Effects of Laugh Therapy Associated to Cardiopulmonary Rehab

Study Overview
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Brief Summary
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Laugh is more than visual and vocal behave, is always followed by a series of physiological changes, including contractions of musculoskeletal system, increase of cardiac frequency by catecholamine release and hyperventilation that promoves the increase of maximum breathing and oxygen saturation. Laugh therapy may be an alternative therapy, simple, and improve the quality of life of individuals can influence physiological and biochemical parameters of the human body.

Detailed Description
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Methods: Randomized clinical trial with patients from outpatient ischemic heart disease of the Hospital de Clínicas de Porto Alegre , patients of both sexes in all regular monitoring. All patients will perform 30 minutes of stretching before film sessions. The exercises will be mild to moderate (modified Borg scale between 3 and 6).

Official Title
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Effects of Laugh Therapy Associated to Cardiopulmonary and Metabolic Rehabilitation in Ischemic Heart Disease: Randomized Clinical Trial

Conditions
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Ischemic Heart Disease

Intervention / Treatment
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* Other: Comedy
* Other: Documentary


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ischemic heart disease diagnosis established by cardiac catheterization, with 50% lesion in at least one epicardial vessel (if the patient has had an acute coronary syndrome or have been revascularized, the event time is expected to exceed 6 months). Both sexes With availability to come to HCPA twice a week In conditions of entering into a cardiac rehabilitation program with exercise. Exclusion Criteria: Involvement in another clinical trial. Presence of autoimmune disease Use of oral anticoagulant Valvulopathy with mechanical or biological cardiac prosthesis Presence pacemaker or implantable cardioverter Left bundle branch block in 12-lead ECG severe lung disease Major Depression or Bipolar Disorder Chronic Atrial Fibrillation Left ventricular dysfunction (ejection fraction <45%) Active infection or cancer (other than basal cell carcinoma) Chronic Renal Failure Illiteracy Inability to understand the consent form

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Comedy<br>patients in this group will watch a comedy film that will not exceed 30 minutes | Other: Comedy<br>* patients will watch comedy film<br>|
| Experimental: Documentary<br>patients in this group will watch a documentary film that will not exceed 30 minutes. | Other: Documentary<br>* patients will watch a documentary film<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cardiopulmonary exercise test | The maximum functional capacity is measured by a maximal cardiopulmonary exercise test with expired gas analysis,in the treadmill Inbramed® KT 10200 (Porto Alegre, Brazil). | 48 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life Questionnaire | SF-36 Questionnaire of life quality | 48 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ischemic heart disease, laugh therapy