-Objective: to compare cardiac muscle damage marker and serum lactate levels in patients undergoing cardiopumonary bypass using the del Nido cardioplegia versus Custodiol. Study design: randomized, double-blinded, no use of placebo, single-center. Blinding will be done on patients and outcome assessors (nurses registering the clinical outcomes and laboratory personnel).
-Population:
-Inclusion criteria: patients undergoing coronary artery bypass and valve graft surgery, informed consent.
-Exclusion criteria: diagnosed with inflammatory diseases before surgery, acute myocardial infarction, patient dissatisfaction in any part of the study, dialysis-requiring renal failure, ejection fraction less than 15%, second surgery, emergency patients, predictive pulmonary disease patients, cardiomyopathy patients.
-Target sample size: 40 patients
-Interventions: del Nido cardioplegia, Custodiol cardioplegia
-Interventions time point: During cardiopumonary bypass
-Primary outcome measures: Serum lactate, Cardiac Troponin I