ltradian rhythms of cortisol after cardiac surgery
- Conditions
- Coronary artery disease / surgery / endocrinologySurgeryMechanical complication of coronary artery bypass and valve grafts
- Registration Number
- ISRCTN22146594
- Lead Sponsor
- niversity of Bristol (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
Patients having isolated CABG surgery must fulfil all the following criteria:
1. Patient having first time, elective CABG
2. Aged 18 - 80yrs
3. Operation to be carried out using median sternotomy
4. Written informed consent
Participant may not enter the study if any of the following apply:
1. Emergency operation
2. Previous sternotomy
3. Myocardial Infarction within the last month
4. Concomitant procedure with CABG
5. Left ventricular ejection fraction <30%
6. Operation to be carried out by other incision than median sternotomy (e.g. left thoracotomy)
7. Contraindication to ONCABG or OPCABG (eg. calcified aorta, intramuscular LAD, calcified coronaries, small target vessels)
8. Use of exogenous corticosteroids (including inhalers)
9. Past history of adrenal / pitiutary disease
10. Other major co-morbidities
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pattern (pulsatility) of cortisol secretion during the peri-operative period, measured using an automated electrochemoluminescent immunoassay (ECLIA)
- Secondary Outcome Measures
Name Time Method evels of ACTH and CBG measured at three points - anaesthetic induction, end of operation and at 24 hours post surgery