The FUnctional TricUspid REgurgitation by 3D EChocardiography Cooperative Study

Status: Recruiting
Location: See all (4) locations...
Intervention Type: Diagnostic test
Study Type: Observational
SUMMARY

Prospective, multicenter, observational study to enroll consecutive patients with functional tricuspid regurgitation (FTR) with the primary aim to: * Use patients' outcomes as a reference to try to define the threshold values for the different grades of FTR severity; and secondary aims to: * Use 3D echocardiography to assess the relationships among the geometry (size and shape) of the right ventricle, right atrium, tricuspid annulus, and tricuspid leaflets according to the underlying cardiac condition (i.e., atrial fibrillation, pulmonary hypertension, right ventricular cardiomyopathy, congenital heart diseases, etc.) * Assess the accuracy, and incremental diagnostic and prognostic value of a new software package to measure tricuspid annulus and valve geometry * Develop new parameters of FTR severity that take into account the lower momentum of the tricuspid regurgitant jet (compared with the mitral regurgitation jet), the complex anatomy of the regurgitant orifice, and both the intra-beat and respiratory variation of the regurgitant volume * Test the hypothesis that there is no actual grading but a continuum of increased risk of adverse outcome with the increase of FTR severity, and we need robust quantitative metrics (for example, the regurgitant fraction - currently not included in guidelines - which takes into account the right ventricular volume and function) more than grading schemes to assess the severity of the diseases and the effect of treatments * Test the hypothesis that the relationship between FTR severity and the outcome may be different according to the underlying cardiac condition (i.e., atrial fibrillation, pulmonary hypertension, right ventricular cardiomyopathy, congenital heart diseases, post-cardiac surgery, etc.) as this will affect the timing for interventions

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
View:

• older than 18 years,

• signed informed consent to be part of this study,

• no pregnancy,

• the presence of at least one of the following cardiac conditions: a. Permanent atrial fibrillation b. Pulmonary arterial hypertension c. Left heart diseases with increased postcapillary pressure d. Right ventricular cardiomyopathy e. Right ventricular infarction f. Chronic thromboembolic pulmonary embolism g. Congenital diseases with right ventricular volume overload (atrial septal defect, interventricular septal defect, pulmonary regurgitation) h. Previous left heart valve surgery I. Good enough acoustic window and patient cooperation to obtain 3D echo data sets of the right ventricle, right atrium and tricuspid valve with a minimum temporal resolution of 20 vps l. Availability for clinical and echocardiography follow-up

Locations
Other Locations
Italy
Istituto Auxologico Italiano, IRCCS
RECRUITING
Milan
University of Padova
TERMINATED
Padua
Romania
University of Medicine and Pharmacy Carol Davila
RECRUITING
Bucharest
University of Medicine and Pharmacy of Craiova
RECRUITING
Craiova
Contact Information
Primary
Luigi Badano, MD, Ph.D.
l.badano@auxologico.it
+3902619112319
Backup
Denisa Muraru, MD, Ph.D.
d.muraru@auxologico.it
+3902619112319
Time Frame
Start Date: 2020-04-21
Estimated Completion Date: 2027-04-21
Participants
Target number of participants: 1500
Treatments
Functional tricuspid regurgitation
Patients with functional tricuspid regurgitation
Control subjects
Healthy volunteers
Sponsors
Leads: Istituto Auxologico Italiano

This content was sourced from clinicaltrials.gov