Coronary Artery Disease
Conditions
Interventions
Early group: Patients in the early group (12 cases) attend the program after the week after randomization. Attend an online Japanese-style Intensive Cardiac Rehabilitation (ICR) program. ICR
3 hours per session, once a week, 12 weeks, (i) exercise guidance 40 minutes, (ii) food guidance (Japan diet centered on vegetarian) 40 minutes, (iii) mindfulness 40 minutes, (iv) group support 40 min
Sponsors
Kyoto University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients meet all of the following inclusion criteria. 1. Diagnosed with coronary artery disease and treated by medical or non-medical therapy. Subjective symptoms and condition are stable. 2. Details of eligibility criteria of atherosclerotic heart disease a. History of ischemic heart disease due to coronary artery stenosis diagnosed by cardiac catheterization or coronary CT angiography. b. History of percutaneous coronary angioplasty (PCI), coronary artery bypass graft (CABG), or myocardial infarction. c. Diagnosed with chronic heart failure due to ischemic cardiomyopathy. 3. Understanding and motivated for patient education program and basic self-management skills.
Exclusion criteria
Exclusion criteria: Exclude if any of the following criteria. 1.Patients with unstable medical condition of other diseases who are undergoing hospitalization or equivalent treatment, or who are likely to undergo such treatment. 2.Patients with active cancer. 3.Patients with following coronary artery diseases. a. Unstable angina. b. Within 3 months after catheter treatment such as PCI, CABG, myocardial infarction or other invasive treatment. c. Hemodynamics and arrhythmia control are not stable. 4.Patients who have comorbidities (Crohn's disease, etc.) that require a special therapeutic diet, or who are receiving continuous individual nutritional guidance other than cardiac rehabilitation. 5.Patients with chronic kidney disease of grade 4 or higher and on maintenance dialysis. 6.Patients who have difficulty understanding the purpose and content of the program due to dementia, mental illness, etc. 7.Patients who are outpatients due to psychiatric disease. 8.Patients who have difficulty in attending Japanese language programs in an online environment. 9.Patients who have not been able to quit smoking. 10.Patients with substance-related disorder (alcohol, drug dependence, etc.). 11.Patients who are pregnant or may become pregnant. 12.Pacemaker, ICD (implantable cardioverter defibrillator), CRT-P, CRT-D (implantable cardiac resynchronization therapy) and other devices are implanted. 13.Patients deemed inappropriate by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adherence (program participation rate, daily exercise time/amount of activity at home, stress management practice time at home) HEI(Healthy Eating Index)-2015 | — |
Secondary
| Measure | Time frame |
|---|---|
| Nutritional indices, physical findings and function, stress coping skills (mindfulness), classic risk of coronary artery disease (lipid abnormalities, glucose intolerance, hypertension) Participants' evaluation of the program | — |
Countries
Japan
Contacts
Public ContactKazuhisa Kaneda
Kyoto University Hospital Cardiovascular medicine
Outcome results
None listed