Relationship of Preoperative Fasting With Tricuspid Annular Plane Systolic Excursion

N/AEnrolling By InvitationNCT06105866

Aydin Adnan Menderes University100 enrolled

Overview

The aim of our study is to try to establish a relationship between preoperative fasting-related volume changes and tricuspid annular plane systolic excursion (TAPSE), and to determine whether there are changes in right ventricular functions due to preoperative fasting.

TAPSE (Tricuspid Annular Plane Systolic Excursion) is a parameter that easily measures apex-base shortening and provides specific information about global right ventricular (RV) function. It is less dependent on optimal image quality and serves as an easily measurable criterion compared to other RV function measurements. In this study, one day before the operation, transthoracic echocardiography (TTE) will be conducted on fasting patients, and if the preoperative fasting duration is appropriate on the day of the surgery, TTE measurements will be repeated and recorded. The study aims to evaluate the relationship between TAPSE and volume and determine whether there are any changes in right ventricular functions due to preoperative fasting.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

The Relationship Between TAPSE Value and Volume

Interventions

Tricuspid Annular Plane Systolic ExcursionDIAGNOSTIC_TEST

Transthoracic echocardiography will be performed on patients during hospitalization and preoperatively to investigate the relationship between preoperative fasting and right ventricular functions. This will be examined by looking at TAPSE

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA 1-2-3 * The patient must be between 18 and 75 years old. * Perioperative hydration has not been administered. * Preoperative sedatives have not been given. * There should be no known heart disease. Exclusion Criteria: * The patient being pregnant * Post-cardiac surgery * Severe pulmonary hypertension * Severe valve disease * Hypertrophic or dilated cardiomyopathy * Presence of acute myocardial infarction * Non-sinus rhythm

Locations (1)

Sevil Gulasti

Aydin, Zafer, Turkey (Türkiye)

Outcomes

Primary Outcomes

The TAPSE value is related to volume

We will measure FAC, S' velocity, TAPSE, and Myocardial Performance Index (MPI) derived from TDI to evaluate Right Ventricular (RV) systolic functions. To assess the RV diastolic function, we will measure Tricuspid E and A wave velocities, E/A ratio, and E' velocity. TAPSE will be calculated by placing an M-mode cursor along the Tricuspid Annulus and measuring the longitudinal excursion during peak systole

Time frame: Patients who apply to our hospital for surgery within 6 months will be included in our study. Preoperative TAPSE measurements will be taken from the patients twice, first during admission and immediately before the operation

Data from ClinicalTrials.gov

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