Short-Term Atrial Pacing and Hemodynamics After Cardiac Surgery

NARecruitingINTERVENTIONAL
Enrollment

200

Participants

Timeline

Start Date

August 4, 2025

Primary Completion Date

June 30, 2026

Study Completion Date

September 30, 2026

Conditions
Cardiac Output
Interventions
PROCEDURE

Pacing Protocol for Pacing Group

"At four standardized time points (H0: arrival in the ICU, H6, H12, H24), a transient pacing sequence at 70, 80, and 90 bpm is conducted, with each rate applied for 10 minutes to allow stabilization, followed by recording of the hemodynamic profile and blood pressure, as follows:~* If the patient has a spontaneous rhythm between 50 and 69 bpm, measurements are taken at the spontaneous rate, then at 70 bpm, 80 bpm, and finally 90 bpm~* If the patient has a spontaneous rhythm between 70 and 79 bpm, measurements are taken at the spontaneous rate, then at 80 bpm, and finally at 90 bpm~* If the patient has a spontaneous rhythm between 80 and 89 bpm, measurements are taken at the spontaneous rate, then at 90 bpm~* If the patient has a spontaneous rhythm ≥ 90 bpm, measurements are taken at the spontaneous rate only"

PROCEDURE

Pacing Protocol for Non-pacing Group

"At H0, H6, H12, and H24, they will undergo transient pacing at 70, 80, and 90 bpm, following the same measurement protocol (10 minutes per rate), followed by recording of the hemodynamic profile and blood pressure, as follows:~* If the patient has a rhythm between 50 and 69 bpm, measurements will be taken at the spontaneous rate, then at 70 bpm, 80 bpm, and finally 90 bpm~* If the patient has a rhythm between 70 and 79 bpm, measurements will be taken at the spontaneous rate, then at 80 bpm, and finally at 90 bpm~* If the patient has a rhythm between 80 and 89 bpm, measurements will be taken at the spontaneous rate, then at 90 bpm~* If the patient has a rhythm ≥ 90 bpm, measurements will be taken at the spontaneous rate only~Outside the pacing periods at different rates, patients in the non-pacing group will remain on their spontaneous sinus rhythm."

Trial Locations (1)

Unknown

RECRUITING

Department of Anesthesia and Critical Care, Hôtel-Dieu de France Hospital, Beirut

All Listed Sponsors
lead

Saint-Joseph University

OTHER

NCT07082283 - Short-Term Atrial Pacing and Hemodynamics After Cardiac Surgery | Biotech Hunter | Biotech Hunter