Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial

Objective: The aim of this study was to evaluate the effect of crocin on the prevention of atrial fibrillation after coronary artery bypass grafting (CABG) and heart valve replacement.Materials and Methods: 100 patients who were scheduled for CABG or heart valve replacement surgeries were randomly a...

Full description

Bibliographic Details
Main Authors: Seyyed Hamed Hashemi Shahri, Ghasem Soltani, Mohammad Abbasi Teshnizi, Aliasghar Moeinipour, Mohammad Tayyebi, Reza Javidi Dasht Bayaz, Farshad Abedi, Vahid Ghavami, Shahram Amini, Amir Hooshang Mohammadpour
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2022-11-01
Series:Avicenna Journal of Phytomedicine
Subjects:
Online Access:https://ajp.mums.ac.ir/article_20908_afa0be2914f722628d40b25d72d428e0.pdf
_version_ 1797989663429885952
author Seyyed Hamed Hashemi Shahri
Ghasem Soltani
Mohammad Abbasi Teshnizi
Aliasghar Moeinipour
Mohammad Tayyebi
Reza Javidi Dasht Bayaz
Farshad Abedi
Vahid Ghavami
Shahram Amini
Amir Hooshang Mohammadpour
author_facet Seyyed Hamed Hashemi Shahri
Ghasem Soltani
Mohammad Abbasi Teshnizi
Aliasghar Moeinipour
Mohammad Tayyebi
Reza Javidi Dasht Bayaz
Farshad Abedi
Vahid Ghavami
Shahram Amini
Amir Hooshang Mohammadpour
author_sort Seyyed Hamed Hashemi Shahri
collection DOAJ
description Objective: The aim of this study was to evaluate the effect of crocin on the prevention of atrial fibrillation after coronary artery bypass grafting (CABG) and heart valve replacement.Materials and Methods: 100 patients who were scheduled for CABG or heart valve replacement surgeries were randomly assigned into two groups of treatment and placebo. In the treatment group, patients received crocin tablets from three days prior to surgery and on the first three postoperative days (for a total of six days). During the first three days after surgery, postoperative atrial fibrillation (POAF) was assessed by electrocardiogram monitoring. Prooxidant–antioxidant balance (PAB) and c-reactive protein (CRP) levels were also assessed.Results: POAF developed in 7 patients in the treatment group versus 18 patients in the control (p=0.02). PAB levels were significantly lower in the crocin group (p<0.001), while differences in CRP levels were insignificant (p=0.39).Conclusion: It seems that prophylactic use of crocin is effective in reducing the incidence of POAF in patients undergoing heart surgeries.
first_indexed 2024-04-11T08:23:58Z
format Article
id doaj.art-e18b98e910fa4d82a6574af5439f5060
institution Directory Open Access Journal
issn 2228-7930
2228-7949
language English
last_indexed 2024-04-11T08:23:58Z
publishDate 2022-11-01
publisher Mashhad University of Medical Sciences
record_format Article
series Avicenna Journal of Phytomedicine
spelling doaj.art-e18b98e910fa4d82a6574af5439f50602022-12-22T04:34:50ZengMashhad University of Medical SciencesAvicenna Journal of Phytomedicine2228-79302228-79492022-11-0112658960110.22038/ajp.2022.2090820908Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trialSeyyed Hamed Hashemi Shahri0Ghasem Soltani1Mohammad Abbasi Teshnizi2Aliasghar Moeinipour3Mohammad Tayyebi4Reza Javidi Dasht Bayaz5Farshad Abedi6Vahid Ghavami7Shahram Amini8Amir Hooshang Mohammadpour9Department of Clinical pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranCardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, IranCardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, IranVascular and Endovascular Surgery Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranCardiovascular Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Biostatistics, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranObjective: The aim of this study was to evaluate the effect of crocin on the prevention of atrial fibrillation after coronary artery bypass grafting (CABG) and heart valve replacement.Materials and Methods: 100 patients who were scheduled for CABG or heart valve replacement surgeries were randomly assigned into two groups of treatment and placebo. In the treatment group, patients received crocin tablets from three days prior to surgery and on the first three postoperative days (for a total of six days). During the first three days after surgery, postoperative atrial fibrillation (POAF) was assessed by electrocardiogram monitoring. Prooxidant–antioxidant balance (PAB) and c-reactive protein (CRP) levels were also assessed.Results: POAF developed in 7 patients in the treatment group versus 18 patients in the control (p=0.02). PAB levels were significantly lower in the crocin group (p<0.001), while differences in CRP levels were insignificant (p=0.39).Conclusion: It seems that prophylactic use of crocin is effective in reducing the incidence of POAF in patients undergoing heart surgeries.https://ajp.mums.ac.ir/article_20908_afa0be2914f722628d40b25d72d428e0.pdfatrial fibrillationcoronary artery bypass graftheart valve replacementcrocin
spellingShingle Seyyed Hamed Hashemi Shahri
Ghasem Soltani
Mohammad Abbasi Teshnizi
Aliasghar Moeinipour
Mohammad Tayyebi
Reza Javidi Dasht Bayaz
Farshad Abedi
Vahid Ghavami
Shahram Amini
Amir Hooshang Mohammadpour
Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
Avicenna Journal of Phytomedicine
atrial fibrillation
coronary artery bypass graft
heart valve replacement
crocin
title Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
title_full Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
title_fullStr Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
title_full_unstemmed Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
title_short Evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement: A double-blind, randomized, placebo-controlled trial
title_sort evaluation of the effect of crocin on prevention of atrial fibrillation after coronary artery bypass grafting or heart valve replacement a double blind randomized placebo controlled trial
topic atrial fibrillation
coronary artery bypass graft
heart valve replacement
crocin
url https://ajp.mums.ac.ir/article_20908_afa0be2914f722628d40b25d72d428e0.pdf
work_keys_str_mv AT seyyedhamedhashemishahri evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT ghasemsoltani evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT mohammadabbasiteshnizi evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT aliasgharmoeinipour evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT mohammadtayyebi evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT rezajavididashtbayaz evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT farshadabedi evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT vahidghavami evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT shahramamini evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial
AT amirhooshangmohammadpour evaluationoftheeffectofcrocinonpreventionofatrialfibrillationaftercoronaryarterybypassgraftingorheartvalvereplacementadoubleblindrandomizedplacebocontrolledtrial