Ischemia Clinical Trial
Official title:
A Randomized Control Trial of Effect of Remote Ischemic Postconditioning on Children Undergoing Cardiac Surgery
Cardiac surgery is associated with cardiac and cerebral injury because of ischemia/reperfusion in approximately one third of cases. Ischemic preconditioning (IPC), have been shown to reduce the extent of myocardial infarction (MI). As another ischemic conditioning, remote ischemic postconditioning, limits MI size in animal models. The purpose of this study is to evaluate the cardiac and cerebral protective effect of remote ischemic postconditioning in children undergoing cardiac surgery, as a single-center, randomized controlled trial.
Cardiac surgery is associated with Troponin release because of ischemia/reperfusion injury
in approximately one third of cases. And I/R injury may also induce cerebral insult, even
Postoperative Cognitive Dysfunction (POCD).Transient sublethal episodes of ischemia before a
prolonged ischemia/reperfusion injury, known as ischemic preconditioning (IPC), have been
shown to reduce the extent of myocardial infarction (MI).And remote ischemic
postconditioning(RIPoC), as another ischemic condition, limits MI size in animal models.
However, there are limited outcome to demonstrate protection from RIPoC during cardiac
surgery. The purpose of this study is to investigate the cardiac and cerebral protective
effect of remote ischemic postconditioning , as a single-center, randomized controlled
trial.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Prevention
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