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Ventricular Function, Left clinical trials

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NCT ID: NCT06047028 Recruiting - Clinical trials for Myocardial Perfusion Imaging

'Prognostic Value of Hyperpolarized 13C MRI for Clinical Myocardial Viability

Start date: June 30, 2023
Phase:
Study type: Observational

Heart failure due to coronary artery disease represents a significant cause of mortality. The detection of patients eligible for bypass surgery is a pivotal concern. Nevertheless, the optimal approach for patient selection based on conventional imaging scans remains unclear. The proposed method (Hyperpolarized 13C MRI) has gained extensive use in evaluating in vivo metabolism. This method avoids ionizing radiation and provides critical insights into cardiac function. The feasibility study aims to investigate this method for patient selection before bypass surgery. This innovative imaging technique facilitates the identification of two simple molecules, bicarbonate and lactic acid, produced at high rates by normal heart metabolism. Both bicarbonate and lactate originate from the same precursor molecule, pyruvate. The data generated from this study holds the potential to refine diagnostic precision.

NCT ID: NCT01080495 Recruiting - Clinical trials for Ventricular Function, Left

Evaluation of Radial Strain for Assessment of Left Ventricular Function in Transesophageal Echocardiography

Strain
Start date: February 2010
Phase: Phase 4
Study type: Interventional

Assessment of left ventricular function is an essential determinant of overall hemodynamics and heart function and therefore of central interest in intra-operative transesophageal echocardiography. Currently, the most frequently used methods for quantification of left ventricular function are fractional shortening (FS) and fractional area change (FAC). Radial strain is a new parameter to asses left ventricular function. The investigators want to assess left ventricular function with radial strain, fractional shortening (FS) and fractional area change (FAC) in non-cardiac patients during non-cardiac operations. The aim of this study is to show that radial strain is as reliable as FS and FAC in left ventricular function assessment and more robust to changes in preload and afterload conditions.