Assessing right atrial strain to predict postoperative atrial fibrillation after heart surgery
Predictive Value of Right Atrial Strain in Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery
This study is testing if measuring right atrial strain can help predict the risk of developing atrial fibrillation after heart surgery in adults.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 334 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Centre Hospitalier Universitaire, Amiens Academic / other |
| Locations | 1 site (Amiens) |
| Trial ID | NCT06054360 on ClinicalTrials.gov |
What this trial studies
This observational study aims to investigate the predictive value of right atrial strain (RAS) in patients undergoing scheduled aortocoronary bypass grafting. By utilizing transthoracic echocardiography, the study will measure RAS parameters to determine their association with the occurrence of postoperative atrial fibrillation (POAF). Given that POAF can lead to serious complications, understanding the role of right atrial function may provide insights into patient outcomes following cardiac surgery. The study will include adult patients hospitalized at the Amiens University Hospital for this specific surgical procedure.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old scheduled for aortocoronary bypass grafting at the Amiens University Hospital.
Not a fit: Patients with a history of atrial fibrillation or flutter, urgent cardiac surgery needs, or significant tricuspid insufficiency may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could help identify patients at higher risk for postoperative atrial fibrillation, allowing for targeted interventions to improve outcomes.
How similar studies have performed: Previous studies have shown a correlation between right atrial function and postoperative atrial fibrillation, suggesting that this approach may yield valuable insights.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient (\>18 years old) * The patient was hospitalized at the Amiens University Hospital for scheduled aortocoronary bypass grafting under cardiopulmonary bypass. * Echocardiographic image quality enabling the measurement of RAS parameters * Patient affiliation to a social security scheme * Patient/proxy information and collection of their non-opposition. Exclusion Criteria: * Patients participating in an interventional study may modify the incidence of POAF. * History of atrial fibrillation or flutter. * Valvular and ascending aorta cardiac surgery * Urgent cardiac surgery. * Presence of tricuspid insufficiency greater than grade 2. * Left ventricular ejection fraction lower than 50%. * Patient receiving circulatory mechanical assistance before surgery. * Dependency on ventricular and atrial pacing by an internal or external cardiac pacemaker during the echocardiographic examination.
Where this trial is running
Amiens
- CHU Amiens Picardie — Amiens, France (Recruiting)
Study contacts
- Study coordinator: Camille DAUMIN, MD
- Email: daumin.camille@chu-amiens.fr
- Phone: 03 22 08 77 95
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.