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midodrine effectiveness in patients who have low mean atrial pressure after open heart surgery

Phase 3
Recruiting
Conditions
CABG.
Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.701
Registration Number
IRCT20201025049139N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

More than 18 years old
Admitted in ICU
Systolic blood pressure less than 90 mmHg or mean atrial pressure less than 80 mmHg
Dependent to IV vassopressor
Received at least 24 hours IV vassopressor and can not discontinue it
Operation type is CABG

Exclusion Criteria

hypovolemia
septic shock
kidney failure (Cr>2mg/dl)
hepatic failure
electrolyte disturbance
pregnancy
tamponed
active bleeding
hypothyroid
hyperthyroid
midodrine allergy

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Blood pressure dependency rate to IV inotrope after midodrine initiation. Timepoint: study entrance time and 48 hours after that. Method of measurement: with Sphygmomanometer.;Intravenous vasopressor dose. Timepoint: after intravenous vasopressor discontinuation. Method of measurement: microgram.;ICU length of stay. Timepoint: after patient discharge from ICU. Method of measurement: according to hour.;Hospital length of stay. Timepoint: after patient discharge. Method of measurement: according to hour.;Left ventricular function. Timepoint: at the time of randomization. Method of measurement: echocardiography.;Creatinine. Timepoint: at the time of randomization. Method of measurement: in lab.
Secondary Outcome Measures
NameTimeMethod
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