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Relationship of Preoperative Fasting With Tricuspid Annular Plane Systolic Excursion

NCT ID: NCT06105866

Last Updated: 2024-12-04

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

ENROLLING_BY_INVITATION

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-11

Study Completion Date

2024-12-05

Brief Summary

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The aim of our study is to try to establish a relationship between preoperative fasting-related volume changes and tricuspid annular plane systolic excursion (TAPSE), and to determine whether there are changes in right ventricular functions due to preoperative fasting.

Detailed Description

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TAPSE (Tricuspid Annular Plane Systolic Excursion) is a parameter that easily measures apex-base shortening and provides specific information about global right ventricular (RV) function. It is less dependent on optimal image quality and serves as an easily measurable criterion compared to other RV function measurements. In this study, one day before the operation, transthoracic echocardiography (TTE) will be conducted on fasting patients, and if the preoperative fasting duration is appropriate on the day of the surgery, TTE measurements will be repeated and recorded. The study aims to evaluate the relationship between TAPSE and volume and determine whether there are any changes in right ventricular functions due to preoperative fasting.

Conditions

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The Relationship Between TAPSE Value and Volume

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients without Cardiac Disease

Patients between the ages of 18-75 with sinus rhythm, and without valvular disease, pulmonary hypertension, acute myocardial infarction, dilated, and hypertrophic cardiomyopathy will be included in the study.

Tricuspid Annular Plane Systolic Excursion

Intervention Type DIAGNOSTIC_TEST

Transthoracic echocardiography will be performed on patients during hospitalization and preoperatively to investigate the relationship between preoperative fasting and right ventricular functions. This will be examined by looking at TAPSE

Interventions

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Tricuspid Annular Plane Systolic Excursion

Transthoracic echocardiography will be performed on patients during hospitalization and preoperatively to investigate the relationship between preoperative fasting and right ventricular functions. This will be examined by looking at TAPSE

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* ASA 1-2-3
* The patient must be between 18 and 75 years old.
* Perioperative hydration has not been administered.
* Preoperative sedatives have not been given.
* There should be no known heart disease.

Exclusion Criteria

* The patient being pregnant
* Post-cardiac surgery
* Severe pulmonary hypertension
* Severe valve disease
* Hypertrophic or dilated cardiomyopathy
* Presence of acute myocardial infarction
* Non-sinus rhythm
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aydin Adnan Menderes University

OTHER

Sponsor Role lead

Responsible Party

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ferdi gülaştı

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sevil Gulasti

Aydin, Zafer, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Lee S, Kamdar F, Madlon-Kay R, Boyle A, Colvin-Adams M, Pritzker M, John R. Effects of the HeartMate II continuous-flow left ventricular assist device on right ventricular function. J Heart Lung Transplant. 2010 Feb;29(2):209-15. doi: 10.1016/j.healun.2009.11.599.

Reference Type BACKGROUND
PMID: 20113911 (View on PubMed)

Gullupinar B, Saglam C, Koran S, Turhan A, Unluer EE. The role of mitral annular plane systolic excursion in prediction of acute blood loss in healthy voluntary blood donors. J Ultrason. 2022 Feb 8;22(88):e33-e38. doi: 10.15557/JoU.2022.0006. eCollection 2022 Mar.

Reference Type BACKGROUND
PMID: 35449700 (View on PubMed)

Zhang H, Wang X, Chen X, Zhang Q, Liu D. Tricuspid annular plane systolic excursion and central venous pressure in mechanically ventilated critically ill patients. Cardiovasc Ultrasound. 2018 Aug 7;16(1):11. doi: 10.1186/s12947-018-0130-2.

Reference Type BACKGROUND
PMID: 30081914 (View on PubMed)

Newman K, Wilson R, Roberts JM, Mayo JR, Mohamed Ali AA, Brunner N, Sedlic A. Tricuspid annular plane systolic excursion for the evaluation of right ventricular function in functional cardiac CT compared to MRI. Clin Radiol. 2021 Aug;76(8):628.e1-628.e7. doi: 10.1016/j.crad.2021.02.018. Epub 2021 Apr 18.

Reference Type BACKGROUND
PMID: 33879320 (View on PubMed)

Other Identifiers

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NCT093509350935

Identifier Type: -

Identifier Source: org_study_id