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To explore the effect of intraoperative sodium creatine phosphate on myocardial protection in patients undergoing valve surgery
Objective: To explore the effect of intraoperative sodium creatine phosphate on myocardial protection in patients undergoing valve surgery Methods: 250 patients undergoing valve surgery were randomly divided into experimental group and control group. 5g creatine phosphate was dissolved in 50ml saline solution. After induction of anesthesia, the patients were first given a load dose of 1g, 20min (30ml / h) , And then pumped at a rate of 1 g / h (10 ml / h). The control group was treated with saline in the same manner. The cTnI level was measured at the corresponding time points. Hemodynamic indexes and postoperative complications were recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sodium creatine phosphate | Experimental | 5g creatine phosphate was dissolved in 50ml saline solution. After induction of anesthesia, the patients were first given a load dose of 1g, 20min (30ml / h) , And then pumped at a rate of 1 g / h (10 ml / h). |
|
| Control | Placebo Comparator | The control group was treated with saline in the same manner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sodium creatine phosphate | Drug | sodium creatine phosphate .Loading dose followed by continuous infusion in operation |
|
| Measure | Description | Time Frame |
|---|---|---|
| serum cardiac troponin I(cTnI) | serum cardiac troponin I(cTnI) | within 24 hours after aortic declamping |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | death rate in hospital | within 30 postoperative days |
| stroke | defintion by surgeon | within 30 postoperative days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guyan WANG, M.D. | Contact | +86-13910985139 | 13910985139@163.com | |
| Zhongrong FANG, M.D | Contact | +86-15001391329 | fangzhongrong@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Guyan WANG, M.D. | Department of anesthesiology,Fuwai hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology ,Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS and PUMC | Recruiting | Beijing | Beijing Municipality | 100037 | China |
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| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D010725 | Phosphocreatine |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D003401 | Creatine |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D019606 | Phosphoamino Acids |
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| saline | Drug | .Loading dose followed by continuous infusion in operation |
|
| blood filtration of kidney failure | need for dialysis | within 30 postoperative days |
| extracorporeal membrane oxygenation (ECMO) or intraaortic balloon counterpulsation (IABP) support | heart failure requires mechanical assistance | within 30 postoperative days |
| mechanical ventilation time | ventilation | within 30 postoperative days |
| arrhythmia | Atrial fibrillation or Ventricular fibrillation or Ventricular tachycardia requiring drug treatments | within 30 postoperative days |
| Cardiovascular Institute and Fuwai Hospital | Recruiting | Beijing | 100037 | China |
|
| D002712 |
| Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |