Atrial Fibrillation Clinical Trial
Official title:
Prevention of Atrial Fibrillation Following Valvular Replacement With Cardiopulmonary Bypass: a Prospective, Randomized Clinical Study Comparing Oral Caffeine With Placebo
Atrial fibrillation remains a major cause of morbidity following cardiac surgery with
cardiopulmonary bypass. Many mechanisms have been implicated. Among then, adenosine, a
strong endogenous vasodilating agent has been involved in cardiac surgery-induced atrial
fibrillation, via A2A receptors modulation.
The effects of caffeine on the inducibility of atrial fibrillation are actually well-known,
leading then to a significant reduction of atrial fibrillation. Moreover, a recent clinical
study has demonstrated that coffee drinking was inversely associated with total and
cause-specific mortality.
The investigators therefore examined the preventive effects of oral caffeine on valvular
surgery with cardiopulmonary bypass-induced atrial fibrillation. The investigators also
evaluated prospectively the influence of caffeine on adenosine plasma levels and A2A
adenosine receptors modulation.
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