RecruitingNCT05833828

Differential Regulation of RAAS-axis in Patients Undergoing Cardiac Surgery

Differences in Plasma Concentration of RAAS-axis Hormones in Patients Undergoing Cardiac Surgery With or Without Cardiopulmonary Bypass


Sponsor

Universität Münster

Enrollment

40 participants

Start Date

Aug 24, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

This study investigates the question of whether there are differences in the plasma concentration of hormones of the RAAS-axis between patients undergoing on-pump cardiac surgery and those receiving off-pump surgery


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • adult patients undergoing on- or off-pump coronary artery bypass graft surgery
  • written informed consent

Exclusion Criteria8

  • emergency surgery in the context of acute coronary syndrome
  • ACE-inhibitor or Angiotensin 1 (AT1)-receptor-blocker intake that was not paused on the day of surgery
  • Chronic kidney disease with estimated glomerular filtration rate (eGFR)\<30ml/min/1.73m²
  • Severe structural lung disease (asbestosis, silicosis, severe sarcoidosis, tuberculosis, severe emphysema, chronic obstructive pulmonary disease (COPD) Gold 3-4, lung fibrosis)
  • Chronic pulmonary hypertension
  • Pregnancy or breastfeeding
  • Persons with any kind of dependency on the investigator or employed by the institution responsible or investigator
  • Persons held in an institution by legal or official order

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Interventions

PROCEDUREon-pump surgery

the surgery will be performed "on-pump"

PROCEDUREoff-pump surgery

the surgery will be performed "off-pump"


Locations(2)

Deutsches Herzzentrum der Charité

Berlin, Germany

University Hospital Münster; Department of Anesthesiology, Intensive Care Medicine and Pain Medicine

Münster, Germany

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NCT05833828


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