Pilot - Peri-operative Beta Blockade
NCT02746575 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2020-01-30
Summary
Perioperative cardiac adverse events \[heart injuries caused by general anesthesia and surgical procedures\] are a significant public health issue, with more than 60,000 deaths per annum in patients having surgery for non-heart related issues. There are virtually no evidence-based medical strategies for effective prevention of these events. Preoperative drug treatment with beta blockade drugs used for high blood pressure, perioperative therapy with lipid lowering drugs such as statins, alpha-receptor agonists such as clonidine used for high blood pressure, and aspirin have all been investigated as potential mitigating treatments, but without positive clinical outcomes and, in some cases, creating more hemodynamic instabilities that result in heart injury. In light of this, investigators propose to evaluate the safety and efficacy of using increasing doses of beta blockade drugs immediately after surgery and to assess the value of high-sensitivity cardiac troponin level testing of the blood in predicting those patients who would benefit most from perioperative beta blocker therapy.
Conditions
- Adrenergic Beta-Receptor Blockader
- Troponin Levels
- Cardiomyopathy, Post-surgical
Interventions
- DRUG
-
metoprolol
Sponsors & Collaborators
-
Washington University School of Medicine
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 51 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-10-31
- Completion
- 2017-10-31
Countries
- United States
Study Locations
More Related Trials
-
Metoprolol and Formoterol in Chronic Obstructive Pulmonary Disease (COPD)
NCT00288548 ·Status: UNKNOWN ·Phase: PHASE4
-
The Contemporary Role of Beta Blockers in Patients With Acute Myocardial Infarction
NCT04564365 ·Status: UNKNOWN
-
Use of Beta Blockers in Elderly Trauma Patients
NCT00302692 ·Status: UNKNOWN ·Phase: PHASE2
-
Effect of BMS-914392 on Pharmacokinetics of Metoprolol
NCT01211821 ·Status: COMPLETED ·Phase: PHASE1
-
The Influence of Beta Blocker Therapy on the Hemodynamic Response to Inotrope Infusion in Patients With Acute Decompensated Heart Failure
NCT01971944 ·Status: COMPLETED
-
Inhaled Milrinone in Cardiac Surgery
NCT01725776 ·Status: COMPLETED ·Phase: PHASE2
-
Premedication With Atenolol Versus Metoprolol for Controlled Hypotensive Anesthesia During Nasal Surgeries
NCT04914234 ·Status: RECRUITING ·Phase: PHASE4
-
Effect of Etomidate on Hemodynamics and Adrenocortical Function After Cardiac Surgery
NCT00415701 ·Status: COMPLETED ·Phase: PHASE4
-
Esmolol for Myocardial Protection in Hypertrophic Obstructive Cardiomyopathy
NCT05073094 ·Status: UNKNOWN ·Phase: PHASE4
-
Microcirculatory Effects of Methylene Blue
NCT04250389 ·Status: COMPLETED
-
The Effectiveness of Metoprolol in the Prevention of Syncope Recurrence in Children and Adolescents
NCT00475462 ·Status: COMPLETED ·Phase: NA
-
Comparison of 2 Beta Blocker Drugs on Peripheral Arterial Disease in Patients With High Blood Pressure
NCT01499134 ·Status: COMPLETED ·Phase: PHASE3
-
Sex-related Differences in Sympathetic Vascular Transduction in the Setting of Hypoxemia
NCT05256069 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Perioperative Effect of Atenolol on Cytokine Profiles
NCT00202358 ·Status: UNKNOWN ·Phase: PHASE4
-
PeRiOperaTivE CardioproTection With Ivabradine in Non-cardiac Surgery
NCT04436016 ·Status: COMPLETED ·Phase: PHASE4
-
Moxonidine in Patients Undergoing Vascular Surgery
NCT00244504 ·Status: TERMINATED ·Phase: PHASE3
-
Intracoronary of Nicorandil and Verapamil to Reduce the Occurrence of Periprocedural Myocardial Injury
NCT05399576 ·Status: UNKNOWN ·Phase: PHASE2
-
The Effect of Metoprolol in Patients With Hypertrophic Obstructive Cardiomyopathy.
NCT03532802 ·Status: COMPLETED ·Phase: PHASE2
-
Beta-blockers in i-PAH
NCT01246037 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Different β -Blockers in STEMI and Primary PCI
NCT04221919 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Long-term Safety and Tolerability of Metoprolol Versus Nebivolol in Patients With Hypertension
NCT00142584 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Beta-blocker Therapy on QTc Response in Exercise and Recovery in Normal Subjects
NCT00588965 ·Status: COMPLETED ·Phase: NA
-
Assessment of Metoprolol in the Prevention of Vasovagal Syncope in Aging Subjects
NCT02123056 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Tolerability of Metoprolol-Succinate-ER and Carvedilol in COPD
NCT03370835 ·Status: COMPLETED ·Phase: PHASE4
-
Association of Beta-Blocker Therapy at Discharge With Clinical Outcomes in Patients With Actue Coronary Syndrome
NCT03658577 ·Status: UNKNOWN