Health Condition 1: I060- Rheumatic aortic stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Severe AS 2.Baseline sinus rhythm on ECG. 3.Normal LV function 4.Scheduled for surgical AVR. 5.Written informed consent
Exclusion criteria
Exclusion criteria: 1.Persistent or permanent atrial fibrillation/flutter/left bundle branch block/complete heart block or other arrhythmias precluding LA strain measurement. 2.More than mild mitral valve disease/more than mild AR or significant tricuspid/pulmonary valve disease. 3. Prior valve surgery or significant congenital heart disease or atrial septal defect or coarctation of aorta besides isolated AS. 4. Patients with LV dysfunction 5. Infective endocarditis or systemic infection/sepsis. 6. Poor TEE imaging window
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation of LAEF with LA strain and functional indices intraoperatively.Timepoint: 1. Baseline 2. Post Aortic valve replacement | — |
Secondary
| Measure | Time frame |
|---|---|
| Perioperative MACE (mortality, MI, stroke, heart failure). Duration of mechanical ventilation. ICU stay length. Vasoactive support requirements. Postoperative atrial fibrillation incidence.Timepoint: Postoperative day 0, Post operative day 1 & postoperative day 2/until discharge from ICU | — |
Countries
India
Contacts
All India Institute of Medical Sciences,, New Delhi