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Dapagliflozin and Right Heart Function After Off-Pump Heart Bypass Surgery

Observes dapagliflozin's effect on right heart function after bypass surgery in 72 patients.

Key facts

Who runs it
Pyatigorsk City Clinical Hospital Number 1
Where
Pyatigorsk, RussiaSee the site
Trial code
Registry title
Effect of Dapagliflozin on Right Ventricular-Pulmonary Artery Coupling After Off-Pump Coronary Atery Bypass Grafting
Status
Recruiting
People taking part
72 people, planned
Started
1 Jul 2026
Expected to end
1 Jul 2028
Type of study
Observational
Record updated
17 June 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with a weakened heart pump (LVEF below 50%) who are having planned off-pump coronary artery bypass surgery alone.

Age
18 years or older
Sex
All sexes can join.
Disease stage
Left ventricular ejection fraction (LVEF) below 50% on the heart scan before surgery; planned (elective) bypass surgery on a beating heart (off-pump).
Earlier treatment
No earlier bypass surgery or other heart surgery.

Main reasons for not taking part

  • Valve surgery at the same time
  • Emergency or urgent bypass surgery
  • Heart attack around the time of surgery, or cardiogenic shock
  • Severe chronic kidney disease (eGFR below 25 mL/min/1.73 m²)
  • Pregnancy or breastfeeding

The registry criteria, word for word

Show all 16 criteriaShow less

Who can take part

  • Age ≥ 18 years
  • Elective isolated off-pump coronary artery bypass grafting (OPCAB)
  • Left ventricular ejection fraction (LVEF) < 50% documented on pre-operative echocardiography
  • Written informed consent

Who cannot take part

  • Concomitant valve surgery
  • Conversion to on-pump during surgery
  • Previous CABG or any prior cardiac surgery
  • Contraindication to SGLT2 inhibitors
  • Perioperative myocardial infarction (as defined by the Fourth Universal Definition of MI)
  • More than moderate valvular heart disease
  • Severe chronic kidney disease (eGFR < 25 mL/min/1.73 m²)
  • Emergency or urgent CABG
  • Cardiogenic shock
  • Persistent atrial fibrillation or atrial flutter at the time of echocardiographic examination)
  • Inability to obtain adequate echocardiographic windows
  • Pregnancy or breastfeeding

Where in Russia

  • Pyatigorsk City Clinical Hospital Number 1Pyatigorsk, RussiaContact: Samson S. Badalyan, MD, PhDTaking people

About the trial

What the trial wants to find out

This prospective, single-center observational study evaluates the effect of dapagliflozin 10 mg/day on right ventricular-pulmonary artery coupling measured by the TAPSE/PASP ratio in 72 patients with left ventricular ejection fraction <50% after off-pump coronary artery bypass grafting (OPCAB). The primary outcome is the change in TAPSE/PASP ratio from 1 month after surgery (before dapagliflozin) to 7 months after surgery (after 6 months of dapagliflozin therapy).

The group in the trial

  • Dapagliflozin Group

    Patients receiving dapagliflozin 10 mg once daily starting at 1 month after off-pump CABG

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Effect of Dapagliflozin on Right Ventricular-Pulmonary Artery Coupling After Off-Pump Coronary Artery Bypass Grafting: a Prospective Single-Center Study
Plain-language title
Dapagliflozin and Right Heart Function After Off-Pump Heart Bypass SurgeryGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
17 June 2026