Surgery Ischemic heart disease with diastolic dysfunction.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Non-emergent coronary artery bypass grafting surgery. Left ventricular ejection fraction of 45% or more. Grade 1 diastolic dysfunction.
Exclusion criteria
Exclusion criteria: Cardiac valvular pathology. Myocardial infarction within 4 weeks. Body mass index greater than 40 kg/m2. Pacemaker therapy. Left bundle branch block or Atrial fibrillation. Esophagitis or esophageal varices. Hypertrophic obstructive cardiomyopathy or infiltrative myocardial disease. Emergency CABG and patients coming on inotropes or mechanical ventilation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Trans mitral flow velocity profile measured by by pulsed wave Doppler (PWD). | — |
Secondary
| Measure | Time frame |
|---|---|
| Pulmonary vein flow velocity profile measured by PWD.;Tissue Doppler imaging of the mitral annulus.;Hear rate;Mean arterial pressure;central venous pressure | — |
Countries
Egypt
Contacts
Specialist anesthetist at national heart institute, Giza, Egypt.