About this trial
The goal of this clinical trial is to learn whether temporary atrial pacing improves heart function after cardiac surgery under cardiopulmonary bypass (CPB). It will also help determine the best pacing rate during the first 24 hours after surgery. The main questions it aims to answer are:
* Does atrial pacing improve cardiac output after surgery? * Is 70, 80, or 90 bpm the most effective pacing rate? * Does pacing reduce the risk of atrial fibrillation after surgery?
Eligibility criteria
Qualifiers
Patients aged 18 years or older
Cardiac surgery under CPB (coronary artery bypass grafting, valve replacement or repair, or combined procedures)
Placement of epicardial atrioventricular pacing wires during surgery
Placement of a Swan-Ganz catheter intraoperatively
Disqualifiers
Emergency surgery
Patients with an internal pacemaker
History of permanent atrial fibrillation
Complete atrioventricular block upon weaning from CPB
Trial design
Treatments tested in this trial
- Pacing Protocol for Pacing Group
- Pacing Protocol for Non-pacing Group