More Intensive Cardiac Rehabilitation Programs in Less Time

Study Overview
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Brief Summary
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To determine if an intensive cardiac rehabilitation program with periodic reinforcements improve the compliance/adherence to secondary preventive measures (physical exercise, mediterranean diet, tobacco abstinence, pharmacological treatment) after an acute coronary syndrome with or without ST segment elevation versus an standard cardiac rehabilitation program

Official Title
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Multicenter, Prospective, Randomized, Open, Blinded for the End Point Evaluator to Compare Compliance to Secondary Prevention Measures After Acute Coronary Syndrome and Intensive Cardiac Rehabilitation Program vs Standard Program

Conditions
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Acute Coronary Syndrome

Intervention / Treatment
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* Other: Intensive cardiac rehabilitation program in less time


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signed informed consent Equal or older 18 years old Acute coronary syndrome with or without ST elevation within last two months Being able to do physical exercise Being able to understand the educative sessions Being able to understand patient information in the consent form Exclusion Criteria: Hemodynamic instability Left ventricular ejection fraction (LVEF) < or = 35% Heart failure class III -IV (New York Heart Association (NYHA) Functional Classification) Refractory angina Any pathology for which physical exercise is not indicated

Ages Eligible for Study
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Minimum Age: 18 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Intensivo<br>intensive cardiac rehabilitation program in less time | Other: Intensive cardiac rehabilitation program in less time<br>* 2 weeks, 5 days a week, and reinforcement sessions at 3, 6 and 9 months<br>|
| No Intervention: Convencional<br>standard cardiac rehabilitation program | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence to physical exercise | Assessed in Metabolic Equivalents of Task (METS) from baseline by ergometry | baseline-12 months | 
| Adherence to Mediterranean diet | Assessed by Mediterranean diet adherence questionnaire (Modified Trichopoulou A,) | baseline-12 months | 
| Tabacco abstinence | Assessed by cooximetry (less dan 10 ppm) | baseline-12 months | 
| Number of participants reporting compliance with prescribed treatments | Patient-reported answers form the investigator | baseline-12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiac rehabilitation programs, Adherence to secondary preventive measures, Acute coronary syndrome, More intensive cardiac rehabilitation program in less time