Arrhythmia in on Pump vs. Off Pump Coronary Artery Bypass Grafting
NCT ID: NCT04093817
Last Updated: 2019-09-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
50 participants
OBSERVATIONAL
2021-04-01
2022-07-01
Brief Summary
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Detailed Description
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There is a criticism regarding completence of revascularization in off pump vs. on pump CABG, this is no longer valid in the current era as technology to safely perform multi vessel off pump has improved tremendously over the past decade.
One of the debates between these two techniques was the incidence of arrhythmias in and after the operation and its relation to morbidity and mortality at the operation and hospital stay after the operation.
As known atrial fibrillation (AF) is still the most common arrhythmia that occur after CABG and although in some studies it has been considered a benign and self-limiting complication, some suggest serious morbidity and mortality from this complication, it is said that it affects more than 40% of patients underwent CABG. Atrial fibrillation (AF) may lead to thromboembolic complications, additional pharmacotherapy, longer hospital stay, increase cost, anxiety and stroke.
Most AF post CABG are found in the second to third post-operative day. SO, on this study the investigators focus one the incidence of arrhythmias, especially AF in those two techniques and their relations to patients' morbidity and mortality.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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on pump CABG
patients under going CABG with cardiopulmonary bypass machine
cardio pulmonary bypass machine
cardio pulmonary bypass machine is a machine that work to compensate for the function of the heart and the lungs in the operation
off pump CABG
patients under going CABG without cardiopulmonary bypass machine
No interventions assigned to this group
Interventions
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cardio pulmonary bypass machine
cardio pulmonary bypass machine is a machine that work to compensate for the function of the heart and the lungs in the operation
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Emergency cases
* Previous AF
40 Years
80 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mohamed Emad Kamel
resident doctor at cardiothoracic surgery department at Assiut university hospital
Principal Investigators
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Samy Othman, prof.dr
Role: STUDY_CHAIR
Assiut University
Ahmed Taha, lecturer
Role: STUDY_CHAIR
Assiut University
Central Contacts
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References
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Gaudino M, Angelini GD, Antoniades C, Bakaeen F, Benedetto U, Calafiore AM, Di Franco A, Di Mauro M, Fremes SE, Girardi LN, Glineur D, Grau J, He GW, Patrono C, Puskas JD, Ruel M, Schwann TA, Tam DY, Tatoulis J, Tranbaugh R, Vallely M, Zenati MA, Mack M, Taggart DP; Arterial Grafting International Consortium (ATLANTIC) Alliance. Off-Pump Coronary Artery Bypass Grafting: 30 Years of Debate. J Am Heart Assoc. 2018 Aug 21;7(16):e009934. doi: 10.1161/JAHA.118.009934. No abstract available.
Davoodi S, Karimi A, Ahmadi SH, Marzban M, Movahhedi N, Abbasi K, Omran AS, Shirzad M, Sheikhvatan M, Abbasi SH, Bina P. Early outcome of off-pump versus on-pump coronary revascularization. Pan Afr Med J. 2014 Apr 22;17:309. doi: 10.11604/pamj.2014.17.309.1723. eCollection 2014.
Lewicki L, Siebert J, Rogowski J. Atrial fibrillation following off-pump versus on-pump coronary artery bypass grafting: Incidence and risk factors. Cardiol J. 2016;23(5):518-523. doi: 10.5603/CJ.a2016.0066. Epub 2016 Sep 26.
Other Identifiers
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Arrhythmia in CABG
Identifier Type: -
Identifier Source: org_study_id
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