A quick heart check might flag who will crash after spinal anesthesia

NCT ID NCT07765342

First seen Aug 14, 2026 ยท Last updated Aug 14, 2026

Summary

This study looks at whether a simple heart measure, called the diastolic shock index, can predict a sudden drop in blood pressure after spinal anesthesia. It will include adults aged 50 and older having elective inguinal hernia surgery under spinal anesthesia. Researchers will record routine heart and blood pressure readings before and after the anesthesia to see if this index, along with other shock indices, can identify who is likely to develop postspinal hypotension. The goal is to improve safety by spotting at-risk patients early, without adding any extra procedures.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
No intervention is tested; the study observes routine spinal anesthesia and records hemodynamic parameters.
What this could lead to
If the diastolic shock index proves accurate, it could help doctors identify patients at higher risk of postspinal hypotension and take preventive steps.
What could go wrong
This is a small observational study, so results may not apply broadly. The index may not outperform existing measures, and no treatment is being tested.

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