Atrium; Fibrillation Clinical Trial
Official title:
Relationship Between Echocardiographic Left Atrial Function Assessment and Atrial Fibrillation Post-Coronary Artery Bypass Surgery
The aim of this study to investigate the correlation between preoperative LA function using
2D echocardiography and left atrium 2D speckle tracking strain echocardiography and the
development of Post Operative AF after CABG.
the investigators chose electrocardiography as a reference standard for detection of Post
Operative AF. LA dysfunction is diagnosed with Echocardiography
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 1, 2020 |
Est. primary completion date | December 30, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - • Patients with preoperative sinus rhythm who were referred for elective isolated CABG (no other concomitant cardiac or extracardiac procedures). - Patient age more than18 years old. Exclusion Criteria: - • Any type of arrhythmia other than sinus. - Hyperthyroidism or hypothyroidism. - Renal failure requiring hemodialysis . - Moderate to severe valvular heart disease. - Current use of antiarrhythmic drugs . - Recent myocardial infarction within a month before surgery. - Patient with redo CABG. |
Country | Name | City | State |
---|---|---|---|
Egypt | National Heart Institute | Cairo | Kit Kat |
Lead Sponsor | Collaborator |
---|---|
National Heart Institute, Egypt |
Egypt,
Abhayaratna WP, Seward JB, Appleton CP, Douglas PS, Oh JK, Tajik AJ, Tsang TS. Left atrial size: physiologic determinants and clinical applications. J Am Coll Cardiol. 2006 Jun 20;47(12):2357-63. Review. — View Citation
Borde D, Gandhe U, Hargave N, Pandey K, Mathew M, Joshi S. Prediction of postoperative atrial fibrillation after coronary artery bypass grafting surgery: is CHA 2 DS 2 -VASc score useful? Ann Card Anaesth. 2014 Jul-Sep;17(3):182-7. doi: 10.4103/0971-9784. — View Citation
Cianciulli TF, Saccheri MC, Lax JA, Bermann AM, Ferreiro DE. Two-dimensional speckle tracking echocardiography for the assessment of atrial function. World J Cardiol. 2010 Jul 26;2(7):163-70. doi: 10.4330/wjc.v2.i7.163. — View Citation
Echahidi N, Pibarot P, O'Hara G, Mathieu P. Mechanisms, prevention, and treatment of atrial fibrillation after cardiac surgery. J Am Coll Cardiol. 2008 Feb 26;51(8):793-801. doi: 10.1016/j.jacc.2007.10.043. Review. — View Citation
Elahi MM, Flatman S, Matata BM. Tracing the origins of postoperative atrial fibrillation: the concept of oxidative stress-mediated myocardial injury phenomenon. Eur J Cardiovasc Prev Rehabil. 2008 Dec;15(6):735-41. doi: 10.1097/HJR.0b013e328317f38a. Revie — View Citation
Haghjoo M. Pharmacological and nonpharmacological prevention of atrial fibrillation after coronary artery bypass surgery. J Tehran Heart Cent. 2012 Winter;7(1):2-9. Epub 2012 Feb 28. — View Citation
Her AY, Kim JY, Kim YH, Choi EY, Min PK, Yoon YW, Lee BK, Hong BK, Rim SJ, Kwon HM. Left atrial strain assessed by speckle tracking imaging is related to new-onset atrial fibrillation after coronary artery bypass grafting. Can J Cardiol. 2013 Mar;29(3):37 — View Citation
Levy D, Kannel WB. Postoperative atrial fibrillation and mortality: do the risks merit changes in clinical practice? J Am Coll Cardiol. 2004 Mar 3;43(5):749-51. — View Citation
Mariscalco G, Engström KG. Postoperative atrial fibrillation is associated with late mortality after coronary surgery, but not after valvular surgery. Ann Thorac Surg. 2009 Dec;88(6):1871-6. doi: 10.1016/j.athoracsur.2009.07.074. — View Citation
Vianna-Pinton R, Moreno CA, Baxter CM, Lee KS, Tsang TS, Appleton CP. Two-dimensional speckle-tracking echocardiography of the left atrium: feasibility and regional contraction and relaxation differences in normal subjects. J Am Soc Echocardiogr. 2009 Mar — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Development of new onset atrial fibrillation post coronary artery bypass grafting surgery during ICU stay and hospital stay till discharge and its relation to left atrial function assessed by echocardiography | assessment of left atrium function by echocardiography and its relation to incidence of new onset atrial fibrillation during hospital stay | baseline |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05434650 -
Abbott Atrial Fibrillation Post Approval Study
|
||
Completed |
NCT02949180 -
Enhanced Diagnostics for Early Detection of Atrial Fibrillation - Prospective Validation
|
N/A | |
Recruiting |
NCT05633303 -
Personalised Ablation Strategies in AF
|
N/A | |
Completed |
NCT04293198 -
Evaluating the Performance of the KODEX-EPD CRyOballoon Occlusion Feature in Patients With Atrial Fibrillation
|
||
Not yet recruiting |
NCT05973474 -
The Atherogenic Index of Plasma(AIP) in Patients With Atrial Fibrillation
|
||
Not yet recruiting |
NCT06402851 -
Vitamin K AntagonISt, Factor Xa Inhibitor Or Nothing In Atrial Fibrillation And DIalytic End-stage Renal DiseasE (VISIONAIRE)
|
Phase 4 | |
Not yet recruiting |
NCT06165510 -
Convergent Ablation Plus Left Atrial Appendage Isolation for the Treatment of Persistent Atrial Fibrillation
|
N/A | |
Completed |
NCT03477734 -
Performance and Efficacy of the CardiacSense1 for Detection of Atrial Fibrillation
|
N/A | |
Recruiting |
NCT05456204 -
Refralon in Patients With Recurrence Paroxysmal and Persistent Forms of Atrial Fibrillation Who Underwent Catheter Ablation
|
N/A | |
Recruiting |
NCT04545437 -
The Short and Long-term Cardiovascular Consequences of Critical Illness: The C3 Study
|