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Effect of Short-term Bisoprolol on Perioperative Myocardial Injury in Patient Undergoing Non-cardiac Surgery

Phase 4
Completed
Conditions
The patient who undergo abdominal aortic surgeryThe patient who undergo infrainguinal arterial reconstruction surgeryThe patient who undergo non&#45
cardiac thoracic surgery
Bisoprolol
Perioperative Myocardial Injury
Non&#45
cardiac Surgery
Registration Number
TCTR20180329005
Lead Sponsor
The Thailand Research Fund
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
116
Inclusion Criteria

The study will include all patients, aged more than 45 year, who
are postmenopausal or are using a reliable means of contraception
and undergo major elective abdominal aortic or infrainguinal arterial
reconstruction surgery or non-cardiac thoracic surgery under general
anesthesia at Maharaj Nakorn Chiang Mai hospital.

Exclusion Criteria

• Patients will be excluded if they meet any of the following criteria:
1. Already taking beta-blockers
2. Giving beta-blockers will be dangerous (e.g., known intolerance to
beta-blockers)
3. Receiving current treatment for asthma/COPD
4. Presence of bradycardia (heart rate < 60 bpm) or hypotension
(systolic blood pressure <100 mm Hg)
5. Plan to use a beta †blocker preoperatively or during the first 30
postoperative days for other reason
6. Concurrent use of verapamil, diltiazem or amiodarone
7. Urgent / emergency vascular surgery within 24 hr
8. Have had CABG with complete revascularization in 5 years & no
evidence of ischemia since surgery
9. Active cardiac condition
10. Not give informed consent
11. Pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of perioperative myocardial injury Day 1&#44; Day 2 and day 3 Troponin T level
Secondary Outcome Measures
NameTimeMethod
Incidence of cardiovascular event 30 day cardiovascular death&#44; nonfatal MI and nonfatal stroke until 30 days after surgery
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