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CTRI Number  CTRI/2023/07/055228 [Registered on: 14/07/2023] Trial Registered Prospectively
Last Modified On: 07/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   New Echocardiographic parameter to predict arrhythmia after heart surgery 
Scientific Title of Study   Left atrial strain as a predictor of postoperative atrial fibrillation after mitral valve replacement for mitral stenosis - A prospective observational study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jijo Francis 
Designation  Senior Resident 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  Department of Cardiac Anaesthesia and Critical Care, CNC, AIIMS New Delhi

New Delhi
DELHI
110049
India 
Phone  08903885758  
Fax    
Email  jijo925@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Neeti Makhija 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  Department of Cardiac Anaesthesia and Critical Care, CNC, AIIMS, New Delhi

New Delhi
DELHI
110049
India 
Phone  08903885758  
Fax    
Email  neetimakhija@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Jijo Francis 
Designation  Senior Resident 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  Department of Cardiac Anaesthesia and Critical Care, CNC, AIIMS New Delhi

New Delhi
DELHI
110049
India 
Phone  08903885758  
Fax    
Email  jijo925@gmail.com  
 
Source of Monetary or Material Support  
AIIMS, New Delhi 
 
Primary Sponsor  
Name  Jijo Francis 
Address  TC 14/1202, St. George Lane, Kumarapuram, Trivandrum, Kerala 695011 
Type of Sponsor  Other [Self] 
 
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 
Jijo Francis  AIIMS, New Delhi  CTVS OT & ICU, Dept. of Cardiac Anaesthesia and Critical Care, Level 1, Cardio Neuro Centre
New Delhi
DELHI 
8903885758

jijo925@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee for Post Graduate Research, AIIMS, New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I050||Rheumatic mitral stenosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  17.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Posted for mitral valve surgery for mitral stenosis 
 
ExclusionCriteria 
Details  Presence of moderate/ severe mitral regurgitation, presence of other valve lesions, presence of non valvular structural heart diseases, sev. LV dysfunction, h/o previous open heart surgery 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Time taken for occurrence of atrial fibrillation  Readings taken twice daily till 4 days post operatively 
 
Secondary Outcome  
Outcome  TimePoints 
Vasoactive Inotropic Score   Post CPB, POD 0, 1, 2, 3 
Duration of ICU stay, Duration of mechanical ventilation, Incidence of other adverse events  Discharge from ICU 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   02/08/2023 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Primary objective: To study the use of left atrial strain to predict the incidence of postoperative atrial fibrillation after mitral valve replacement for mitral stenosis
Secondary objective: To compare left atrial strain with several other known predictors in predicting the incidence of atrial fibrillation


LA strain is a relatively easy to perform measurement using Echocardiography. The association of LA strain with the incidence of post operative atrial fibrillation, if proved will allow us to initiate prophylaxis and be more cautious of the development of AF which could lead to improvement in morbidity and mortality in patients with mitral stenosis who undergo mitral valve replacement.
 
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