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Postoperative Lactate and Atrial Fibrillation After CABG

Recruiting
Conditions
Coronary Artery Disease
Atrial Fibrillation
Registration Number
NCT05448521
Lead Sponsor
Başakşehir Çam & Sakura City Hospital
Brief Summary

Postoperative atrial fibrillation (POAF) is associated with increased mortality and morbidity in patients undergoing isolated coronary artery bypass grafting (CABG). It has been estimated that 5-40% of CABG patients experience POAF. Advanced age, P wave abnormalities, left atrial dilation, emergency surgery, low left ventricle ejection fraction, low glomerular filtration rate and chronic obstructive pulmonary disease have been reported in the etiology. Predicting which patients would experience POAF following CABG is important since it would allow physicians to apply more focused prophylactic measures. Lactate is the final product of anaerobic glycolysis. Serum lactate level are increased in case of inadequate oxygen delivery to tissues. The investigators aim to assess whether serum lactate levels measured early in the postoperative period could be used as a predictive marker of POAF in adults undergoing isolated CABG.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Undergoing isolated CABG
  • Age >18 years
Exclusion Criteria
  • Age <18 years
  • Pregnancy
  • History of paroxysmal atrial fibrillation prior to surgery
  • Undergoing concomitant procedures (e.g., CABG + valve surgery)
  • Any preoperative cardiac rhythm other than normal sinus rhythm
  • More than mild cardiac valve stenosis or insufficiency

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postoperative atrial fibrillation30 days

New-onset atrial fibrillation occurring in the immediate period after CABG

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Basaksehir Cam Sakura City Hospital

🇹🇷

Istanbul, Turkey

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