Status:

COMPLETED

Effect of a Higher Blood-pressure on Right Ventricular Function

Lead Sponsor:

Frisius Medisch Centrum

Conditions:

Blood Pressure

Right Ventricular Dysfunction

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Right ventricular (RV) dysfunction in cardiac surgery is an independent risk factor for morbidity and mortality. Raising the systemic blood pressure with norepinephrine seems to have a positive influe...

Detailed Description

Goal: To demonstrate differences in RV function by raising the systemic blood pressure with norepinephrine. Study design: randomized controlled trial Study population: 78 postoperative cardiac surger...

Eligibility Criteria

Inclusion

  • post operative cardiac surgery patients, full sternotomy
  • admission at ICU
  • informed consent
  • right ventricular monitoring by pulmonary artery catheter.
  • RVEF \<30% + MAP ≤ 65mmHg

Exclusion

  • no informed consent
  • acute surgery
  • Off pump cardiac surgery
  • Severe tricuspid insufficiency
  • Allergy to norepinephrine
  • Severe left ventricular hypertrophy with systolic anterior movement
  • Chronic use of alpha-blockers
  • Irregulair heart rhythm
  • Surgical reasons to maintain a low blood pressure.

Key Trial Info

Start Date :

March 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 25 2020

Estimated Enrollment :

78 Patients enrolled

Trial Details

Trial ID

NCT03806582

Start Date

March 1 2019

End Date

May 25 2020

Last Update

May 27 2020

Active Locations (1)

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Medical Center Leeuwarden

Leeuwarden, Netherlands, 8904 BR