About this trial
A prospective, observational cohort study designed to identify clinical phenotypes and evaluate predictors \& outcomes of functional mitral and tricuspid valve regurgitation in patients with atrial fibrillation.
Participant will under go:
* Baseline echocardiography * Cpex Echocardiography * Blood test: BNP * 1 year follow up Echocardiography
Participants will be stratified into three subgroups:
* Atrial Functional MR * Atrial Functional TR * Mixed MR \& TR
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Informed consent
Age of 18 years or older
Atrial fibrillation
Moderate or severe atrial valve disease
Disqualifiers
Unwilling or unable to give consent
Left ventricular impairment (ejection fraction < 50%).
Primary/organic valve disease
Trial population
Recruitment will take place from the out-patient clinics \& echocardiography laboratory at St Bartholomew's Hospital
Trial design
Cohort
Prospective
Treatments tested in this trial
Echocardiogram
Diagnostic testUltrasound scan of the heart
Treatment groups
Trial outcomes
Primary outcomes
Effective Regurgitant Orifice Area at 1 year
Measure the EROA by echocardiography after 1 year
Secondary outcomes
Progression of valve disease defined as worsening of mitral or tricuspid regurgitation > 1 grade at 1 year.
Measure the change in regurgitation severity
Functional: New York Heart Association Class, Predicted VO2max (<84%).
Evaluate participants' physical abilities and endurance, focusing on two key measures: The New York Heart Association (NYHA) Functional Classification and the predicted maximum oxygen uptake (VO2max)
Heart Failure admission within 1 year of recruitment.
incidence of heart failure admissions within a one-year period following the recruitment of participants.
Mortality
Document and analyze the mortality rates among participants
Sponsors and contacts
Click on the lead sponsor to view all of their trials.