A New Cardiac Rehabilitation Treatment in the Application of Ischemic Heart Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorShanghai 10th People's Hospital

About this trial

Cardiac rehabilitation is an important link in cardiovascular disease. This study mainly explores the effectiveness of new cardiac rehabilitation therapy (early respiratory rehabilitation, phase I rehabilitation, exercise therapy, external counterpulsation, extracorporeal shock wave, etc.) on patients with ischemic heart disease such as coronary heart disease and heart failure, and the compliance of home rehabilitation compared with traditional cardiac rehabilitation therapy (traditional exercise rehabilitation, rehabilitation education, etc.).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged between 18 and 85 years old

Female subjects no pregnancy

The main admission diagnosis of ischemic heart disease (coronary heart disease, myocardial infarction, ischemic heart failure, etc.)

The need for cardiac rehabilitation treatment

Disqualifiers

acute respiratory distress syndrome (ARDS);

acute episode of COPD;

uncontrolled pulmonary infection;

acute heart failure; acute pulmonary embolism;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Metronomic breathing, exercise rehabilitation, external counterpulsation, extracorporeal shock wave.

    Device

    Phase I rehabilitation(Metronomic breathing,exercise rehabilitation),Phase II rehabilitation (exercise rehabilitation, external counterpulsation, extracorporeal shock) wave.)

  • bedside rehabilitation and breathing, balance, flexibility, movement rehabilitation

    Device

    Phase I rehabilitation (bedside rehabilitation, breathing rehabilitation), Phase II rehabilitation (breathing, balance, flexibility, movement)

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: The new rehabilitation groupExperimental treatment 1 intervention
Group B: The traditional rehabilitation group.Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change from baseline myocardial infarct area at 6 months

The location and extent of myocardial infarction were determined by D-SPECT.

Time frame
1 day of inclusions and 6 months after the first treatment.

Secondary outcomes

1

6 months hemodynamic changes in relative to the baseline

Noninvasive hemodynamic evaluation of hemodynamic state, such as, the larger the value of Stroke volume, Stroke volume index, Cardiac output, Cardiac output index parameters, the smaller the value of Systemic vascular resistance, Systemic vascular resistance index parameters, the better the function of the patient's heart and arterial vessels.

Time frame
1 day of inclusions and 6 months after the first treatment.
2

Change from baseline peak oxygen consumption at 6 months

maximum oxygen and maximum kilogram oxygen uptake accessed during Cardiopulmonary Exercise Testing (CPET)

Time frame
1 day of inclusions and 6 months after the first treatment.

Other outcomes

1

Major adverse cardiovascular events (MACE)

cardiovascular death, non-fatal myocardial infarction, unplanned coronary revascularization, stroke, heart failure, and angina-related rehospitalization

Time frame
From the date of inclusion until the date of documented adverse events with 6 months
2

Other treatment-related adverse reactions

Time frame
From the date of inclusion until the date of treatment-related adverse reactions within 6 months

Sponsors and contacts

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Shanghai 10th People's Hospital

Lead sponsor

Shanghai Municipal Science and Technology Commission

Collaborator