Cardiac Valve Surgery, Coronary Artery Bypass Graft Surgery
Conditions
Keywords
cardiac, surgery, metabolic, supplements, antioxidant
Brief summary
This was a prospective randomised trial of metabolic therapy including antioxidants and cellular energisers to determine whether this therapy could improve the results of cardiac surgery. The hypothesis was that the metabolic therapy could improve clinical recovery.
Detailed description
Objective Perioperative therapy with antioxidants and metabolic substrates has the potential to reduce oxidative stress and improve recovery from cardiac surgery, particularly in elderly and high risk cases. The aim of the study was to assess the effect of perioperative metabolic therapy at a biochemical and clinical level in cardiac surgical patients. Methods Patients (n = 117, mean age 65 ± 1.0 years, 74% male) undergoing elective coronary artery bypass graft (CABG) and/or valve surgery were randomized to receive for a minimum of 2 weeks before and one month after surgery, either metabolic therapy (coenzyme Q10, magnesium orotate, lipoic acid, omega-3 fatty acids and selenium) or placebo. Biochemical and clinical outcomes were assessed.
Interventions
Coenzyme Q10 - 100 mg tds Magnesium orotate - 400 mg tds Lipoic acid - 100 mg tds Omega-3 fatty acids - 300 mg (in 1 g fish oils) tds Selenium - 200 µg
Placebo tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing elective coronary artery bypass graft (CABG) and/or valve surgery
Exclusion criteria
* urgent or emergency surgery * NYHA class IV heart failure * taken antioxidant supplements in the previous month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Troponin release | 24 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay | 1 month |
| Rate of atrial fibrillation | 2 weeks |
Countries
Australia