Rapid and Easy Evaluation of Cardiac Systolic Function by Means of Mitral Valve Movements in the Emergency Department

NCT02657824 | Completed

• 1 other identifier: 06072015
• Study Type: observational
• Target: 113
• Locations: 0 countries
• Sites: N/A

Brief Summary

Left ventricular ejection fraction (LVEF) is a parameter that should be evaluated rapidly to the patients, admitted to the emergency department with shortness of breath. The investigators aimed to investigate correlation between LVEF and 4 different mitral valve movements which alternate to the classical LVEF assessing methods and evaluate these methods can be used or not in the emergency department.

Conditions

Heart; Disease, Mitral(Valve)

Keywords

Ejection fraction; mitral valve; e-point septal separation

Outcome Measures

Primary Outcomes (1)

• Dyspneic patients were evaluated for their left ventricular ejection fraction by new methods with using transthoracic echocardiography.

  New methods are described: First measurement is distance between mitral valve anterior leaflet and septum in early diastole in the parasternal long axis view m-mode in millimeter.second measurement is distance between mitral valve anterior leaflet and septum in early diastole in the parasternal long axis view b-mode in millimeter. third is the distance between mitral valve anterior leaflet and septum in the apical four chamber view b-mode in millimeter. forth is the distance between mitral valve anterior and posterior leaflet in apical four chamber b-mode in millimeter.

  up to 2 hours after admitting to the emergency department

Study Arms (1)

measuring ejection fraction

ejection fraction in an acute dyspneic patients

Other: dyspneic patients

Interventions

dyspneic patients OTHER

measuring mitral valve and septal distance in acute dyspneic patients for estimating left ventricular ejection fraction

measuring ejection fraction

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

an acutely dyspneic patients with receiving echocardigraphy by the chief physicians in the emergency department

You may qualify if:

• older than 18 years
• nontraumatic acute dyspneic patients

You may not qualify if:

• sigmoid septum
• septal hypertrophia
• mitral stenosis
• mitral valve prothesis
• aortic regurgitation
• regional wall motion defect

Sponsors & Collaborators

• Bozyaka Training and Research Hospital: lead

Related Publications (3)

• Secko MA, Lazar JM, Salciccioli LA, Stone MB. Can junior emergency physicians use E-point septal separation to accurately estimate left ventricular function in acutely dyspneic patients? Acad Emerg Med. 2011 Nov;18(11):1223-6. doi: 10.1111/j.1553-2712.2011.01196.x. Epub 2011 Nov 1.

  PMID: 22044429 RESULT

• Weekes AJ, Reddy A, Lewis MR, Norton HJ. E-point septal separation compared to fractional shortening measurements of systolic function in emergency department patients: prospective randomized study. J Ultrasound Med. 2012 Dec;31(12):1891-7. doi: 10.7863/jum.2012.31.12.1891.

  PMID: 23197541 RESULT

• McKaigney CJ, Krantz MJ, La Rocque CL, Hurst ND, Buchanan MS, Kendall JL. E-point septal separation: a bedside tool for emergency physician assessment of left ventricular ejection fraction. Am J Emerg Med. 2014 Jun;32(6):493-7. doi: 10.1016/j.ajem.2014.01.045. Epub 2014 Feb 3.

  PMID: 24630604 RESULT

MeSH Terms

Conditions

Disease

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• neslihan siliv

  ızmır bozyaka traınıng and research hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: doctor

Study Record Dates

• First Submitted: December 22, 2015
• First Posted: January 18, 2016
• Study Start: August 1, 2015
• Primary Completion: September 1, 2015
• Study Completion: October 1, 2015
• Last Updated: February 9, 2016

Record last verified: 2016-01

Data Sharing

• IPD Sharing: Will not share