Heart failure
Conditions
Interventions
Intervention Group:Routine care + home-based exercise rehabilitation guided by CPET (individualized intensity prescription based on CPET results, real-time heart rate monitoring using smart wristband,
Control Group:Only routine care (general advice of 'activity as tolerated', no smart devices, no active feedback)
Sponsors
Beijing Children's Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
6 Years to 18 Years
Inclusion criteria
Inclusion criteria: 1. Aged 6–18 years; 2. Meets diagnostic criteria for chronic heart failure (CHF) in children, with stable condition for >3 months (NYHA functional class I–III); 3. Underlying etiology includes congenital heart disease, cardiomyopathy, etc.; 4. Informed consent obtained from both the pediatric patient and the guardians.
Exclusion criteria
Exclusion criteria: 1. Presence of contraindications to exercise (e.g., cardiomyopathy with an arrhythmogenic mechanism, uncontrolled pulmonary hypertension, ventricular inflow/outflow tract obstruction); 2. Participation in structured exercise training within the past 3 months); 3. Estimated survival <1 year or planned heart transplantation within 6 months); 4. Presence of severe neurological or musculoskeletal diseases that preclude cooperation with exercise); 5. Inability to proficiently use a smartphone or smart device (even with guidance).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in peak oxygen consumption (Peak VO2) from baseline; | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in PedsQL Total Score and Domain Scores;Change in 6-Minute Walk Distance (6MWD);Change in Left Ventricular Ejection Fraction (LVEF), Global Longitudinal Strain (GLS), and NT-proBNP Levels;All-Cause and Heart Failure-Related Rehospitalization Rates;Change in Peak Oxygen Consumption (Peak VO?) from Baseline; | — |
Countries
China
Contacts
Public ContactXiao Yanyan
Beijing Children's Hospital, Capital Medical University
Outcome results
None listed