardiovascular complications wil be determined by the use of receiver operating characteristics (ROC) curves analyses.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients aged 75 years or older undergoing elective cardiac surgery with CPB
Exclusion criteria
* positive cardiac troponin T test within the week before surgery * patients undergoing emergent procedures * patients with preoperative mechanical cardiac support * patients undergoing hemodialysis
Countries
Germany