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Predictive Value of Right Atrial Strain in Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery

Recruitingn/aAges 18 Years - anyAllCentre Hospitalier Universitaire, Amiens
NCT06054360 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The incidence of postoperative atrial fibrillation (POAF) after cardiac surgery is around 30%. POAF increases the risk of developing permanent atrial fibrillation and raises the risk of cardiac decompensation, stroke, acute myocardial infarction, and death. While the role of the left atrium (LAF) in the pathophysiology of POAF is now well-established, the part of the right atrium (RA) remains poorly understood. Recent studies suggest a correlation between RA function and POAF. RA function can be assessed by transthoracic echocardiography (TTE) with dedicated software for measuring the RA strain (RAS). RA function is thus divided into three phases: reservoir (RASr), conduit, and contraction. Numerous studies have demonstrated that a significant alteration in RAS predicts POAF in various clinical contexts. Therefore, it is essential to investigate whether alterations in RA function assess

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📋 Eligibility rules (as published)
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.
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What it tests

  • Not listed
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Where

1 site
CHU Amiens Picardie
Amiens, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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