The Right Heart During and After Pregnancy - an Echocardiographic Study

NCT ID: NCT03402971

Last Updated: 2021-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-11-02

Study Completion Date

2024-11-02

Brief Summary

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The main goal is to establish echocardiographic reference values of the right heart for pregnant women, assuming they differ significantly from those of non pregnant women of same age.

Therefore the investigators will use existing reference values published by American society of echocardiography and European Association of Echocardiography. As side arms the investigators want to explore, whether illness of either fetus or mother is connected with right heart affection.

Detailed Description

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A lot of lung diseases affect the heart, too - especially the right heart. Well known examples are pulmonary embolism or pulmonary hypertension. But rather unknown is the fact, that right heart function presents as a prognostic parameter in a lot of (left heart) diseases, for example myocardial infarction, atrial fibrillation, left heart failure, but also in chronic obstructive pulmonary disease (COPD) or may be even diabetes mellitus. Since the left part of the heart has been studied by researchers more than fifty years, the right heart has moved into scientific focus not long ago.

The tool of choice to examine the living heart is echocardiography. There are no relevant risks or complications.

During an echocardiographic examination a lot of parameters are collected. To judge data in a clinical way reference values belonging to healthy persons are essential. Those values are highly dependant on sex, body size, age etc.

Since pregnancy changes a lot in the human body, reference values from non pregnant woman of same age (published by American society of echocardiography and European Association of Echocardiography) are presumably not representative. So the investigators want to establish echocardiographic reference values of the right heart for pregnant women. Therefore an echocardiographic examination will be applied within each trimester of pregnancy and after delivery. As side arms the investigators want to explore, whether illness of either fetus or mother is connected with right heart affection.

Conditions

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Pregnancy Related

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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healthy pregnant+healthy fetus

healthy pregnant women with suspected healthy fetus will get one echocardiography examination each trimester of pregnancy and one after delivery

echocardiography

Intervention Type DIAGNOSTIC_TEST

echocardiography focused on right heart: Parameters include RV enddiastolic diameter basal, mid-cavity and longitudinal, RVOT distal, pulmonal outflow AT and AT/ET, endsystolic RA area. RV wall thickness, TAPSE, S', tricuspidal E/A, E/e', RIMP. V. Cava to estimate CVP and sPAP.

non healthy pregnant

non healthy women with suspected healthy or unhealthy fetus will get one echocardiography examination each trimester of pregnancy and one after delivery

echocardiography

Intervention Type DIAGNOSTIC_TEST

echocardiography focused on right heart: Parameters include RV enddiastolic diameter basal, mid-cavity and longitudinal, RVOT distal, pulmonal outflow AT and AT/ET, endsystolic RA area. RV wall thickness, TAPSE, S', tricuspidal E/A, E/e', RIMP. V. Cava to estimate CVP and sPAP.

non healthy fetus

healthy or non healthy pregnant women with suspected non healthy fetus will get one echocardiography examination each trimester of pregnancy and one after delivery

echocardiography

Intervention Type DIAGNOSTIC_TEST

echocardiography focused on right heart: Parameters include RV enddiastolic diameter basal, mid-cavity and longitudinal, RVOT distal, pulmonal outflow AT and AT/ET, endsystolic RA area. RV wall thickness, TAPSE, S', tricuspidal E/A, E/e', RIMP. V. Cava to estimate CVP and sPAP.

Interventions

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echocardiography

echocardiography focused on right heart: Parameters include RV enddiastolic diameter basal, mid-cavity and longitudinal, RVOT distal, pulmonal outflow AT and AT/ET, endsystolic RA area. RV wall thickness, TAPSE, S', tricuspidal E/A, E/e', RIMP. V. Cava to estimate CVP and sPAP.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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parallel EKG

Eligibility Criteria

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Inclusion Criteria

* pregnant
* 18years or older

Exclusion Criteria

* acute illness demanding instant therapy
* poor or none sonographic results
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Gero Bunniger

OTHER

Sponsor Role lead

Responsible Party

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Gero Bunniger

MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Henning Gall, Prof., MD

Role: PRINCIPAL_INVESTIGATOR

Pulmology, Department of pulmonal Hypertension

Locations

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University of Gießen

Giessen, Hesse, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Gero Bunniger

Role: CONTACT

+49641 985 56082

Henning Gall, Prof., MD

Role: CONTACT

+49 641 985 57030

Other Identifiers

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130/17

Identifier Type: -

Identifier Source: org_study_id

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