Fetal Cardiac Function Evaluation With aCMQ-Strain Fetal (STRAIN)
NCT ID: NCT03536000
Last Updated: 2018-05-24
Study Results
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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UNKNOWN
250 participants
OBSERVATIONAL
2018-05-28
2019-09-11
Brief Summary
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Detailed Description
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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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Study Design
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COHORT
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
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
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
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
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
Eligibility Criteria
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Inclusion Criteria
* Pregnant women\> 20 weeks gestation
* Understand and accept the study procedures and sign an informed consent.
Exclusion Criteria
* Not signing informed consent
* Under 18 years of age
* Not pregnant
18 Years
FEMALE
Yes
Sponsors
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Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
OTHER
Responsible Party
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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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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.
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.
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.
Other Identifiers
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IIBSP-CMQ-2017-99
Identifier Type: -
Identifier Source: org_study_id
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