2D Strain Evaluation: Children With Duchenne Muscular Dystrophy Versus Healthy Children

Study Overview
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Brief Summary
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Compare systolic function of left ventricle (LV) and right ventricle (VD) by 2D strain evaluation in Duchenne muscular dystrophy children versus a control group.

Detailed Description
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Among the new echocardiographic techniques, two dimensional Speckle Tracking Imaging or 2D Strain allows a dynamic study of regionalized and global ventricular contraction. With software for the spatial and temporal processing of a standard 2D image, this technique measures the displacement of natural markers present on the myocardial wall. Used in adult cardiology since 2000, it could be eligible to pediatric population because of many potential applications. In Duchenne muscular dystrophy, myocardial disease leads to death in the third decade. Early diagnosis and preventive therapy remain a challenge. No clinic, biologic or radiologic markers can predict myocardial disease before advanced and irreversible heart failure. Recent animals and human studies suggest that 2D strain anomalies could predict left ventricular systolic dysfunction in Duchenne muscular dystrophy. If it is confirmed, 2D strain could be used as early marker of myocardial disease in routine patient follow-up and in future therapeutic studies. Purpose : - To compare systolic function of left ventricle (LV) and right ventricle (RV) by 2D strain evaluation in Duchenne muscular dystrophy children versus a control group. To correlate 2D Strain variables to conventional LV and RV echo variables. To evaluate 2D strain feasibility in normal children and Duchenne muscular myopathy population

Official Title
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Evaluation of Myocardial Function by Two Dimensional Speckle Tracking Echocardiography in Children With Duchenne Muscular Dystrophy Versus Healthy Children: a Comparative Transversal Multicenter Study

Conditions
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Duchenne Muscular Dystrophy

Intervention / Treatment
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* Other: speckle tracking (2D strain) echocardiography


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Duchenne's muscular dystrophy (group 1) followed in our institution's referral center of neuromuscular diseases, during regular annual echocardiography follow-up. Healthy children (group 2), addressed in pediatric cardiology

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: dmd children<br>echocardiography | Other: speckle tracking (2D strain) echocardiography<br>* 2D echocardiography videos of both ventricles to perform 2D strain post-examination evaluation<br>|
| Other: healthy children<br>echocardiography | Other: speckle tracking (2D strain) echocardiography<br>* 2D echocardiography videos of both ventricles to perform 2D strain post-examination evaluation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| global longitudinal LV 2D strain |  | day 1 |