Nerve block before heart surgery may shield muscle from damage
NCT ID NCT06476925
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a left stellate ganglion block, given before mitral valve replacement, could protect the heart muscle. 62 adults undergoing elective on-pump mitral valve replacement received either a saline placebo or bupivacaine nerve block. Researchers checked for microscopic heart muscle injury, arrhythmias, and troponin levels. The goal is to see if this simple procedure can reduce damage and improve recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine
- What this could lead to
- If it works, this could lead to a simple procedure that reduces heart muscle damage and irregular heartbeats after mitral valve replacement.
- What could go wrong
- This is a small, single-center study with only 62 participants. The results may not apply to all heart surgery patients, and nerve blocks carry risks like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
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
-
62 people
The number who actually took part.
- Started
-
Jul 2024
- Finished
-
Mar 2025
- Lead sponsor
-
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
-
25 to 50 years
- Sex
-
Anyone
- Healthy volunteers
-
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: * Adult population of both sex, between 25-50 years, will undergo elective on pump mitral valve replacement Exclusion Criteria: * -Combined valve replacement ( mitral and aortic or mitral and tricuspid valves replacement). * Emergency valve replacement ( stuck valve, infective endocarditis). * Pre-operative cardiomyopathy (Ejection fraction less than 45%). * Recent myocardial infarction ( within 6 months) * Redo mitral valve replacement. * Pre-operative pacing, or cardioverter, any form arrhythmia ( tachy or brady). * Previous history of carotid endarterectomy or presence of carotid stent. * On thrombolytic therapy. * Severe chronic obstructive airway disease, * Patient refusal
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Mina Raouf
Minya, Minya Governorate, 61511, Egypt
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