Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04748003 |
Other study ID # |
RECHMPL20_0380 |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
February 28, 2021 |
Est. completion date |
February 28, 2021 |
Study information
Verified date |
March 2022 |
Source |
University Hospital, Montpellier |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
This study aims to investigate whether the identification of acute myocardial dysfunction by
2D-strain transthoracic sonography in the first week following trauma would allow to better
diagnose occult and severe patterns of myocardial contusion, in order to identify a
subpopulation at higher risk of complications.
The measurement of myocardial strain (2D-strain) by transthoracic sonography is a robust tool
to assess the myocardial function.
The investigators strongly suppose that the 2D-strain would allow to better identify
subclinical MC in chest trauma, as well as the severe patterns that are associated with more
organs dysfunctions and a worst outcome.
Description:
Thoracic trauma is the cause of significant morbidity and accounts for 25% of trauma-related
deaths.
The myocardial contusion (MC) is a distinct injury, which has a prevalence increasing with
the severity of the trauma. The diagnostic tool is a major factor to vary the prevalence of
MC (i.e. clinical exam, biology, electrocardiogram), with the highest values for autopsy
series, until 24% of patients. It does not exist therefore of gold standard for the diagnosis
of MC in clinical practice leading to a modest knowledge of this nosological entity. In
clinical practice, troponin plasma level determines the diagnostic.
Otherwise, the measurement of myocardial strain (2D-strain) by transthoracic echocardiography
(TTE) is a robust tool to assess the myocardial function. This ultrasound analysis allows an
objective and topographical quantification of an acute myocardial dysfunction, be it global
or segmental. 2D-strain has been thus has been validated for the diagnosis of myocardial
dysfunction in medical setting. Its use in trauma setting has never been reported.