Preoperative Maltodextrin's Effect on Cardiac Function in Cardiac Surgery

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorJewish General Hospital

About this trial

A randomized, controlled, double-blinded clinical trial evaluating the effect of the administration of a Maltodextrin solution on cardiac function in patients presenting for coronary artery bypass grafting surgery with a reduced left ventricular ejection fraction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years of age or older

Presenting for coronary artery bypass grafting surgery

Preoperative left ventricular ejection fraction < 50%

First case of the day (7:30am start time)

Disqualifiers

Dysphagia, gastroparesis

Cannot tolerate oral intake

Celiac disease

Type 1 diabetes

Trial design

Design model

Parallel

Treatments tested in this trial

  • Maltodextrin solution

    Drug

    The oral preparation of 50 grams of Maltodextrin solution mixed in 400 mL of water

  • Placebo solution

    Drug

    Specifically formulated placebo to provide a similar taste and texture to Maltodextrin, without the same carbohydrate characteristics

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Placebo GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Intraoperative three-dimensional left ventricular ejection fraction (3-D LVEF)

LVEF as measured from a 3-D dataset

Time frame
After induction of anesthesia, prior to the start of surgery, and at the conclusion of surgery, just after chest closure

Secondary outcomes

1

Right Ventricular 3-D EF

Right ventricular ejection fraction as measured from a 3-D dataset

Time frame
After induction of anesthesia, prior to the start of surgery, and at the conclusion of surgery, just after chest closure
2

Left Ventricular Strain

Strain values obtain by left ventricular speckle tracking

Time frame
After induction of anesthesia, prior to the start of surgery, and at the conclusion of surgery, just after chest closure
3

E/e' ratio

early diastolic mitral inflow velocity to early diastolic mitral annulus velocity

Time frame
After induction of anesthesia, prior to the start of surgery, and at the conclusion of surgery, just after chest closure
4

Cardiac Index

Cardiac index, defined as cardiac output / body surface area, as measured by pulmonary artery catheter

Time frame
After induction of anesthesia, prior to the start of surgery, and at the conclusion of surgery, just after chest closure

Other outcomes

Sponsors and contacts

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