Evaluation of Radial Strain for Assessment of Left Ventricular Function in Transesophageal Echocardiography
Recruitment status was Recruiting
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Purpose
Assessment of left ventricular function is an essential determinant of overall hemodynamics and heart function and therefore of central interest in intra-operative transesophageal echocardiography.
Currently, the most frequently used methods for quantification of left ventricular function are fractional shortening (FS) and fractional area change (FAC).
Radial strain is a new parameter to asses left ventricular function. The investigators want to assess left ventricular function with radial strain, fractional shortening (FS) and fractional area change (FAC) in non-cardiac patients during non-cardiac operations. The aim of this study is to show that radial strain is as reliable as FS and FAC in left ventricular function assessment and more robust to changes in preload and afterload conditions.
| Condition | Intervention | Phase |
|---|---|---|
|
Ventricular Function, Left |
Procedure: TEE (transesophageal echocardiography) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Evaluation of Radial Strain Versus Fractional Shortening and Fractional Area Change for Assessment of Left Ventricular Function in Transesophageal Echocardiography |
- left ventricular function [ Time Frame: 3min during TEE ] [ Designated as safety issue: No ]for left ventricular function transgastric short axis view is recorded 3 times for 3 heart cycles in 3 different positions (zero-position, trendelenburg- and antitrendelenburg-position)
- left ventricular function during changes in loading conditions [ Time Frame: 3min during TEE ] [ Designated as safety issue: No ]for left ventricular function transgastric short axis view is recorded 3 times for 3 heart cycles in 3 different positions (zero-position, trendelenburg- and antitrendelenburg-position)
| Estimated Enrollment: | 33 |
| Study Start Date: | February 2010 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
TEE (transesophageal echcardiography)
all patients get TEE and all parameters (radial strain, fractional shortening and fractional area change) are evaluated
|
Procedure: TEE (transesophageal echocardiography)
a TEE is performed in all study objects and all parameters (radial strain, fractional shortening and fractional area change) are analysed
Other Name: radial strain
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Planned non-cardiac surgery with a minimum duration of 60 minutes, where intubation is indicated
- Age above 18 years
- Signed informed consent
Exclusion Criteria:
- No patient's consent
- Subjects not able to understand study procedures
- Contraindications to transesophageal echocardiography (oesophageal-, gastric disorders, hematologic disorders with increased bleeding incidence, ENT-surgery, surgery of the oesophagus or stomach)
- Medical history of any kind of heart disease, dyspnea or angina pectoris
- Hypertension (medically treated)
- Diabetes
- Atrial fibrillation
Contacts and Locations| Contact: Ulrike Weber, M. D. | +43 40400 4109 | ulrike.weber@meduniwien.ac.at |
| Contact: Heinz Tschernich, M. D. | +43 404004109 | heinz.tschernich@meduniwien.ac.at |
| Austria | |
| University Hospital of Vienna | Recruiting |
| Vienna, Austria, 1090 | |
| Contact: Ulrike Weber, M.D. 0043 1404004109 ulrike.weber@meduniwien.ac.at | |
| Principal Investigator: Ulrike Weber, M.D. | |
| Principal Investigator: Eva Base, M.D. | |
| Principal Investigator: Heinz Tschernich, M. D. | |
| Principal Investigator: | Ulrike Weber, M.D. | Department of Anaesthesiology, Intensive Care and Pain Control, University Hospital of Vienna |
More Information
No publications provided
| Responsible Party: | Department of Anaesthesiology, Intensive Care and Pain Control, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT01080495 History of Changes |
| Other Study ID Numbers: | 787/2009 |
| Study First Received: | February 11, 2010 |
| Last Updated: | March 3, 2010 |
| Health Authority: | Austria: Ethikkommission |
Keywords provided by Medical University of Vienna:
|
left ventricular function radial strain fractional shortening fractional area change |
ClinicalTrials.gov processed this record on May 19, 2013