Sepsis-Induced Myocardial Dysfunction
Conditions
Brief summary
This study aims to evaluate the clinical efficacy of Danhong injection in patients with septic myocardial injury through a prospective randomized controlled trial. The study will enroll 140 patients meeting criteria for septic myocardial injury, divided into a Danhong injection group and a placebo group. Primary endpoints include changes in myocardial injury markers and improvement rates in cardiac function over 7 days, while secondary endpoints include 28-day mortality rates. This will determine whether Danhong injection possesses myocardial protective effects and provide evidence-based support for expanding its clinical indications.
Interventions
Danhong Injection for intravenous drip, dosage: 20 ml, diluted in 80 ml of 0.9% saline solution for intravenous drip, twice daily, for a continuous treatment period of 7 days.
Intravenous drip of 100 ml 0.9% saline solution, twice daily, for 7 consecutive days.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients who met the Sepsis-3 criteria, defined by a suspected or confirmed infection and an increase in the Sequential Organ Failure Assessment (SOFA) score of 2 points or more from baseline. 2. Patients with a diagnosis of sepsis-induced myocardial dysfunction (SIMD).
Exclusion criteria
1. Patients with significant primary cardiac diseases, including unstable coronary artery disease, severe cardiomyopathy, or severe valvular heart disease. 2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left Ventricular Ejection Fraction | 24 hours before treatment, 3 days after treatment |
Secondary
| Measure | Time frame |
|---|---|
| cardiac troponin T | Before treatment, 3 days after treatment, 7 days after treatment |
| 28-day mortality | 28 days after enrollment |