Adult Cardiac Surgery
Conditions
Brief summary
The aim of the study is to determine whether increasing the heart rate by epicardial atrial pacing after surgery improves the contractile force of the myocardium. After complete weaning from CPB, several pressure-loops of the LV will be recorded at different levels of preload using transoesophageal echo, invasive blood pressure monitoring. The preload will be manipulated by adding fluid from the CPB reservoir or draining fluid into the CPB reservoir.
Interventions
Atrial pacing using an external pacing box
Sponsors
Study design
Eligibility
Inclusion criteria
* CABG only surgery * Preopeartive LVEF ≥ 53 % * Use of epicardial pacing wires to assist CPB weaning
Exclusion criteria
* Contra-indication to TEE * AV block at the time of CPB weaning * Sinus rhythm less than 50 or more than 90 BPM after CPB weaning.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| End-systolic elastane of the left ventricle. | 30 minutes after CPB weaning |