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Impact of Propranolol Strategies on Myocardial Injury After Breast Cancer Surgery
Sponsor: Chang-Ik Yoon
Summary
This study aims to evaluate the impact of using propranolol, a non-selective beta-blocker, on preventing myocardial injury after non-cardiac surgery (MINS) in breast cancer patients who also have hypertension or angina. Stress from surgery and anesthesia can increase sympathetic activity and inflammation, which may lead to heart stress. This pragmatic clinical trial will compare patients who are prescribed propranolol as part of their routine care with those who are not. Researchers will analyze blood samples and surgical tissues collected during normal treatment to observe changes in heart health and the tumor microenvironment.
Official title: A Pragmatic Clinical Trial to Evaluate the Impact of Clinical Propranolol Strategies on Myocardial Injury After Non-cardiac Surgery (MINS) in Patients Undergoing Breast Cancer Surgery With Hypertension or Angina
Key Details
Gender
FEMALE
Age Range
20 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2026-05-26
Completion Date
2033-05-24
Last Updated
2026-05-13
Healthy Volunteers
No
Interventions
propranolol
Propranolol (dosage based on clinical indication) for at least 14 days before surgery until the morning of the operation.
Usual Care
Standard medical management (e.g., CCB, ACEi, ARB, or diuretics) at the physician's discretion, excluding beta-blockers.
Locations (1)
Seoul St. Mary's Hospital, The Catholic University of Korea
Seoul, Seoul, South Korea