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CTRI Number  CTRI/2022/02/040453 [Registered on: 21/02/2022] Trial Registered Prospectively
Last Modified On: 02/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   To observe how much the measurements of function of right ventricle of heart during its relaxation (diastole) phase agree when measured by echocardiography through esophagus (food-pipe) as compared to the standard echocardiography done from over the chest wall 
Scientific Title of Study   Agreement Between Transthoracic and Transoesophageal Echocardiography in Measurement of Right Ventricular Diastolic Doppler and Tissue Doppler Velocities in Adult Patients Undergoing Cardiac Surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Yukti Sharma 
Designation  Junior resident  
Affiliation  PGIMER 
Address  Department of Anesthesia - cardiac anesthesia division , room no. 4014 4th floor , advanced Cardiac Center Pgimer, Sector 12 pin code : 160012.

Chandigarh
CHANDIGARH
160012
India 
Phone  8054892551  
Fax    
Email  yuktis14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indranil Biswas 
Designation  Assistant professor  
Affiliation  Pgimer  
Address  Room no. 4014 , Advanced Cardiac centre , Department Of Anesthesia PGIMER, Chandigarh sector 12 Pin code : 160012

Chandigarh
CHANDIGARH
160012
India 
Phone  7710449858  
Fax    
Email  hreesheekombartta@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Indranil Biswas 
Designation  Assistant professor  
Affiliation  Pgimer  
Address  Room no. 4014 , Advanced Cardiac centre, Department of Anesthesia , PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  7710449858  
Fax    
Email  hreesheekombartta@gmail.com  
 
Source of Monetary or Material Support  
Post graduate institute of medical education and research  
 
Primary Sponsor  
Name  PGIMER  
Address  Pgimer, Chandigarh sector 12 . Pin code 160012 
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 
YUKTI SHARMA  CTVS OT, Level 4 ADVANCED Cardiac center  Room No. 4014 ADVANCED CARDIAC CENTER : Department Of Anesthesia . Division : Cardiac Anesthesia PGIMER
Chandigarh
CHANDIGARH 
8054892551

yuktis14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Postgraduate Institute of Medical Education and Research , Chandigarh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I251||Atherosclerotic heart disease of native coronary artery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Undergoing CABG/Valve replacement /repair procedure  
 
ExclusionCriteria 
Details  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  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Trans-tricuspid early (E) and late (A) diastolic velocities as well as E -wave deceleration
time (EDT) will be measured in A4C view by TTE and in Mid-esophageal right ventricular inflow-outflow view,
MEB view, DTRVIO
view by TEE.
Tricuspid annular early (e’) and late (a’) diastolic velocities as well as IVRT will be measured in A4C TTE and in MERVIO view,
TGRI view, Deep transgatric right ventricular
inflow outflow view by TEE 
single time point at baseline which is immediately after anesthesia induction. 
 
Secondary Outcome  
Outcome  TimePoints 
1. To find out the transesophageal echocardiographic views having best
agreement with transthoracic echocardiography for measurement of individual Doppler and
Tissue Doppler velocities related to right ventricular diastolic function.
2. To find out the feasibility of measuring the right ventricular diastolic Doppler
and Tissue Doppler velocities using different views of transesophageal echocardiography. 
single time point at baseline which is immediately after anesthesia induction. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/02/2022 
Date of Study Completion (India) 31/12/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 31/12/2022 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
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

 
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