Evaluation of Exercise Tolerance and Cardiac Output in Patients With Heart Failure After Intervention of Rehabilitation Program

Study Overview
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Brief Summary
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Home-based rehabilitation programs have not been widely few been studied and the training effects are not unclear. This study evaluates the beneﬁcial effects of home-based cardiac rehabilitation on quality of medical care in patients with chronic heart failure.

Detailed Description
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cardiopulmonary rehabilitation programs are safe and effective for improving functional capacity, quality of life, as well as for reducing in the re-admission rate and all-cause mortality of patients with heart failure.clinical trials that have established the benefits of hospital-based cardiac rehabilitation for patients with chronic heart failure. Home-based cardiac rehabilitation could be more accessible and acceptable compared with hospital-based cardiac rehabilitation.

Conditions
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Heart Failure With or Without CRT-P/D

Intervention / Treatment
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* Behavioral: Home-based cardiac rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Heart failure patients with NYHA I, II, III, and LVEF<50%. Exclusion Criteria: Heart failure patients with NYHA I, II, III, and LVEF<50%. But excluded pregnancy, disability.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 75 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>In interventional group, we arranged individualized rehabilitation programs including home-based cardiac rehabilitation, diet education and management of daily activity for 3 months. | Behavioral: Home-based cardiac rehabilitation<br> <br> |
| No Intervention: Control<br>We didn't arrange individualized rehabilitation programs including home-based cardiac rehabilitation, diet education and management of daily activity for 3 months. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline peak oxygen uptake (ml /kg/min) at 3 months | All participants the assessment of cardiopulmonary exercise test at baseline and after completing an 3 months training programs. | 3 months | 
| Change from Baseline quality of life at 3 months | All participants the assessment of Minnesota Living With HF Questionnaire (MLHFQ) at baseline and after completing an 3 months training programs. | 3 months | 
| Change from Baseline 6-min walking distance (6MWD) at 3 months | All participants the assessment of 6-min walk test at baseline and after completing an 3 months training programs. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| readmission rate | All participants the assessment of 90-day readmission rate after completing an 3 months training programs. | 90 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Home-based cardiac rehabilitation, Quality of Medical Care, Heart Failure