Diastolic Dysfunction, Heart Failure, Heart Rate, Left Ventricular Hypertrophy
Conditions
Keywords
Heart failure, Left ventricular hypertrophy, Diastolic dysfunction
Brief summary
The purpose of this study is to compare the effect of heart rate on cardiac index in patients with or without left ventricular hypertrophy. The study will be conducted in postoperative heart surgery patients with a pacemaker.
Interventions
Routine postoperative temporary pacemaker Rate change of 65-80-95-110-125 beats/second in random order at day 3-4 after operation
Sponsors
Study design
Eligibility
Inclusion criteria
* Scheduled heart surgery including thoracotomy * Ejection fraction \> 45% * Duration of QRS complex \< 120 milliseconds * Sinus rhythm * Planned perioperative temporary pacemaker Group: Left ventricular hypertrophy: Thickness of interventricular septum and posterior wall \>11 mm. Group: No left ventricular hypertrophy: Thickness of interventricular septum and posterior wall \<11 mm.
Exclusion criteria
* Active endocarditis * Severe mitral insufficiency * No patient consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac index | At heart rates 65-80-95-110-125 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ejection fraction | Heart rates of 65-80-95-110-120 | Echocardiographic index of systolic function |
| Strain | Heart rates of 65-80-95-110-125 | Echocardiographic index of systolic function |
| S-max | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of systolic function |
| E/E' | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of diastolic function |
| E/A ratio | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of diastolic function |
| Mean arterial blood pressure | At heart rates 65-80-95-110-125 | — |
| Isovolumetric relaxation index | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of diastolic function |
| IVRT/IVRT' | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of diastolic function |
| End diastolic volume | Heart rates of 65-80-95-110-125 beats per second | Volume of left ventricle and end diastole |
| End systolic volume | Heart rates of 65-80-95-110-125 beats per second | Volume of left ventricle at end systole |
| E'/A' ratio | Heart rates of 65-80-95-110-125 beats per second | Echocardiographic index of diastolic function |
Countries
Denmark