Ischemic Heart Disease
Conditions
Keywords
Milrinone, diastolic function
Brief summary
The purpose of this study is to analyze the changes in cardiac performance before and after milrinone administration in order to find out whether milrinone improves LV performance in patients undergoing coronary artery bypass surgery.
Interventions
giving IV milrinone: 50 mcg/kg loading dose by IV push over 10 minutes, then 0.375-0.75 mcg/kg/min IV
Sponsors
Study design
Eligibility
Inclusion criteria
* patient agree and provide written informed consent. * patient undergoing elective coronary artery bypass graft surgery * preoperative LV EF\>50% (TTE)
Exclusion criteria
* preoperative cardiac dysrhythmia * preoperative IABP * use of other inotropic agents
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| TMAD of ticuspid annulus during early relaxation | 15 mini after milrinone administration |
Secondary
| Measure | Time frame |
|---|---|
| global longitudinal strain of the right ventricle | 15 mini after milrinone administration |
| left ventricular ejection fraction | 15 min after milline administration |
| global longitudinal strain of the left ventricle | 15 min after milline administration |