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CTRI Number  CTRI/2021/05/033524 [Registered on: 10/05/2021] Trial Registered Prospectively
Last Modified On: 09/05/2021
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Cardiac changes in pre-eclamptic women in pregnancy 
Scientific Title of Study   Evaluation of ventricular function by speckle tracking echocardiography in preeclamptic women 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ruthvika Kundoor 
Designation  Post graduate  
Affiliation  Kasturba Medical College 
Address  Room number 22 Division of Obstetrics and Kasturba medical college, Manipal, Udupi, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9700810820  
Fax    
Email  ruthvikakundoor88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunanda Bharatnur 
Designation  Associate Professor 
Affiliation  Kasturba Medical College 
Address  Room number 22 Obstetrics and gynecology Kasturba medical college, Manipal, Udupi, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9700810820  
Fax    
Email  sunanda.somu77@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ruthvika Kundoor 
Designation  Post graduate  
Affiliation  Kasturba Medical College 
Address  Room number 22 Division of Obstetrics and gynecology Kasturba medical college, Manipal, Udupi, Karnataka, India

Udupi
KARNATAKA
576104
India 
Phone  9700810820  
Fax    
Email  ruthvikakundoor88@gmail.com  
 
Source of Monetary or Material Support  
Department of Obstetrics and Gynecology Kasturba medical college Manipal. Karnataka  
 
Primary Sponsor  
Name  Kasturba medical college 
Address  Department of Obstetrics and Gynecology, Kasturba Medical college Manipal Manipal. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ruthvika  Kasturba medical college  Room number 22, Division of Obstetrics and Gynecology Kasturba medical college Manipal
Udupi
KARNATAKA 
9700810820

ruthvikakundoor88@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  26.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Singleton pregnancy atleast 28 weeks to 36 weeks of gestation, with diagnosis of preeclampsia according to ACOG 
 
ExclusionCriteria 
Details  Multifetal gestation
Pre-exisiting cardiac disease.
Diabetes mellitus type 1 or 2.
Pre-existing pulmonary disease.
Gout, connective tissue, renal and hepatic disease.
Cervical incompetence.
Any fetal anomaly detected. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Left ventricular strain
Left ventricular strain rate 
At 28-32 weeks of pregnancy
6 weeks post partum 
 
Secondary Outcome  
Outcome  TimePoints 
left ventricular strain
functions of ventricles 
28-32 weeks of pregnancy
6 weeks post partum 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/05/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Preeclampsia is a multisystem disorder that can affect almost every organ. Cardiopulmonary morbidity is seen in significant proportion of preeclampsia cases. This study is mainly to test the ventricular function, strain and strain rate of the left and right ventricle, using speckle tracking echocardiography. Written and informed consent will be taken from the patient. Maternal characteristics like height, weight, BMI will be noted. General physical examination, baseline laboratory investigations and routine preeclampsia investigations will be sent. Patients will be categorized into mild and severe preeclampsia. Recruited patients will be examined in left lateral decubitus position using commercial ultrasound scanner from 24-36 weeks. Transthoracic echocardiography with Speckle tracking echocardiography using GE VIVID S60 2D echocardiographic system 1.3-4.5 Mhz 3Sc-RS adult probe. Standard views: parasternal long axis, short axis, 2,3,4 chamber view. LA,LV diameter and wall thickness to be measured using M mode echocardiography. Multidirectional analysis of LV global longitudinal strain (GLS) will be performed using 2D speckle tracking echocardiography by the apical 2,3,4 chamber views. LV is divided into 6 segments in each apical view. All the images will be recorded with frame rate of 50 frames per second. Left ventricular GLS will be derived from average of 6 segmental peak systolic strain values and  Right ventricular global longitudinal strain from 3. Echocardiography will also be done 6 weeks post partum to assess if the cardiovascular changes are persistent or have any residual deficit or if they are returning to normal 

 
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