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Cardiovascular DiseasesNCT06211361

Cardiac Rehabilitation Program in Patients with Cardiovascular Disease

A study testing Cardiac rehabilitation in people with Cardiovascular Diseases, run by University of Castilla-La Mancha at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This protocol study aims to evaluate the effectiveness of a cardiac rehabilitation intervention program in patients with cardiovascular diseases to improve both anthropometric and biochemical data, as well as other variables related to cardiovascular disorders (cardiorespiratory fitness, muscle strength, …), and… Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Cardiovascular Diseases
What is being tested?
Cardiac rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteSpain
Study dates
10 Jul 2024to 30 Oct 2024
Phase
Interventional
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 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged between 20 and 80 years
  • Having suffered an acute event or presenting chronic cardiovascular pathology with a decrease/limitation of their functional capacity
  • Residing in the provinces of Cuenca, Toledo, or Albacete
  • Desire to participate voluntarily and acceptance of the conditions

Who cannot join

  • Have some physical or mental pathology that prevents their participation
  • Inability to adhere to the full program as reported in the initial consultation
  • Being outside the age criteria defined above

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital Virgen de la Luz

    Cuenca, Cuenca, 16002

Other trials in Spain

About this study

Official title: Impact of a Cardiac Rehabilitation Program in Patients with Cardiovascular Disease

This protocol study aims to evaluate the effectiveness of a cardiac rehabilitation intervention program in patients with cardiovascular diseases to improve both anthropometric and biochemical data, as well as other variables related to cardiovascular disorders (cardiorespiratory fitness, muscle strength, …), and emotional aspects (anxiety, depression).

Additionally, this study aims to evaluate the effectiveness of the cardiac rehabilitation program in improving body composition (waist circumference and body fat percentage), blood pressure and health-related quality of life.

Objectives: i) To assess the functional capacity of patients with a recent cardiovascular event (acute coronary syndrome, onset heart failure, valve or bypass surgery) or with chronic decompensated cardiovascular disease (valvulopathy, pulmonary hypertension, congenital heart disease, heart failure) chronic), ii) to determine the different cardiorespiratory parameters obtained from cardiopulmonary exercise testing (CPET), iii) to determine the lifestyle habits and cardiovascular risk factors, iv) to develop a cardiac rehabilitation program according to and adapted to the need of each of these patients, v) to estimate the effect of the intervention, both in the muscle strength and in post-intervention CPET, biochemical and anthropometric parameters, v) to estimate the effect of the intervention in the quality of life, anxiety, depression, and adherence to the Mediterranean diet.

Read the detailed description

Methodology: our project is a quantitative study. Patients belonging to the integrated health area of the provinces Cuenca, Toledo, and Albacete will be included. The quantitative study will be a pre-post clinical trial in which at least 80 patients of both genders will be analyzed; who have suffered a coronary event in recent months.

Patients will receive a physical exercise intervention within a cardiac rehabilitation program, lasting 2 months, 3 days per week. The intervention consists of a first part of warm up the large muscle groups, accompanied by breathing exercises (10-15 minutes), followed by a part of strength and muscular resistance training exercises (upper and lower limbs and abdominal muscles), through an exercise table with weights of different weights, depending on the patient's 1RM (maximum repetition), elastic bands of different resistances and weights (15 minutes). Depending on the pathology, a series of special considerations will be taken into account regarding progressive loading (with weights) and resistance, degrees of joint mobility of the upper limbs.

The design of the strength and muscular resistance exercises will be planned taking into account heart rate (HR), cardiovascular pathology, physical capacity of the patient, hemodynamic response at rest, during exercise and after recovery from it, as well as the perception effort and pharmacological action.

Following the recommendations made by the existing literature, we will work the upper limb muscles with a load of 30-40% of the 1RM, with 50-60% of the 1RM being the workload prescribed for lower limb training. Next, we would move on to the aerobic exercise part (continuous and interval), using a treadmill or cycle ergometer, depending on the pathology and the individual characteristics of each patient. The objective we set for ourselves is to increase the duration and intensity progressively until we reach after 45 minutes, after a few weeks. The program would end with a cool-down phase or return to calm.

Study design: This project will have a quantitative design, specifically a pre-post clinical trial.

Patients aged between 20-80 with cardiovascular pathology meeting the inclusion criteria who will be referred from outpatient clinics, hospitalization or primary care and belonging to the provinces of Cuenca, Toledo, and Albacete will be included.

The participants under study will be recruited through their primary care doctor, or cardiologists from the provinces assigned to this project.

The study will be carried out at the "Virgen de la Luz Hospital", in Cuenca, among patients with cardiac pathology described in the inclusion criteria, who will be included in a cardiac rehabilitation program. The variables collected before and after the intervention will be analyzed and studied to assess the adherence of the program and the medium-long term objectives.

The recruitment of participants will be carried out throughout the entire project.

Being tested
Cardiac rehabilitation
Keywords
cardiovascular diseases, heart failure, ischemic heart disease, cardiac rehabilitation, exercise training, cardiopulmonary exercise test, oxygen uptake
Medical subject headings
Cardiovascular Diseases, Heart Failure, Myocardial Ischemia

What participants receive

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

  • Cardiac rehabilitationOther

    Also called Exercise training program

    Physical exercise intervention within a cardiac rehabilitation program, lasting 2 months, 3 days per week. The intervention consists of a first part of warm up the large muscle groups, accompanied by breathing exercises, followed by a part of strength and muscular resistance training exercises (upper and lower limbs and abdominal muscles), another part of aerobic exercise part (continuous and interval), using a treadmill or cycle ergometer, and finally a part of stretching exercises and a cool-down phase.

Study groups in NCT06211361
Study groupRoleWhat they receive
InterventionExperimentalParticipants will be included in a cardiac rehabilitation program.
Receives: Other: Cardiac rehabilitation

What is being measured

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

  1. Change in peak oxygen uptake

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  2. Change in cardiorespiratory fitness

    6 minutes walking test (6MWT)

    Measured: Baseline and at the end of the 8weeks intervention

Secondary outcomes (39)
  1. Change in blood pressure

    Measured before and after the intervention with the Omron M7 Intelli blood pressure monitor

    Measured: Baseline and at the end of the 8weeks intervention

  2. Change in basal heart rate

    Measured before and after the intervention after CPET with the Omron M7 Intelli blood pressure monitor.

    Measured: Baseline and at the end of the 8weeks intervention

  3. Change in Maximum heart rate:

    Measured before and after the intervention after CPET with the Omron M7 Intelli blood pressure monitor

    Measured: Baseline and at the end of the 8weeks intervention

  4. Change in oxygen consumption efficiency slope (OUES)

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  5. Change in Respiratory gas exchange ratio (RER)

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  6. Change in Ventilatory thresholds (VT1 -VT2)

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  7. Change in Heart rate at ventilatory thresholds

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  8. Change in ventilatory equivalents

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  9. Change in partial pressures

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  10. Change in oxygen pulse

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  11. Change in ventilation (VE)

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  12. Change in respiratory reserve (BR)

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  13. Change in muscle efficiency

    Cardiopulmonary exercise test (CPET)

    Measured: Baseline and at the end of the 8weeks intervention

  14. Change in forced vital capacity (FVC)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  15. Change in forced expired volume in 1 second (FEV1)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  16. Changes in FEV1/FVC

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  17. Changes in Maximum Flow 75 (MEF75)(Maximum Flow at 75% of Forced Vital Capacity)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  18. Changes in Maximum Flow 50 (MEF50) (Maximum Flow at 50% of Forced Vital Capacity)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  19. Changes in Maximum Flow 25 (MEF25) (Maximum Flow at 25% of Forced Vital Capacity)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  20. Changes in Peak expiratory flow (PEF)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  21. Changes in tidal volume (VC)

    Using spirometry

    Measured: Baseline and at the end of the 8weeks intervention

  22. Change in Weight

    the mean of two measurements (using a OmronBF511 bioimpedance scale) with the participant barefoot and lightly clothed.

    Measured: Baseline and at the end of the 8weeks intervention

  23. Change in Body mass index (BMI)

    as weight (kg)/height2 (m2)

    Measured: Baseline and at the end of the 8weeks intervention

  24. Change in Waist circumference

    the mean of three measurements using a flexible tape measure at the midpoint between the last rib and the iliac crest at the end of a normal exhalation.

    Measured: Baseline and at the end of the 8weeks intervention

  25. Change in Hip circumference

    the mean of three measurements using a flexible tape measure between one and another greater trochanter.

    Measured: Baseline and at the end of the 8weeks intervention

  26. Change in waist hip index

    as waist circumference (cm)/ hip circumference (cm).

    Measured: Baseline and at the end of the 8weeks intervention

  27. Change in Body fat percentage

    the mean of two measurements using a OnromBF511 bioimpedance scale.

    Measured: Baseline and at the end of the 8weeks intervention

  28. Change in HbA1c

    Measured by blood test.

    Measured: Baseline and at the end of the 8weeks intervention

  29. Change in total cholesterol

    Measured by blood test.

    Measured: Baseline and at the end of the 8weeks intervention

  30. Change in LDL-c cholesterol

    Measured by blood test.

    Measured: Baseline and at the end of the 8weeks intervention

  31. Change in HDL-c cholesterol

    Measured by blood test.

    Measured: Baseline and at the end of the 8weeks intervention

  32. Change in triglycerides

    Measured by blood test.

    Measured: Baseline and at the end of the 8weeks intervention

  33. Change in one repetition maximum (1RM)

    Measured indirectly by Brzycki´s formula.

    Measured: Baseline and at the end of the 8weeks intervention

  34. Change in handgrip in right arm

    Measured by CAMRY digital dynamometer.

    Measured: Baseline and at the end of the 8weeks intervention

  35. Change in handgrip in left arm

    Measured by Camry digital dynamometer.

    Measured: Baseline and at the end of the 8weeks intervention

  36. Change in maximum respiratory pressures

    Measured by MicroMedical-Carefusion MicroRPM model.

    Measured: Baseline and at the end of the 8weeks intervention

  37. Change in Health-related quality of life

    36-Item Short Form Survey (SF-36)

    Measured: Baseline and at the end of the 8weeks intervention

  38. Change in Depression and anxiety.

    Hospital Anxiety and Depression Scale (HADS)

    Measured: Baseline and at the end of the 8weeks intervention

  39. Change in adherence to the Mediterranean diet

    Predimed questionnaire.

    Measured: Baseline and at the end of the 8weeks intervention

Timeline

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

  1. First posted18 Jan 2024
  2. Study start10 Jul 2024
  3. Primary completion30 Jul 2024
  4. Study completion30 Oct 2024 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Our project is a quantitative study
Masking
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06211361
Sponsor's protocol ID
REG: 2023/PI0523
Status last verified
Sep 2024
First submitted
8 Jan 2024
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Cardiac rehabilitation in people with Cardiovascular Diseases, run by University of Castilla-La Mancha at 1 site in Spain.

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 4 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 19 Sep 2024. 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 Spain. 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?

Results are not available in the source record.

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?

Change in peak oxygen uptake (time frame: Baseline and at the end of the 8weeks intervention). The study lists 2 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 19 Sep 2024.

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