Using Remimazolam to Reduce Postoperative Atrial Fibrillation in Heart Surgery
Official title: The Effect of Remimazolam on Postoperative New-onset Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting
Run by Yangzhou University · NCT05891145 · Data updated 2026-11-12
This study is testing if a new sedative called remimazolam can help prevent heart rhythm problems after heart surgery in patients having bypass surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years to 70 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Yangzhou University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Yangzhou, Jiangsu) |
| Status | Recruiting |
| Started | February 1, 2023 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | June 6, 2023 |
| Trial ID | NCT05891145 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 50-70 years undergoing selective CABG surgery with a BMI between 18-28 kg/m2.
✕Probably not a fit
Patients undergoing emergency surgery or those with pre-existing cardiac conditions or significant comorbidities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of remimazolam, a newly approved sedative with anti-inflammatory properties, in reducing the incidence of postoperative atrial fibrillation (POAF) in patients undergoing coronary artery bypass grafting (CABG). The study will enroll 50 patients, who will be randomly assigned to receive either remimazolam or a control treatment. Blood levels of inflammatory markers, stress hormones, and myocardial injury indicators will be measured to assess the drug's impact. This pilot study aims to gather data for a larger double-blind randomized controlled trial.
Why it matters
Potential benefit: If successful, this study could provide a new therapeutic option to significantly reduce the occurrence of postoperative atrial fibrillation in heart surgery patients.
How similar studies have gone: While the use of remimazolam is novel in this context, other studies have shown promising results with anti-inflammatory approaches to reduce postoperative complications.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 50-70 years old; * BMI 18-28 kg/m2; * Selective CABG surgery will be performed at the Yangzhou Institute Heart and Great Vessels, the Affiliated Hospital of Yangzhou University, Yangzhou, China. * Patients agree to participate in this study and sign the informed consent form. Exclusion Criteria: * Emergency surgery; * with any other type of cardiac surgery; * pre-operative supraventricular arrhythmia; * with moderate or severe valve disease before surgery; * with a history of chemotherapy or radiotherapy; * with a history of thoracic or cardiovascular surgery; * diuretics usage before the surgery.
Where it's running
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The Affiliated Hospital of Yangzhou University.
Yangzhou, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Xiaojun He, MD, Ph.D.
- Email: xhe34baltimore@163.com
- Phone: +86-13524954567
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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CCTA-Guided CABG vs CAG-Guided CABG
This study tests whether planning CABG with a non-invasive CCTA scan works as well as planning with the standard invasive CAG approach for people with blocked heart arteries.
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Personalized dosing of remimazolam during general anesthesia using the Eleveld PK/PD model
This trial tests whether a model-guided dosing strategy for remimazolam, tailored to each patient, can improve recovery after general anesthesia in adults undergoing non-cardiac surgery compared with standard dosing.
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Patient-controlled remimazolam sedation under spinal anesthesia for hip replacement
In adults having hip replacement with spinal anesthesia, this study tests whether letting patients control their own sedation with remimazolam works as well as standard clinician-controlled sedation.
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Remimazolam effects on brain activity, pain response, and memory during MRI
This project sees if the sedative remimazolam changes thinking, pain responses, and brain connectivity in healthy adults aged 18–59 during MRI scans.
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No-touch ascending aorta approach during minimally invasive coronary bypass
This tests whether a 'no-touch' way of handling the ascending aorta during minimally invasive coronary bypass keeps bypass grafts open as well as conventional off-pump bypass for people who need coronary artery bypass surgery.
-
Desflurane versus propofol anesthesia for coronary artery bypass surgery
This study will test whether using the inhaled anesthetic desflurane instead of propofol during anesthesia reduces serious postoperative cardiac complications in adults having coronary artery bypass graft surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.