Fetal Cardiac Function Evaluation With aCMQ-Strain Fetal (STRAIN)

NCT ID: NCT03536000

Last Updated: 2018-05-24

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

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-05-28

Study Completion Date

2019-09-11

Brief Summary

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To assess whether the aCQM-Strain ultrasound method allows a good analysis of fetal cardiac function. Establish normality parameters and compare it with fetuses with risk factors of cardiac dysfunction.

Detailed Description

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National unicentric observational study of follow-up study of a cohort. It has been decided to conduct a study of consecutive cases, including all patients who meet the inclusion criteria during the time of the study.

Until now, there has not been an easy and convenient method to determine fetal cardiac function. Recently a new Software (Automated Cardiac Motion Quantification aCMQ) has been developed, and it seems that allows an easier analysis of this one.

This study aims to analyze fetal heart function with the Strain method in healthy patients and then compare it with fetuses with risk factors for cardiac dysfunction.

Initially, healthy pregnant patients who agree to participate in the study will be cited, after signing the informed consent, in order to evaluate the normal fetal cardiac function and see how it is modified in the different weeks of gestation.

To do this, a fetal echocardiography will be performed by the investigators at week 24, 28, 32 and 36 of pregnancy, using the aCMQ-Strain method.

Once the investigators have established normality curves, fetuses with risk factors for cardiac dysfunction of women who agree to participate in the study will be analyzed. For this purpose, a fetal echocardiography at week 24, 28, 32 and 36 of gestation, using the aCMQ-Strain method will be performed.

All tests will be carried out in the same study center and will be carried out by independent scouts.The data obtained in each test will be collected in an anonymized database for further study.

Conditions

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Fetal Cardiac Disorder

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy women

* 200 Pregnant women
* Over 18 years
* Healthy
* With the ability to understand and sign the informed Consent
* With the ability to attend the established controls
* Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Fetal echocardiography using the aCMQ-Strain method

Intervention Type DIAGNOSTIC_TEST

Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Intrauterine Growth restriction

* Pregnant women
* Over 18 years
* Intrauterine Growth Reestriction(IUGR): fetuses with percentile Growth \<p3 or \<p10 with vascular Doppler alteration.
* With the ability to understand and sign the informed Consent
* With the ability to attend the established controls
* Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Fetal echocardiography using the aCMQ-Strain method

Intervention Type DIAGNOSTIC_TEST

Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Preeclampsia

* Pregnant women
* Over 18 years
* Preeclampsia: elevated blood pressure + Ratio Prot/Creatinin in urine\> 30 mg / mmol creatinin
* With the ability to understand and sign the informed Consent
* With the ability to attend the established controls
* Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Fetal echocardiography using the aCMQ-Strain method

Intervention Type DIAGNOSTIC_TEST

Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Diabetes Mellitus type 1

* Pregnant women
* Over 18 years
* Diabetes mellitus type1
* With the ability to understand and sign the informed Consent
* With the ability to attend the established controls
* Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Fetal echocardiography using the aCMQ-Strain method

Intervention Type DIAGNOSTIC_TEST

Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Interventions

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Fetal echocardiography using the aCMQ-Strain method

Fetal echocardiography using the aCMQ-Strain method (Automated Cardiac Motion Quantification) at 24, 28, 32 and 36 weeks of gestation

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients older than 18 years
* Pregnant women\> 20 weeks gestation
* Understand and accept the study procedures and sign an informed consent.

Exclusion Criteria

* Not being able to understand the nature of the study and / or the procedures to be followed.
* Not signing informed consent
* Under 18 years of age
* Not pregnant
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elisa LLurba, PhD

Role: PRINCIPAL_INVESTIGATOR

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Central Contacts

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Elisa Llurba, PhD

Role: CONTACT

935537041

Carla Domínguez, MD

Role: CONTACT

687691793

References

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Van Mieghem T. Re: Descriptive analysis of different phenotypes of cardiac remodeling in fetal growth restriction. M. Rodriguez-Lopez, M. Cruz-Lemini, B. Valenzuela-Alcaraz, L. Garcia-Otero, M. Sitges, B. Bijnens, E. Gratacos and F. Crispi. Ultrasound Obstet Gynecol 2017; 50: 207-214. Ultrasound Obstet Gynecol. 2017 Aug;50(2):154. doi: 10.1002/uog.17541. No abstract available.

Reference Type BACKGROUND
PMID: 28782233 (View on PubMed)

Crispi F, Gratacos E. Fetal cardiac function: technical considerations and potential research and clinical applications. Fetal Diagn Ther. 2012;32(1-2):47-64. doi: 10.1159/000338003. Epub 2012 May 17.

Reference Type BACKGROUND
PMID: 22614129 (View on PubMed)

Comas M, Crispi F, Cruz-Martinez R, Martinez JM, Figueras F, Gratacos E. Usefulness of myocardial tissue Doppler vs conventional echocardiography in the evaluation of cardiac dysfunction in early-onset intrauterine growth restriction. Am J Obstet Gynecol. 2010 Jul;203(1):45.e1-7. doi: 10.1016/j.ajog.2010.02.044. Epub 2010 May 10.

Reference Type BACKGROUND
PMID: 20451892 (View on PubMed)

Other Identifiers

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IIBSP-CMQ-2017-99

Identifier Type: -

Identifier Source: org_study_id

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