Right Atrial Heart Measurements Before Surgery and Irregular Heartbeat After Heart Surgery
Checks whether right atrial strain on heart ultrasound predicts irregular heartbeat after heart surgery.
Plain-language title generated from the registry record
Registry title: Predictive Value of Right Atrial Strain in Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery
Key facts
- Where
- Amiens, FranceSee the site
Where in France
- Chu Amiens PicardieAmiens, FranceTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Centre Hospitalier Universitaire, Amiens
- Trial code
- NCT06054360
- Record updated
- 28 May 2026
- Original description
The incidence of postoperative atrial fibrillation (POAF) after cardiac surgery is around 30%. POAF increases the risk of developing permanent atrial fibrillation and raises the risk of cardiac decompensation, stroke, acute myocardial infarction, and death. While the role of the left atrium (LAF) in the pathophysiology of POAF is now well-established, the part of the right atrium (RA) remains poorly understood. Recent studies suggest a correlation between RA function and POAF.Read full original descriptionShow less
Predictive Value of Right Atrial Strain in Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Surgery
The incidence of postoperative atrial fibrillation (POAF) after cardiac surgery is around 30%. POAF increases the risk of developing permanent atrial fibrillation and raises the risk of cardiac decompensation, stroke, acute myocardial infarction, and death. While the role of the left atrium (LAF) in the pathophysiology of POAF is now well-established, the part of the right atrium (RA) remains poorly understood. Recent studies suggest a correlation between RA function and POAF.
RA function can be assessed by transthoracic echocardiography (TTE) with dedicated software for measuring the RA strain (RAS). RA function is thus divided into three phases: reservoir (RASr), conduit, and contraction. Numerous studies have demonstrated that a significant alteration in RAS predicts POAF in various clinical contexts. Therefore, it is essential to investigate whether alterations in RA function assessed by 2D-STE (RAS) are associated with an increased occurrence of FAPO after cardiac surgery.
It is essential to investigate whether alterations in RA function assessed by 2D-STE (RAS) are associated with an increased occurrence of FAPO after cardiac surgery.
Inclusion: Adult patient (>18 years old); The patient was hospitalized at the Amiens University Hospital for scheduled aortocoronary bypass grafting under cardiopulmonary bypass; Echocardiographic image quality enabling the measurement of RAS parameters; Patient affiliation to a social security scheme; Patient/proxy information and collection of their non-opposition.
Exclusion: Patient receiving circulatory mechanical assistance before surgery; History of atrial fibrillation or flutter; Valvular and ascending aorta cardiac surgery; Urgent cardiac surgery; Presence of tricuspid insufficiency greater than grade 2; Dependency on ventricular and atrial pacing by an internal or external cardiac pacemaker during the echocardiographic examination; Left ventricular ejection fraction lower than 50%; Patients participating in an interventional study may modify the incidence of POAF.