Screening for Pregnancy Related Heart Failure in Nigeria

NCT ID: NCT05438576

Last Updated: 2025-05-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-15

Study Completion Date

2024-05-15

Brief Summary

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This study will evaluate the effectiveness of an artificial intelligence-enabled ECG (AI-ECG) for cardiomyopathy detection in an obstetric population in Nigeria.

Detailed Description

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Conditions

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Cardiomyopathy Pregnancy Related

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Intervention

Participants will have ECGs analyzed with artificial intelligence for cardiomyopathy detection.

Group Type EXPERIMENTAL

Digital stethoscope electrocardiogram

Intervention Type OTHER

Digital stethoscope artificial intelligence enabled electrocardiogram (AI-ECG). An artificial intelligence algorithm which analyses ECG data and generates prediction probabilities for a diagnosis of cardiomyopathy.

Control

Participants will have standard clinical ECGs acquired.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Digital stethoscope electrocardiogram

Digital stethoscope artificial intelligence enabled electrocardiogram (AI-ECG). An artificial intelligence algorithm which analyses ECG data and generates prediction probabilities for a diagnosis of cardiomyopathy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Currently pregnant or within 12 months postpartum
* Willing and able to provide informed consent

Exclusion Criteria

* Complex congenital heart disease (single ventricle physiology or significant shunts with cardiac structural changes)
* Significant conduction abnormalities (ventricular pacing on recorded ECG, pacemaker dependence, or severely abnormal/bizarre QRS morphology on ECG tracings)
* Unable or unwilling to provide consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Demilade A. Adedinsewo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Demilade Adedinsewo, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Rasheed Shekoni Specialist Hospital

Dutse, Jigawa State, Nigeria

Site Status

University of Ilorin Teaching Hospital

Ilorin, Kwara State, Nigeria

Site Status

Olabisi Onabanjo University Teaching Hospital

Sagamu, Ogun State, Nigeria

Site Status

University College Hospital

Ibadan, Oyo State, Nigeria

Site Status

Aminu Kano Teaching Hospital

Kano, , Nigeria

Site Status

Lagos University Teaching Hospital

Lagos, , Nigeria

Site Status

Countries

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Nigeria

References

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Adedinsewo DA, Morales-Lara AC, Dugan J, Garzon-Siatoya WT, Yao X, Johnson PW, Douglass EJ, Attia ZI, Phillips SD, Yamani MH, Tobah YB, Rose CH, Sharpe EE, Lopez-Jimenez F, Friedman PA, Noseworthy PA, Carter RE. Screening for peripartum cardiomyopathies using artificial intelligence in Nigeria (SPEC-AI Nigeria): Clinical trial rationale and design. Am Heart J. 2023 Jul;261:64-74. doi: 10.1016/j.ahj.2023.03.008. Epub 2023 Mar 25.

Reference Type BACKGROUND
PMID: 36966922 (View on PubMed)

Adedinsewo DA, Morales-Lara AC, Afolabi BB, Kushimo OA, Mbakwem AC, Ibiyemi KF, Ogunmodede JA, Raji HO, Ringim SH, Habib AA, Hamza SM, Ogah OS, Obajimi G, Saanu OO, Jagun OE, Inofomoh FO, Adeolu T, Karaye KM, Gaya SA, Alfa I, Yohanna C, Venkatachalam KL, Dugan J, Yao X, Sledge HJ, Johnson PW, Wieczorek MA, Attia ZI, Phillips SD, Yamani MH, Tobah YB, Rose CH, Sharpe EE, Lopez-Jimenez F, Friedman PA, Noseworthy PA, Carter RE; SPEC-AI Nigeria Investigators. Artificial intelligence guided screening for cardiomyopathies in an obstetric population: a pragmatic randomized clinical trial. Nat Med. 2024 Oct;30(10):2897-2906. doi: 10.1038/s41591-024-03243-9. Epub 2024 Sep 2.

Reference Type RESULT
PMID: 39223284 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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K12AR084222

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UL1TR002377

Identifier Type: NIH

Identifier Source: secondary_id

View Link

22-000539

Identifier Type: -

Identifier Source: org_study_id

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