Evaluation of Perioperative Myocardial Injury in Patients Undergoing Below-Knee Lower Extremity Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAnkara City Hospital Bilkent

About this trial

The aim of this observational study was to detect myocardial damage by monitoring high-sensitive troponin I levels in patients undergoing below-knee extremity surgery with peripheral nerve block.

The primary question it aims to answer is:

How effective are peroperative high-sensitive troponin I levels in predicting myocardial damage?

High-sensitive troponin I levels will be monitored intraoperatively and at 24 and 48 hours postoperatively.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Patients over 18 years of age

Patients undergoing below-knee lower extremity surgery

Patients with ASA classifications I, II, III, and IV

Patients who have consented before the procedure

Disqualifiers

Patients in whom regional anesthesia is contraindicated

Patients who refuse to participate in the study

Trial population

Patients undergoing below-knee lower extremity surgery under peripheral nerve blockade

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • high sensitive Troponin I

    Diagnostic test

    High sensitive Troponin I used to predict myocardial damage

Treatment groups

54 Participants
are divided into 1 treatment group
Group A: All patients undergoing elective below-knee lower extremity surgery1 intervention

Trial outcomes

Primary outcomes

1

High sensitive Troponin I

peroperative High sensitive Troponin I

Time frame
01.09.2025-10.01.2026
2

High sensitive Troponin I

postoperative 24th hour High sensitive Troponin I

Time frame
01.09.2025-11.01.2026
3

High sensitive Troponin I

postoperative 48th hour High sensitive Troponin I

Time frame
01.09.2025-12.01.2026

Secondary outcomes

1

hemodynamic parameters 1

intraoperative blood pressure (mmHg)

Time frame
01.09.2025-10.01.2026
2

hemodynamic parameters 2

intraoperative oxygen saturation (%)

Time frame
01.09.2025-10.01.2026
3

hemodynamic parameters 3

heart rate (/min)

Time frame
01.09.2025-10.01.2026

Other outcomes

1

unexpected events

Sudden myocardial infarction occurring during the operation or within 1 month after the operation

Time frame
01.09.2025-10.02.2026
2

unexpected events

Cerebrovascular accident occurring during the operation or within 1 month after the operation

Time frame
01.09.2025-11.02.2026
3

unexpected events

rehospitalization during the operation and within 1 month after the operation

Time frame
01.09.2025-12.02.2026
4

unexpected events

Death during surgery or within 1 month after surgery

Time frame
01.09.2025-13.02.2026

Sponsors and contacts

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