None listed
Conditions
Brief summary
the purpose of the present study was to evaluate the effects of cardiovascular physioterapy phase I on HRV of post-AMI inpatients.
Interventions
In the the Phase 1 of cardiac rehabilitation, the treated group (TG) was carry out cardiovascular physioterapy protocol (CPP)daily during 6 days, which included periods of rest in supine position, respiratory exercises and dynamic physical exercises performed in different positions (i.e., supine, sitting and standing). The progression of TG in CPP protocol was done based on the daily clinical evaluation of each patient. The patients of TG were always instructed to rest quietly, breath spontaneously and remain awake during the resting conditions. On the other hand, the exercise content of each day differed in body position, duration and intensity. Hereafter, in the 3rd stage, walking was gradually included and carried out at a constant rhythm. The walking intensity was set at 20 beats per minute above the standing resting heart rate. All experimental procedures were performed over 6 days in the Coronary Care Unit (CCU) (two days) and the ward (four days) of the local Hospital. They were initiated 22 hours after the CCU admission. The study had the duration of six years (01/11/04 to 01/12/10)
Sponsors
Study design
Eligibility
Inclusion criteria
patients of both genders, aged above thirty five years old, first non-complicated AMI with ST-segment elevation.
Exclusion criteria
history of previous AMI, AMI complicated, AMI without ST- segment elevation, signs and/or symptoms of post-AMI chest pain or re-infarction, presence of diabetes mellitus associated with cardiac autonomic dysfunction, persistence of altered pressure response (refractory hypertension with levels greater than 180/100 mmHg), atrial fibrillation, malignant ventricular arrhythmias, complex ectopic ventricular beats, supraventricular or sinus tachycardia (greater than 120 beats per minute), 2o and 3o AV block; pacemaker implantation; signs of low output or ventricular failure, hypotension and heart failure; debility, fever state, respiratory insufficiency, chronic obstructive pulmonary disease, illegal drug consumption, sequelas of stroke, lower limb amputation, severe aortic stenosis, severe left main coronary injury (>50%), prior coronary artery bypass graft surgery, inability of protocol progression and hospital entry 48h after the AMI.