Early treatment of slow heart rate during surgery may cut need for blood pressure drugs
NCT ID NCT06922097
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This study looked at 186 adults aged 50 and older having non-cardiac surgery. It compared giving atropine (a drug to speed up the heart) when the heart rate dropped below 60 beats per minute versus waiting until it dropped below 30 beats per minute. The goal was to see if earlier treatment reduced the amount of norepinephrine needed to keep blood pressure stable. The findings help guide how doctors manage slow heart rates during surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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186 people
The number who actually took part.
- Started
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Apr 2025
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Consenting patients ≥50 years scheduled for elective non-cardiac surgery with general anesthesia that is expected to last ≥60 minutes with at least two of the following risk criteria for developing acute kidney injury: * Age ≥65 years * American Society of Anesthesiologists physical status III or IV * Chronic arterial hypertension * Diabetes mellitus requiring medication * Intraabdominal surgery * Preoperative renal insufficiency (serum creatinine ≥1.2 mg/dL) Exclusion Criteria: Patients with the following exclusion criteria: contraindication for atropine administration (e.g., myasthenia gravis, high-grade aortic stenosis, high-grade coronary artery disease, glaucoma, paralytic ileus, prostatic hypertrophy); renal replacement therapy within the previous 3 months; chronic kidney disease with an estimated glomerular filtration rate \<20 mL/min/1.73 m2; pregnancy.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University Medical Center Hamburg-Eppendorf
Hamburg, 20246, Germany