Relationship of Preoperative Fasting With Tricuspid Annular Plane Systolic Excursion

Официальное название

Relationship of Preoperative Fasting With Tricuspid Annular Plane Systolic Excursion (TAPSE)

Обзор

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.

Подробное описание

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.

Вмешательства

• Диагностический тест 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

Первичные конечные точки

• The TAPSE value is related to volume [Срок оценки: Patients who apply to our hospital for surgery within 6 months will be included in our study. Preoperative TAPSE measurements will be taken from the patients twice, first during admission and immediately before the operation]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Turkey (Türkiye) · 1 центр

• Sevil Gulasti — Aydin

Публикации

• 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. PMID 20113911
• 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. PMID 35449700
• 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. PMID 30081914
• 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. PMID 33879320

Идентификаторы

NCT: NCT06105866 · NCT093509350935

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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