Page last updated: 2024-11-02

potassium chloride and Abnormality, Heart

potassium chloride has been researched along with Abnormality, Heart in 19 studies

Potassium Chloride: A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA.
potassium chloride : A metal chloride salt with a K(+) counterion.

Research Excerpts

ExcerptRelevanceReference
"33."2.87Role of terminal warm blood cardioplegia in complex congenital heart surgery. ( Boom, CE; Busro, PW; Jusuf, AA; Rachmat, J; Romolo, H; Sadikin, M; Santoso, A; Sastroasmoro, S; Suwarto, S, 2018)
"From June 1995 to July 1997, we treated 32 congenital heart disease patients using Bretschneider cardioplegic solution and 20 patients using blood cardioplegia."1.30[Single-dose and high-volume Bretschneider cardioplegic solution for congenital heart surgery]. ( Asano, H; Kobayashi, J; Kobayashi, T; Koike, K; Kyo, S; Ogiwara, M; Omoto, R; Taketazu, M; Tsunemoto, M; Yokote, Y, 1999)
"A total of 31 pediatric cardiac patients (mean age 19 1/2 months) who required surgery for repair of various congenital heart defects were prospectively studied in the postoperative period to determine potassium (K) dose-response characteristics."1.27Intravenous KCl supplementation in pediatric cardiac surgical patients. ( Bessinger, FB; Katkov, H; Schaber, DE; Singh, A; Stone, FM; Uden, DL, 1985)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19907 (36.84)18.7374
1990's3 (15.79)18.2507
2000's1 (5.26)29.6817
2010's6 (31.58)24.3611
2020's2 (10.53)2.80

Authors

AuthorsStudies
Haranal, M1
Chin, HC1
Sivalingam, S1
Raja, N1
Mohammad Shaffie, MS1
Namasiwayam, TK1
Fadleen, M1
Fakhri, N1
Caneo, LF1
Matte, GS1
R Turquetto, AL1
Pegollo, LMC1
Amato Miglioli, MC1
T de Souza, G1
Amato, LP1
Miana, LA1
B Massoti, MR1
Penha, JG1
Tanamati, C1
Jatene, MB1
Jatene, FB1
Li, J1
Wu, Y1
Tian, X1
Wang, J1
Dong, M1
Wang, A1
Ma, S1
Busro, PW1
Romolo, H1
Sastroasmoro, S1
Rachmat, J1
Sadikin, M1
Santoso, A1
Boom, CE1
Suwarto, S1
Jusuf, AA1
Valente, AS1
Lustosa, GP1
Mota, LAM1
Lima, A1
Mesquita, FA1
Gondim, A1
Rodrigues, FA1
Pompeu, RG1
Branco, KC1
Bojan, M1
Peperstraete, H1
Lilot, M1
Tourneur, L1
Vouhé, P1
Pouard, P1
Ma, C1
Shen, DR1
Zhang, Q1
Meng, XC1
Wang, YX1
Peng, L1
Meng, BY1
Li, XW1
Lin, YZ1
Lin, H1
Huang, JB1
Tang, XM1
Long, XM1
Lu, WJ1
Wen, ZK1
Liang, J1
Li, DY1
Zhao, XF1
Young, D1
Fox, ML1
Burrows, FA1
Reid, RW1
Hickey, PR1
Laussen, PC1
Hansen, DD1
Young, JN1
Choy, IO1
Silva, NK1
Obayashi, DY1
Barkan, HE1
Asano, H1
Kyo, S1
Ogiwara, M1
Tsunemoto, M1
Yokote, Y1
Omoto, R1
Koike, K1
Kobayashi, T1
Kobayashi, J1
Taketazu, M1
Di Summa, M1
Carletta, C1
Morea, M1
Ratcliffe, JM1
Wyse, RK1
Hunter, S1
Alberti, KG1
Elliott, MJ1
Schaber, DE1
Uden, DL1
Stone, FM1
Singh, A1
Katkov, H1
Bessinger, FB1
Fluharty, AL1
Scott, ML1
Porter, MT1
Kihara, H1
Wilson, MG1
Towner, JW1
Nouaille, J1
Solov'ev, GM1
Radzivil, GG1
Mikheeva, EV1
Krohn, BG1
Urquhart, RR1
Magidson, O1
Tsuji, HK1
Redington, JV1
Kay, JH1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Custodiol Versus Blood Cardioplegaia in Paediatric Cardiac Surgery[NCT03082716]Phase 249 participants (Actual)Interventional2016-03-16Completed
Attenuation of Myocardial Dysfunction by N-Acetylcysteine in Infants Undergoing Arterial Switch Procedure[NCT00374088]Phase 221 participants (Actual)Interventional2005-02-28Completed
Custodiol-HTK Solution as a Cardioplegic Agent- A Prospective Non-Inferiority Randomized Clinical Trial[NCT01681095]Phase 2110 participants (Actual)Interventional2012-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Max Creatinine

Maximum serum creatinine over first 3 days postoperative. (NCT00374088)
Timeframe: 72 hours

Interventionmg/dL (Mean)
Placebo0.99
N-acetylcysteine0.74

Maximum Decline in Measured Cardiac Output

Serial cardiac output was measured by thermodilution. The outcome of maximum decline in indexed cardiac output from 1 hour postoperative to lowest output within 24 hours postoperative was then calculated and compared between NAC and placebo groups. (NCT00374088)
Timeframe: 24 hours

InterventionL/min/m2 (Mean)
Placebo0.68
N-acetylcysteine0.29

Urine Output

Total urine output over the first 24 hours postoperative (NCT00374088)
Timeframe: 24 hours

InterventionmL (Mean)
Placebo96
N-acetylcysteine176

All Cause Mortality

Number of participants with all-cause mortality AS reported in the Society of Thoracic Surgeons (STS) database after 30 days postoperative (NCT01681095)
Timeframe: 30 days post procedure

Interventionparticipants (Number)
Cardioplegia: Custodiol HTK Solution0
Cold Blood Cardioplegia0

Biochemical Marker - Creatine Kinase MB Isoenzyme (CK-MB)

CK-MB measured 24 hours post-operatively (NCT01681095)
Timeframe: 24 hours post procedure

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution20
Cold Blood Cardioplegia24

Biochemical Marker - Creatine Kinase MB Isoenzyme (CK-MB)

CK-MB measured 48 hours post-operatively (NCT01681095)
Timeframe: 48 hours post procedure

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution6.0
Cold Blood Cardioplegia7.8

Biochemical Marker - Creatine Kinase MB Isoenzyme (CK-MB)

CK-MB measured pre-operatively (NCT01681095)
Timeframe: pre-operative

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution1.9
Cold Blood Cardioplegia2.6

Cardiac Dysrhythmias

Number of participants with new or worsening of cardiac dysrhythmias (NCT01681095)
Timeframe: up to 36 hrs post surgery

Interventionparticipants (Number)
Cardioplegia: Custodiol HTK Solution24
Cold Blood Cardioplegia30

Cardiac Marker - Troponin-I

Troponin-I measured 24 hours post-operative (NCT01681095)
Timeframe: 24 hours post procedure

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution5.7
Cold Blood Cardioplegia7.8

Cardiac Marker - Troponin-I

Troponin-I measured 48 hours post-operative (NCT01681095)
Timeframe: 48 hours post procedure

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution3.0
Cold Blood Cardioplegia4.8

Cardiac Marker - Troponin-I

Troponin-I measured pre-operatively (NCT01681095)
Timeframe: pre-operatively

Interventionng/mL (Mean)
Cardioplegia: Custodiol HTK Solution.03
Cold Blood Cardioplegia.03

Cardiovascular Mortality

Number of participants with cardiovascular-related mortality AS reported in the Society of Thoracic Surgeons (STS) database after 30 days postoperative (NCT01681095)
Timeframe: 30 days post procedure

Interventionparticipants (Number)
Cardioplegia: Custodiol HTK Solution0
Cold Blood Cardioplegia0

Change in Creatine Phosphokinase-MB Isoenzyme (CK-MB)

Creatine phosphokinase MB isoenzyme (CK-MB) difference from baseline 7 hours post surgery (NCT01681095)
Timeframe: Baseline and 7 hours post surgery

Interventionng/mL (Median)
Cardioplegia: Custodiol HTK Solution18.8
Cold Blood Cardioplegia22.2

Change in Troponin I

Troponin I values, difference from baseline 7 hours post surgery (NCT01681095)
Timeframe: Baseline and 7 hours post surgery

Interventionng/mL (Median)
Cardioplegia: Custodiol HTK Solution9.65
Cold Blood Cardioplegia10.15

Changes in Left Ventricular (LV) Ejection Fraction (EF) by Transthoracic Echocardiogram (TTE)

LV ejection fraction by TTE, difference from baseline at 24 hours post surgery (NCT01681095)
Timeframe: Baseline and 24 hours post surgery

Intervention% LV volume (Mean)
Cardioplegia: Custodiol HTK Solution-0.06
Cold Blood Cardioplegia1.9

Duration of Vasopressor / Inotropic Agent

Total time in minutes on any vasopressor or inotropic agent, including norepinephrine, epinephrine, vasopressin, milrinone, dobutamine, dopamine and/or neo-synephrine (NCT01681095)
Timeframe: up to 36 hours post procedure

Interventionminutes (Median)
Cardioplegia: Custodiol HTK Solution340
Cold Blood Cardioplegia582

Intensive Care Unit (ICU) Length of Stay

Duration of stay in ICU, from ICU admission to ICU discharge (NCT01681095)
Timeframe: up to 100 days after admission

Interventiondays (Median)
Cardioplegia: Custodiol HTK Solution3
Cold Blood Cardioplegia3

Myocardial Infarction

Number or participants fulfilling at least two of the following 3 criteria: (1) CK-MB of 100 ug/L or more and/or troponin-I of 3.0 ug/L or more, (2) appearance of new postoperative Q waves on the EKG of more than 0.03 seconds, and (3) a new hypokinetic or akinetic area in the left or right ventricle by echocardiography. (NCT01681095)
Timeframe: up to 36 hours post procedure

Interventionparticipants (Number)
Cardioplegia: Custodiol HTK Solution0
Cold Blood Cardioplegia0

Postoperative Inotropic Infusion >20 Minutes

Number of patients receiving vasopressor or inotropic infusion for greater than 20 minutes in the operating room, including norepinephrine, epinephrine, vasopressin, milrinone, dobutamine, dopamine and/or neo-synephrine. (NCT01681095)
Timeframe: during operative procedure

Interventionparticipants (Number)
Cardioplegia: Custodiol HTK Solution47
Cold Blood Cardioplegia43

Time on Mechanically Assisted Ventilation

time in hours from intubation to extubation, with intervening transport to the cardiac critical care unit. (NCT01681095)
Timeframe: up to 36 hours post procedure

Interventionhours (Median)
Cardioplegia: Custodiol HTK Solution10.5
Cold Blood Cardioplegia11.4

Trials

6 trials available for potassium chloride and Abnormality, Heart

ArticleYear
Safety and Effectiveness of Del Nido Cardioplegia in Comparison to Blood-Based St. Thomas Cardioplegia in Congenital Heart Surgeries: A Prospective Randomized Controlled Study.
    World journal for pediatric & congenital heart surgery, 2020, Volume: 11, Issue:6

    Topics: Cardioplegic Solutions; Cardiopulmonary Bypass; Child, Preschool; Electrolytes; Female; Heart Arrest

2020
Role of terminal warm blood cardioplegia in complex congenital heart surgery.
    Asian cardiovascular & thoracic annals, 2018, Volume: 26, Issue:3

    Topics: Apoptosis; Arrhythmias, Cardiac; Biomarkers; Cardiac Output, Low; Cardioplegic Solutions; Caspase 3;

2018
Comparative Analysis of Myocardial Protection with HTK Solution and Hypothermic Hyperkalemic Blood Solution in the Correction of Acyanogenic Congenital Cardiopathies - A Randomized Study.
    Brazilian journal of cardiovascular surgery, 2019, 06-01, Volume: 34, Issue:3

    Topics: Analysis of Variance; Cardioplegic Solutions; Creatine Kinase, MB Form; Double-Blind Method; Echocar

2019
[Protective effect of cold autologous blood cardioplegic solution on the heart of infants with cyanotic congenital heart disease].
    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics, 2013, Volume: 15, Issue:6

    Topics: Cardioplegic Solutions; Cardiopulmonary Bypass; Energy Metabolism; Female; Glucose; Heart Defects, C

2013
Antegrade cold blood cardioplegia is not demonstrably advantageous over cold crystalloid cardioplegia in surgery for congenital heart disease.
    The Journal of thoracic and cardiovascular surgery, 1997, Volume: 114, Issue:6

    Topics: Bicarbonates; Blood; Calcium Chloride; Cardioplegic Solutions; Child, Preschool; Female; Heart Arres

1997
The role of the priming fluid in the metabolic response to cardiopulmonary bypass in children of less than 15 kg body weight undergoing open-heart surgery.
    The Thoracic and cardiovascular surgeon, 1988, Volume: 36, Issue:2

    Topics: Blood Glucose; Blood Proteins; Cardioplegic Solutions; Cardiopulmonary Bypass; Electrolytes; Glucona

1988

Other Studies

13 other studies available for potassium chloride and Abnormality, Heart

ArticleYear
Initial experience with del Nido cardioplegia solution at a Pediatric and Congenital Cardiac Surgery Program in Brazil.
    Perfusion, 2022, Volume: 37, Issue:7

    Topics: Brazil; Cardiac Output, Low; Cardiac Surgical Procedures; Cardioplegic Solutions; Child; Electrolyte

2022
Protective effect of HTK solution on postoperative pulmonary function in infants with CHD and PAH.
    Bioscience reports, 2017, Dec-22, Volume: 37, Issue:6

    Topics: Cardiopulmonary Bypass; Child, Preschool; Female; Glucose; Heart Defects, Congenital; Humans; Hypert

2017
Cold histidine-tryptophan-ketoglutarate solution and repeated oxygenated warm blood cardioplegia in neonates with arterial switch operation.
    The Annals of thoracic surgery, 2013, Volume: 95, Issue:4

    Topics: Blood Transfusion; Cardiac Surgical Procedures; Cardioplegic Solutions; Coronary Vessels; Female; Fo

2013
Histidine-tryptophan-ketoglutarate solution decreases mortality and morbidity in high-risk patients with severe pulmonary arterial hypertension associated with complex congenital heart disease: an 11-year experience from a single institution.
    Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas, 2016, Volume: 49, Issue:6

    Topics: Analysis of Variance; Cardioplegic Solutions; Cardiopulmonary Bypass; Child, Preschool; Female; Gluc

2016
Shortage of pharmacists may have contributed to patient's death.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2002, Nov-01, Volume: 59, Issue:21

    Topics: Fatal Outcome; Heart Defects, Congenital; Humans; Infant, Newborn; Medication Errors; New York City;

2002
The influence of cardiopulmonary bypass on ionized magnesium in neonates, infants, and children undergoing repair of congenital heart lesions.
    Anesthesia and analgesia, 1997, Volume: 84, Issue:3

    Topics: Adolescent; Adult; Arrhythmias, Cardiac; Bicarbonates; Calcium Chloride; Cardioplegic Solutions; Car

1997
[Single-dose and high-volume Bretschneider cardioplegic solution for congenital heart surgery].
    Kyobu geka. The Japanese journal of thoracic surgery, 1999, Volume: 52, Issue:1

    Topics: Cardiac Surgical Procedures; Cardioplegic Solutions; Child, Preschool; Glucose; Heart Arrest, Induce

1999
[Myocardial protection from cardioplegic and hypothermia during aortic cross-clamping (author's ttrans)].
    Giornale italiano di cardiologia, 1979, Volume: 9, Issue:3

    Topics: Adenosine Triphosphate; Aorta; Calcium Chloride; Cardiac Surgical Procedures; Constriction; Coronary

1979
Intravenous KCl supplementation in pediatric cardiac surgical patients.
    Pediatric cardiology, 1985, Volume: 6, Issue:1

    Topics: Adolescent; Adult; Child; Child, Preschool; Dose-Response Relationship, Drug; Female; Heart Defects,

1985
Acid -glucosidase in amniotic fluid.
    Biochemical medicine, 1973, Volume: 7, Issue:1

    Topics: Amniotic Fluid; Carbon Isotopes; Cardiomegaly; Clinical Enzyme Tests; Disaccharides; Drug Stability;

1973
[Medical treatment of heart failure in infants and young children].
    La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris, 1969, Jan-20, Volume: 45, Issue:4

    Topics: Anti-Bacterial Agents; Anticoagulants; Aortic Coarctation; Bradycardia; Chlorothiazide; Diet, Sodium

1969
[Treatment of potassium balance disturbances by parenteral administration of large doses of potassium chloride in patients operated upon under conditions of extracorporeal circulation. 2].
    Kardiologiia, 1969, Volume: 9, Issue:11

    Topics: Diuresis; Electrocardiography; Extracorporeal Circulation; Heart Defects, Congenital; Humans; Hypoka

1969
Metabolic alkalosis following heart surgery.
    The Journal of thoracic and cardiovascular surgery, 1968, Volume: 56, Issue:5

    Topics: Alkalosis; Blood Urea Nitrogen; Carbon Dioxide; Cardiac Surgical Procedures; Chlorides; Extracorpore

1968