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Diastolic FunctionNCT04474639

Determination of Diastolic Dysfunction by Single Lead Electrocardiogram

An observational study of Diastolic Function, run by I.M. Sechenov First Moscow State Medical University at 1 site in Russia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

It is a prospective, controlled, single-center, non-randomized, observational study. From September 2019 to December 2020, the study plans to prospectively include 400 patients aged 18 to 90 years. Read more about this study

Who is it for?
Ages 18 to 90 yearsHealthy volunteers can take part
Conditions the study is for
Diastolic Function
What is being tested?
echocardiographic examination
Type of treatment
Medical device
How many people
400 participants
Where
1 siteRussia
Study dates
1 Sep 2019to 29 Aug 2021
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: all patients aged 18 to 90 years

Who may be able to join

  • The presence of written informed consent of the patient to participate in the study
  • Age from 18 years to 90 years
  • Outpatient treatment and / or hospitalization in a research center

Who cannot join

  • Reluctance of the patient to participate in the study
  • Poor quality ECG recording on a single-channel ECG monitor
  • Poor visualization of the heart during echocardiographic study
  • Acute psychotic reactions that arose during research
  • An exacerbation of chronic diseases requiring treatment tactics for the patient and preventing his further participation in the study.
  • Non-inclusion criteria:
Show all 13Show fewer
  • The presence of conduction disturbances in patients that impede ECG analysis (WPW syndrome, sinoatrial block of degrees 2 and 3, atrioventricular block 3 degrees, complete block of the left bundle branch block, complete block of the right bundle branch block)
  • Conditions that can impair ECG recording quality (Parkinson's disease, essential tremor)
  • The inability to assess diastolic function during echocardiography
  • Mental illness
  • Diseases with an expected life expectancy of less than 2 years
  • Patients with diffuse hypokinesis of the left ventricle with a reduced ejection fraction (less than 30%)
  • Patients with a pacemaker installed

Trial locations and contacts

1 site in 1 country.

Russia1 site
  • I.M. Sechenov First Moscow State Medical University (Sechenov University)

    Moscow

Other trials in Russia

About this study

Official title: Diastolic Dysfunction Assessment of the Left Ventricle Using Spectral Analysis of a Single Lead ECG

It is a prospective, controlled, single-center, non-randomized, observational study.

From September 2019 to December 2020, the study plans to prospectively include 400 patients aged 18 to 90 years.

Read more

Every patients will undergo an echocardiographic examination with assessment diastolic dysfunction of the left ventricle, and registration of an electrocardiogram using a single lead ECG monitor CardioQvark (in I standard lead) for 3 minutes. All patients will be divided into 2 main groups: with diastolic dysfunction of the left ventricle, confirmed by the results of the echocardiography and without. A spectral analysis of the electrocardiogram will be performed using a continuous wavelet transform.

The result of this study will be the identification of ECG parameters that will correlate with LV diastolic dysfunction.

Read the detailed description

It is a prospective, controlled, single-center, non-randomized, observational study.

From September 2019 to December 2020, the study plans to prospectively include 400 patients aged 18 to 90 years.

The goal of study is reveal single parameters of the electrocardiogram, which a good correlation with left ventricular diastolic dysfunction (LV DD), discovered during echocardiography.

Investigators plan to assess the diagnostic effectiveness of the spectral analysis of electrocardiograms obtained using a single-lead portable ECG monitor.

All subjects will undergo an echocardiographic examination of the heart with a determination of diastolic dysfunction of the left ventricle and will be divided into 2 main groups: with diastolic dysfunction of the left ventricle, confirmed by the results of the echocardiography and without.

At the same time, for all patients single-lead ECG will be recorded (in turn of leads I) for 3 minutes with further spectral analysis of the data obtained.

A single-lead ECG monitor CardioQvark is designed as an iPhone cover. It is registered with the Federal Service for Health Supervision on February 15, 2019. RZN No. 2019/8124.

Then a spectral analysis of the electrocardiogram will be performed using a continuous wavelet transform, the principles of which are based on the Fourier transform.

The analysis implies an assessment of the following parameters (the parameters listed below will be calculated as the median of the tact-cycle):

  • TpTe - time from peak to end of the T-wave
  • VAT - time from the beginning of the QRS to the R-peak
  • QTc - corrected QT interval.
  • QT / TQ - the ratio of QT length to TQ length (from the end of T to the beginning of the QRS of the next complex).
  • QRS_E - the total energy of the QRS wave based on the wavelet transform
  • T_E - T-wave total energy based on wavelet transform
  • TP_E- energy of the main tooth of the T-wave based on the wavelet transform
  • BETA, BETA_S - T-wave asymmetry coefficients (simple and smooth versions)
  • BAD_T - flag of T-wave quality (whether expressed in the current lead
  • QRS_D1_ons - energy of the leading edge of the R-wave (based on the "first derivative" wavelet transform)
  • QRS_D1_offs - energy of the trailing edge of the R-wave (based on the "first derivative" wavelet transform)
  • QRS_D2 - peak energy of the R-wave (based on the "second derivative" wavelet transform)
  • QRS_Ei (i = 1,2,3,4) - QRS-wave energy in 4 frequency ranges (2-4-8-16-32 Hz) based on wavelet transform
  • T_Ei (i = 1,2,3,4) - T-wave energy in 4 frequency ranges (2-4-6-8-10 Hz) based on wavelet transform
  • HFQRS - the amplitude of the RF components of the QRS wave

Additionally used parameters:

  • TpTe, VAT, QTc - are duplicated to control the correctness of the record processing (the value of the UCC should be approximately equal to the median of the tick-by-bar).
  • QRSw - QRS width.
  • RA, SA, TA - the amplitudes of the R, S, T-waves, respectively, are used to normalize the parameters listed above.

Statistical processing of results: SPSS Statistics Version 26 is a computer program for statistical processing of data.

The result of this study will be the identification of ECG parameters that will correlate with LV diastolic dysfunction, and by which it will be possible to determine its presence and degree in the future.

Investigators also plan to analyze ECG parameters characteristic of patients with LV diastolic dysfunction in different population groups:

  • patients suffering from high blood pressure with patients without the above pathology
  • patients with zones of a- and hypokinesis according to echocardiography as a result of a coronary circulation disorder
  • patients suffering from atrial fibrillation with patients without this pathology
  • men / women
  • patients of different age groups

During statistical processing of the data, the following will be calculated: sensitivity, specificity, prognostic value of positive and negative results, likelihood ratio, area under ROC - curve, correlation coefficient. it is planned to obtain data on the diagnostic effectiveness of the proposed approach, as well as on individual parameters of the electrocardiogram in the diagnosis of diastolic dysfunction of the left ventricle.

Being tested
echocardiographic examination
Keywords
diastolic function, heart failure, spectral analysis
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • echocardiographic examinationDevice

    conducting an echocardiographic study according to a standard protocol with the determination of diastolic dysfunction of the left ventricle

Study groups in NCT04474639
Study groupRoleWhat they receive
with diastolic dysfunctionpatients with diastolic dysfunction of the left ventricle confirmed by the results of the echocardiography (septal e' >=8, and lateral e'>=10 and left atrium <34 ml/m2) and by results of the spectral analysis of electrocardiogram (the parameters listed below will be calculated as the median of the tact-cycle: TpTe, VAT, QTc, QT / TQ, QRS_E, T_E, TP_E, BETA, BETA_S, BAD_T, QRS_D1_ons, QRS_D1_offs, QRS_D2, QRS_Ei (i = 1,2,3,4), T_Ei (i= 1,2,3,4), HFQRS, QRSw, RA, SA, TA).
Receives: Device: echocardiographic examination
without diastolic dysfunctionpatients without diastolic dysfunction of the left ventricle confirmed by the results of the echocardiography (septal e'<8, and lateral e'<10 and left atrium >=34 ml/m2) and by results of the spectral analysis of electrocardiogram (the parameters listed below will be calculated as the median of the tact-cycle: TpTe, VAT, QTc, QT / TQ, QRS_E, T_E, TP_E, BETA, BETA_S, BAD_T, QRS_D1_ons, QRS_D1_offs, QRS_D2, QRS_Ei (i = 1,2,3,4), T_Ei (i= 1,2,3,4), HFQRS, QRSw, RA, SA, TA).
Receives: Device: echocardiographic examination

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. determination of sensitivity of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

  2. determination of specificity of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

  3. determination of prognostic value of positive and negative results of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

  4. determination of likelihood ratio of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

  5. determination of area under ROC - curve of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

  6. determination of correlation coefficient of LV DD using a single-channel ECG monitor CardioQvark

    comparison of the presence of LV DD detected by the results of an echocardiographic study with the results of the presence of LV DD obtained using the mathematical model of a single-channel ECG of the CardioQvark monitor

    Measured: through study completion, an average of 2 years

Secondary outcomes (16)
  1. significance of the parameter TpTe on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  2. significance of the parameter VAT on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  3. significance of the parameter QTc on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  4. significance of the parameter QT / TQ on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  5. significance of the parameter QRS_E on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  6. significance of the parameter T_E on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  7. significance of the parameter TP_E on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  8. significance of the parameter BETA on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  9. significance of the parameter BETA_S on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  10. significance of the parameter BAD_T on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  11. significance of the parameter QRS_D1_ons on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  12. significance of the parameter QRS_D1_offs on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  13. significance of the parameter QRS_D2 on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  14. significance of the parameter QRS_Ei on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  15. significance of the parameter T_Ei on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

  16. significance of the parameter HFQRS on the ECG in the determination of LV DD

    an ECG spectral analysis will be performed using the Fourier Transform

    Measured: through study completion, an average of 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jul 2020
  2. Study start1 Sep 2019
  3. Primary completion30 Jun 2021
  4. Study completion29 Aug 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
400 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04474639
Sponsor's protocol ID
1305
Status last verified
Aug 2021
First submitted
22 Jun 2020
Last updated
31 Aug 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: It is not possible to provide documentation due to the prohibition received from the local ethics committee

Questions about this trial

What is this clinical trial studying?

An observational study of Diastolic Function, run by I.M. Sechenov First Moscow State Medical University at 1 site in Russia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

determination of sensitivity of LV DD using a single-channel ECG monitor CardioQvark (time frame: through study completion, an average of 2 years). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2021.

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