Circulatory System Cardiac and renal protective
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA class II or III patients scheduled for cardiac surgery by using CPB
Exclusion criteria
Exclusion criteria: age > 75 years, left ventricular ejection fraction (LVEF) < 55%, pre-existing severe LV hypertrophy, cardiomyopathies, grade II (pseudo-normal filling) and grade III (restrictive filling) diastolic dysfunction, preoperative atrial fibrillation , pericardial disease, drug dependence, cerebrovascular diseases, use of alpha 2 agonists ,type 1diabetes mellitus, renal disease, significant pulmonary disease and hepatic insufficiency.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| myocardial specific protein (troponin-I, creatine phosphokinase-MB "CPK MB") and urinary specific kidney proteins (N- acetyl ¿beta- D glucosamidase, alpha-1-microglobulin, glutathione transferase- pi, glutathione transferase- alpha ). Serum pro-inflammatory cytokines (tumor necrosis factor-¿ and interleukin 1-¿) and norepinephrine and cortisol levels. ;creatinine clearance and serum cystatin | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of mechanical ventilation, ICU stay time, hospital stay time, major postoperative complications and 30 day mortality. | — |
Countries
Egypt
Contacts
Professor in anesthesiology- Minoufiya faculty of medicine