Status:
UNKNOWN
The Effect of Combined Upper and Lower Extremity Endurance Training in Patients With ICD
Lead Sponsor:
Hitit University
Collaborating Sponsors:
Hacettepe University
Conditions:
Heart Failure With Reduced Ejection Fraction
Eligibility:
All Genders
18-80 years
Phase:
NA
Brief Summary
It was aimed to examine whether the arm endurance exercise training is effective in addition to the lower cycling training program in order to alleviate the negative functional results in heart failur...
Detailed Description
Pacemaker (permanent battery) is implanted in patients for many reasons. For reasons such as symptomatic bradycardia and AV block, a pacemaker with modes such as VVR and DDDR designed for pacing only ...
Eligibility Criteria
Inclusion
- Patients with a diagnosis of heart failure in the New York Heart Association (NYHA) class II-III, who have had at least 3 months past ICD implantation, and who did not have any complications at the last pacemaker control,
- Ejection fraction (EF) value ≤45%,
- The medicines used have not been changed for at least 3 months,
- Volunteering to participate in the research, being able to attend a 1-hour rehabilitation program every day of the week,
- To be clinically stable, to be under control if any accompanying comorbid conditions (such as hypertension, diabetes),
- Not having any orthopedic problems that may prevent him from exercising with his bicycle and arm ergometer,
- CPET, ambulatory blood pressure and rhythm monitoring, ECG and ECHO without any obstacle to exercise within the framework of TKD cardiology guidelines (such as moderate valve disease, hypertrophic cardiomyopathy, severe uncontrolled HT…).
Exclusion
- Those with a history of shoulder injury (severe pain around the shoulder and inability to move, severe swelling around the shoulder, shoulder dislocation)
- Those with a history of shoulder surgery,
- Sequelae of a cerebrovascular accident with mastectomy or arm involvement on the affected side,
- Having decompensated heart failure,
- Having an obstacle to exercise within the framework of TSC (Turkish Society of Cardiology) cardiology guidelines in CPET, ambulatory blood pressure and rhythm monitoring, ECG and ECO (such as moderate valve disease, hypertrophic cardiomyopathy, severe uncontrolled HT ...)
- Having a history of ICD shock in the last 6 months,
- Having an active treated malignancy or a collagen tissue disease receiving systemic steroids
- Being unable to cooperate or adapt to exercise due to cerebrovascular disease or other reasons,
- Having a chronic kidney disease undergoing dialysis where the volume load is not stable.
Key Trial Info
Start Date :
January 1 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 1 2022
Estimated Enrollment :
45 Patients enrolled
Trial Details
Trial ID
NCT04803968
Start Date
January 1 2021
End Date
January 1 2022
Last Update
April 1 2021
Active Locations (1)
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1
Hitit University
Çorum, Turkey (Türkiye), 19030