Unique ID issued by UMIN | UMIN000046067 |
---|---|
Receipt number | R000052575 |
Scientific Title | Relationship between cardiac function and position |
Date of disclosure of the study information | 2021/11/13 |
Last modified on | 2021/11/13 16:25:58 |
Relationship between cardiac function and position
Relationship between cardiac function and position
Relationship between cardiac function and position
Relationship between cardiac function and position
Japan |
volunteer
Anesthesiology |
Others
NO
In recent years, laparoscopic surgery has been increasing steadily. In particular, the lower gastrointestinal tract and urological Da Vinci surgery are organs in the pelvis, so it is necessary to take a remarkable low head position to secure the intraoperative visual field. It has been reported that these positions have a considerable effect on the cardiovascular system, and the left ventricular ejection fraction (LVEF) is reduced by 20% 1). Especially in patients with heart disease, the change is expected to be remarkable. Therefore, we decided to investigate and study how much the myocardial contractile force and diastolic ability of the left and right heart systems change depending on the low head position in healthy human volunteers.
Safety
For 30 volunteers, the lateral contraction ability and diastolic ability are first measured by transthoracic echocardiography in the horizontal position.
The contractility is the ejection fraction (EF), fractionation fraction (% FS), and the mitral valve and tricuspid annulus systolic movement distance, which are said to be easy to measure and correlate well with EF. Measure (MAPSE, TAPSE) 2). For diastolic function, measure E / A and E / e'both left heart and right heart system 3). After that, keep the head low at 30 degrees for 7.5 minutes 4) and record the changes in contractile ability and diastolic ability. In addition, blood pressure and heart rate in the horizontal and low head positions are recorded as hemodynamics.
The purpose of this study is how the general measurements EF,% FS, E / A correlate with the relatively new MAPSE, TAPSE, E / e'. And it is to examine how these values change depending on the low head.
Observational
20 | years-old | <= |
90 | years-old | >= |
Male and Female
Health volunteer
without approval
40
1st name | MITSUHARU |
Middle name | |
Last name | KODAKA |
TOYO WOMEN'S MEDICAL UNIVERSITY
Medical center east, anesthesiology
116-8567
2-1-10 Nishiogu Arakawa-ku, 116-8567 Tokyo
0338101111
kmkodaka@cb3.so-net.ne.jp
1st name | MITSUHARU |
Middle name | |
Last name | KODAKA |
Tokyo women's medical university
Medical center east, anesthesiology
116-8567
2-1-10 Nishiogu Arakawa-ku, 116-8567 Tokyo
0338101111
kmkodaka@cb3.so-net.ne.jp
TOKYO WOMEN'S MEDICAL UNIVERSITY
TOKYO WOMEN'S MEDICAL UNIVERSITY
Other
TOKYO WOMEN'S MEDICAL UNIVERSITY
2-1-10 Nishiogu Arakawa-ku, 116-8567 Tokyo
0338101111
kmkodaka@cb3.so-net.ne.jp
YES
5427
IRB of TWMU
2021 | Year | 11 | Month | 13 | Day |
Unpublished
Enrolling by invitation
2019 | Year | 12 | Month | 17 | Day |
2019 | Year | 12 | Month | 17 | Day |
2021 | Year | 11 | Month | 15 | Day |
2021 | Year | 12 | Month | 30 | Day |
OBSERVATIONAL TRIAL
2021 | Year | 11 | Month | 13 | Day |
2021 | Year | 11 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052575