Agreement Between Transthoracic and Transoesophageal Echocardiography in Measurement of Right Ventricular Diastolic Dopplerand Tissue Doppler Velocities in Adult Patients Undergoing Cardiac Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- PGIMER
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Trans-tricuspid early (E) and late (A) diastolic velocities as well as E -wave deceleration
Study Overview
Brief Summary
Quantitative assessment of right ventricle (RV) function is clinically valuable because RV function has prognostic significance in various cardiac and lung pathologies.Right Ventricle (RV) has a very important role in determining intraoperative and post operative outcomes of cardiopulmonary surgeries. Assessment of RV diastolic function can
help in anticipating of post-operative complications after cardiopulmonary surgeries In a study, values of right ventricular systolic function by TEE have been shown to have only fair agreement to TTE measurements obtained in close temporal proximity under similar hemodynamic conditions Therefore, we intend to perform a study evaluating the agreement between transthoracic and transoesophageal echocardiography in measurement of right ventricular diastolic Doppler and tissue Doppler velocities in adult patients undergoing cardiac surgery.
Based on the finding of our study, we can decide whether the right ventricular diastolic Doppler and tissue Doppler velocities measured by TEE can be used interchangeably with those measured by standard TTE
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 20.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Undergoing CABG/Valve replacement /repair procedure.
Exclusion Criteria
- •Patients having contraindications to 1) insertion of TEE 2) weight <25 kg 3) having organic ds.
- •Of tricuspid valve, tricuspid ring/prosthesis , more than Mild TR , Tricuspid annular calcification 4) Patient on pacemaker 5) having other than sinus heart rhythm 6 ) poor TTE window 7)pericardial disease 8) congenital shunt lesion 9) requiring inotropic/ vasopressor support prior to induction of anesthesia.
Outcomes
Primary Outcomes
Trans-tricuspid early (E) and late (A) diastolic velocities as well as E -wave deceleration
Time Frame: single time point at baseline which is immediately after anesthesia induction.
time (EDT) will be measured in A4C view by TTE and in Mid-esophageal right ventricular inflow-outflow view,
Time Frame: single time point at baseline which is immediately after anesthesia induction.
MEB view, DTRVIO
Time Frame: single time point at baseline which is immediately after anesthesia induction.
view by TEE.
Time Frame: single time point at baseline which is immediately after anesthesia induction.
Tricuspid annular early (e’) and late (a’) diastolic velocities as well as IVRT will be measured in A4C TTE and in MERVIO view,
Time Frame: single time point at baseline which is immediately after anesthesia induction.
TGRI view, Deep transgatric right ventricular
Time Frame: single time point at baseline which is immediately after anesthesia induction.
inflow outflow view by TEE
Time Frame: single time point at baseline which is immediately after anesthesia induction.
Secondary Outcomes
- 1. To find out the transesophageal echocardiographic views having best(agreement with transthoracic echocardiography for measurement of individual Doppler and)