None listed
Conditions
Brief summary
1) The primary outcome is to assess the immediate benefits (patient outcomes, health care utilisation costs, program uptake, adherence, and compliance) and longer term benefits (readmission rates, length of hospital stay and time to return to work) of implementing an innovative exercise model (HITT) in cardiac rehabilitation patients compared to current practice. The hypothesis that HITT participants will achieve superior functional capacity changes and strength in 40 mins compared with 60 mins for the control group will be assessed. The hypothesis that it can be completed in less time and be more financially viable will also be assessed. This could lead to a change in rehabilitative exercise practice and positively impact costs associated with this high healthcare burden, whilst improving health service delivery and ultimately patient outcomes. 2) Secondary outcomes are to assess if HIIT using a 2x4 min dosage produces change in Vo2 peak comparable to previous RCTs within the literature.
Interventions
Supervised cardiac rehabilitation exercise program consisting of high intensity interval aerobic 40 mins performed twice weekly for 6 weeks. These will be held at the Robina Health Precinct gymnasium and will be integrated within the cardiac rehabilitation class. The classes will be supervised by a physiotherapist or Exercise Physiologist with Bachelor degrees or Masters Degree and a cardiac nurse. This will consist of a 5 min warm up, 2x4 mins on a treadmill or cycle ergometer at 85-90% VO2peak
Supervised cardiac rehabilitation exercise program consisting of high intensity interval aerobic 40 mins performed twice weekly for 6 weeks. These will be held at the Robina Health Precinct gymnasium and will be integrated within the cardiac rehabilitation class. The classes will be supervised by a physiotherapist or Exercise Physiologist with Bachelor degrees or Masters Degree and a cardiac nurse. This will consist of a 5 min warm up, 2x4 mins on a treadmill or cycle ergometer at 85-90% VO2peak, interspersed with 2 mins at 50-60% VO2peak, and 10 minute cool down.
Sponsors
Assistant Professor Amanda (Mandy) Hannan
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
All patients eligible to attend the Gold Coast University Cardiac Rehabilitation Program. Patients 2 weeks post non-st elevation myocardial infarction (NSTEMI), 3-4 weeks post st elevation myocardial infarction (STEMI), 2 weeks post percutaneous intervention and 4 weeks post coronary artery bypass surgery, who have been cleared for high intensity interval training via VO2 max treadmill test with ECG monitoring are eligible.
Exclusion criteria
Acute congestive heart failure, unstable haemodynamics, unable to follow instructions, ischaemia at rest or during VO2max, uncontrolled rhythm disturbances, unstable blood glucose levels, unstable angina, pulmonary hypertension, acute atrial fibrillation, third degree heart block without pacemaker, severe aortic stenosis, recent embolism or stroke, terminal illness, recent surgery, pacemaker/ICD, heart transplant, severe febrile illness, psychological or musculoskeletal injury that precludes the use of exercise and resistance training equipment.
Outcome results
None listed