Unique ID issued by UMIN | UMIN000003758 |
---|---|
Receipt number | R000004516 |
Scientific Title | The effect of landiolol on postoperative arterial fibrillation in aortic stenosis patients undergoing aortic valve replacement |
Date of disclosure of the study information | 2010/06/15 |
Last modified on | 2012/03/21 12:22:17 |
The effect of landiolol on postoperative arterial fibrillation in aortic stenosis patients undergoing aortic valve replacement
The effect of landiolol on postoperative arterial fibrillation in aortic stenosis patients undergoing aortic valve replacement
The effect of landiolol on postoperative arterial fibrillation in aortic stenosis patients undergoing aortic valve replacement
The effect of landiolol on postoperative arterial fibrillation in aortic stenosis patients undergoing aortic valve replacement
Japan |
Patient with aortic valve stenosis undergoing isolated aortic valve replacement
Cardiovascular surgery |
Others
NO
Arterial fibrillation occur in 10 to 40% of patients after cardiac surgery. Postoperative supraventricular arrhythmias have been shown to increase the risk of hospitalization and death in patients with cardiac surgery.
Landiolol have proven to be effective for arterial fibrillation after coronary artery bypass grafts. But there is no evidence after aortic valve replacement (AVR) with aortic valve stenosis (AS). Landiolol is an ultra short-acting beta-adrenergic receptor blocker that has a higher beta 1-selectivity(beta1/beta2=255) and a shorter elimination t1/2 (4min in healthy subjects) than any of the other currently available beta-adrenergic receptor blockers. We thought that landiolol would be suitable for intensive care unit patients due to its high beta 1-selectivity and rapid onset and offset of action.
We conducted a prospective, randomized trial of the effect of the beta-blocker landiolol on postoperative arterial fibrillation following AVR in AS patients.
Efficacy
The incidence of arterial fibrillation on 7POD.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
YES
NO
NO
2
Treatment
Medicine |
Administer a dose of 0.005mg/kg/min of landiolol for 48 hours
Not administer beta-adrenergic antagonist to patients
Not applicable |
Not applicable |
Male and Female
Patient with aortic valve stenosis scheduled for isolated aortic valve replacement
Patients who is not candidates for beta-adrenergic antagonist therapy.
1 Preoperative LVEF<30%
2 COPD with FEV1.0<50%
3 Bronchial asthma(needs steroids or ronchodilating agents)
4 angina inversa
40
1st name | |
Middle name | |
Last name | Tadanori Aizawa |
The Cardiovascular institute
cardiovascular internal medicine
3-10 Roppongi2-chome,Minato-ku,Tokyo
03-3408-2151
1st name | |
Middle name | |
Last name | Yoshitaka Kadoma |
The Cardiovascular institute
surgery
3-10 Roppongi2-chome,Minato-ku,Tokyo
03-3408-2151
kadoma@cvi.or.jp
The Cardiovascular institute
The Cardiovascular Institute
Non profit foundation
Japan
NO
心臓血管研究所附属病院(東京都)
2010 | Year | 06 | Month | 15 | Day |
Unpublished
Enrolling by invitation
2010 | Year | 06 | Month | 01 | Day |
2010 | Year | 06 | Month | 01 | Day |
2010 | Year | 06 | Month | 15 | Day |
2012 | Year | 03 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004516