Atrial Fibrillation Clinical Trial
Official title:
ALDOsterone for Prediction of Post-Operative Atrial Fibrillation
Post-operative atrial fibrillation (POAF) is a major and frequent complication occurring
after cardiac surgery, contributing to prolonged intensive care and hospital stays and is
associated with several cardiovascular complications. The exact mechanisms and signaling
pathways involved in the development of POAF seem to be multifactorial and remain to date
incompletely understood. β-blockers and amiodarone are the first line preventive drugs but
are partially effective and near 30% of POAF resist to these strategies. In this context,
there is some evidence indicating that renin-angiotensin-aldosterone system and Galectin-3
(Gal-3) share signaling pathways in the development of cardiac fibrosis and therefore could
be very useful predictive biomarkers of POAF and potentially interesting therapeutic target
to prevent POAF occurrence.
The investigators hypothesis is that preoperative plasma aldosterone levels and galectin-3
(Gal-3) expression (in plasma, right atrial appendage or epicardial fat) could be predictive
of POAF in patients undergoing elective CABG surgery with preserved LVEF.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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