Acute decompensated heart failure
Conditions
Interventions
1:Cardiac rehabilitation standard program for heart failure, 20-40 minutes per day, 5 days per week 2:Resistance training starting from low intensity(Start from 1RM 30%) 3:Ergometer starting from lo
Sponsors
Uwajima City Hospital Department of Rehabilitation
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1:60 years-old 2:Walkable before hospitalization 3:No life crisis due to terminal disease (cancer etc.) 4:With the exception of PCI, there are no plans for valve replacement, CABG, or other surgery 5:No severe dementia
Exclusion criteria
Exclusion criteria: 1:All evaluation items can not be extracted 2:Death during hospitalization 3:NT-proBNP < 400 pg/ml at admission 4:Cognitive dysfunction 5:Acute coronary syndrome 6:Significant myocardial ischemia during low-intensity exercise 7:Resting heart rate > 120/min 8:Acute infective endocarditis, myocarditis, and pericaritis 9:Presence of a recent hospitalization for heart failure (< 1 month) 10:Severe symptomatic aortic stenosis, mitral stenosis, and hypertrophic obstructive cardiomyopathy 11:Severe pulmonary hypertension 12:Intracardiac thrombus 13:Untreated life-threatening arrhythmia 14:Resting blood pressure > 180 mmHg 15:Ongoing orthopnea 16:Requiring high inotropic support 17:Patients with circulatory assist device 18:A therapeutic device (extracorporeal pacemaker), an intravenous drip is inserted in the inguinal neck 19:Patients with inadequate oxygenation 20:Patients with mechanical ventilation 21:History of aortic dissection, or presence of aortic aneurysm or aortic dissection 22:Patients with uncontrolled diabetes 23:Peripheral arterial disease (Fontain 3-4) 24:Recent embolism 25:Patients undergoing hemodialysis 26:Serum creatinine > 3.0 mg/dl 27:Severe anemia 28:Patients who are not suitable for participation at doctors discretion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Short Physical Performance Battery(Evaluation until the 5th hospital day and at discharge or between the 14th and 21th hospital days) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1:Grip strength, isometric knee extension strength, gait speed(Evaluation until the 5th hospital day and at discharge or between the 14th and 21th hospital days) 2:Timed Up & Go Test (TUG), single leg standing time, 6 minutes walking(Evaluation at discharge or between the 14th and 21th hospital days) | — |
Countries
Japan
Contacts
Public ContactYuta Nakaya
Uwajima City Hospital Department of Rehabilitation
Outcome results
None listed