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Effects of cardiovascular physiotherapy (phase I of cardiac rehabilitation) on heart rate variability of patients with acute myocardial infarction.

Autonomic modulation of heart rate in patients with acute myocardial infarction submitted to physiotherapy: phase I of cardiac rehabilitation

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12608000049370
Enrollment
40
Registered
2008-01-29
Start date
2004-11-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

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 spontane

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

Federal University of Sao Carlos
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
38 Years to 66 Years
Healthy volunteers
No

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.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026