Patients with congestive heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: CHF patients with NYHA classification II to III who hospitalized due to acute exacerbation with ischemic heart diesase, cardiomyopathy, hypertension, valvular disease and arrhythmia, and an left ventricular ejection fraction 40% or less or B-type natriuretic peptide (BNP) levels more than 80pg/ml.
Exclusion criteria
Exclusion criteria: No.1-7 apply to all participants and No.1-18 apply to exercise group. The patient who; 1. underwent cardiac surgery during hospitalization. 2. can not walk over 50 meters. 3. has congnitive dysfunction(Mini Mental State Examination<18points). 4. has chronic obstructive pulmonary disease. 5. has psychiatry disorder. 6. has other disease that require hospitalization. 7. does not agree to participate in this study. 8. has severe renal dysfunction(Cr>2.3mg/dl,BUN>50mg/dl). 9. has anemia (Hb<9.0g/dl). 10. has uncontrolled rapid ventricular tachycardia (>180bpm,ICD firing>1/month). 11. has uncontrolled diabetes mellitus (HbA1c>9%). 12. has low blood pressure (SBP<80mmHg or proportional pulse pressure<20% of SBP). 13. has uncontrolled blood presure (SBP>160mmHg or DBP>100mmHg) 14. has HR<50bpm or HR>100bpm. 15. has anginal symptom. 16. has new atrial fibrilation. 17. has moderate to sever aortic valvular stenosis, or sever mitral valve regurgitation. 18. has hypertrophic obstructive cardiomyopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Life functioning measure | — |
Secondary
| Measure | Time frame |
|---|---|
| Readmission or death Depressive symptoms | — |
Countries
Japan
Contacts
Nagoya University Yamada Labolatory