Patients with Chronic Stable Coronary Artery Disease (CSCAD)
Conditions
Interventions
Hospital-Based Rehabilitation Arm:1. Medication prescription (performed in-hospital): Development and adjustment of secondary prevention medications for coronary artery disease by a cardiac rehabilita
2. Exercise training (performed in-hospital): Aerobic exercise prescription based on cardiopulmonary exercise testing using the HRR method: target heart rate = (max heart rate - resting heart rate) ×
frequency: 3 times/week, 40–60 minutes per session, total 24 sessions
3. Abdominal acupuncture (performed in-hospital + community training): Based on the pathogenesis of heart disease, a foundational acupuncture formula for coronary artery disease is used: Jun-Chen—Yinq
Zuo—Shangqu (left), Qipang (left), Qixue (left) (M)
Shi—Shuifen (S)
needle insertion without manipulation, retention for 20 minutes, twice weekly
4. Acupoint-based external counterpulsation (performed in-hospital): Acupoints selected—Sanyinjiao, Yinlingquan, Zusanli, Fenglong
treatment pressure: 0.020~0.035 MPa
frequency: once weekly, 30 minutes per session.
Home-Based Rehabilitation Group:1. Medication prescription (performed in community): Secondary prevention medications for coronary artery disease
2. Exercise training (home-based with remote hospital monitoring): After initial exercise prescription and three supervised in-hospital sessions, patients continue home-based cardiac rehabilitation mo
3. Abdominal acupuncture (performed in-hospital or in community): Based on the pathogenesis of heart disease, a foundational formula is used: Jun-Chen—Yinqi Guiyuan (D)
Zuo—Sh
Sponsors
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine
Eligibility
Sex/Gender
All
Age
35 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Aged 35 to 75 years; 2.Patients with chronic stable coronary artery disease (CAD) fulfilling the World Health Organization (WHO) diagnostic criteria; 3.Patients who meet the WHO definition for cardiac rehabilitation as outlined in the 2007 American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) guidelines, "Cardiac Rehabilitation and Secondary Prevention."; 4.Left ventricular ejection fraction (LVEF) between 40% and 55%. 5.Possess adequate cognitive function and the physical capacity to perform aerobic exercise on a treadmill or stationary bicycle, and be proficient in using a smartphone or tablet; 6.Willing to participate in the program and provide written informed consent;
Exclusion criteria
Exclusion criteria: 1. Patients with malignant arrhythmias 2. Unstable angina or acute myocardial infarction 3. Poorly controlled hypertension 4. Acute heart failure 5. Other conditions unsuitable for cardiopulmonary exercise testing or exercise rehabilitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-Rating Anxiety and Depression Scales;Cardiopulmonary Exercise Testing with Non-Invasive Exercise Cardiac Output Monitoring*; | — |
Secondary
| Measure | Time frame |
|---|---|
| Constitution Identification in Traditional Chinese Medicine;TCM Syndrome Differentiation for Coronary Heart Disease;Transthoracic Echocardiography;Autonomic Nervous System Function Testing;Quality of Life Questionnaire;Laboratory Results; | — |
Countries
China
Contacts
Public ContactLiu Lisong
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine
Outcome results
None listed