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The purpose of this study is to determine whether remote ischemic preconditioning with postconditioning (RIPC+RIPostC) reduces myocardial injury and improves clinical outcomes in heart transplantation surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RIPC+RIPostC | Experimental |
| |
| control | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RIPC+RIPostC | Procedure | Four 5 min cycles of upper limb ischemia and reperfusion by a cuff inflated to 200 mmHg, twice (after anesthesia induction and before surgery started, at 20min after aortic declamping) |
| Measure | Description | Time Frame |
|---|---|---|
| serum cardiac troponin I (cTnI) | within 72 hours after aortic declamping |
| Measure | Description | Time Frame |
|---|---|---|
| plasma microRNA-133b (miR-133b) | within 72 hours after aortic declamping | |
| plasma microRNA-208a (miR-208a) | within 72 hours after aortic declamping |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guyan Wang, PhD | State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS and PUMC, Beijing, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS and PUMC | Beijing | 100037 | China |
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| ID | Term |
|---|---|
| D015428 | Myocardial Reperfusion Injury |
| D006333 | Heart Failure |
| D009202 | Cardiomyopathies |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D017202 | Myocardial Ischemia |
| D014652 | Vascular Diseases |
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| control | Procedure | a deflated cuff placed on the right upper arm |
|
| D015427 |
| Reperfusion Injury |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |