Heart failure in the elderly
Conditions
Interventions
Treatment Group: Group that undergoes upper limb resistance training
Control Group: Group that undergoes standard rehabilitation
Sponsors
other
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Elderly heart failure patients aged 65 years older who are hospitalized for acute exacerbation of heart failure and for whom a rehabilitation order has been prescribed by a physician will be randomly assigned to two groups in the order of the physician's rehabilitation order. Patients assigned to the upper limbs resistance training (URT) group will be randomly assigned to the URT group, and those assigned to the ADL group will be randomly assigned to the ADL group. The following four criteria will be used as references: European Society of Cardiology statement, AHA scientific statement, Japanese Society of Cardiology guidelines, contraindications to resistance training in heart failure, and the REHAB-HF Trial. The following four conditions should be checked: controlled heart failure and NYHA classification I-III, no congestive symptoms (orthopnea, ascites, jugular venous distention, extreme edema), systolic blood pressure greater than 80 mmHg without orthostatic hypotension, ability to walk 4 m or more (regardless of whether or not a walking aid is used). The patient's condition is not a contraindication to URT, but the following 9 criteria should be confirmed. The following 9 conditions are not contraindicated for URT: NYHA classification IV, left ventricular outflow tract stenosis, noncompensated heart failure, uncontrolled arrhythmia, severe and symptomatic aortic stenosis, uncontrolled diabetes, uncontrolled hypertension (Blood pressure 180/110 mm Hg or higher), severe pulmonary hypertension (Mean pulmonary artery pressure 55 mm Hg or higher), acute myocardial infarction.
Exclusion criteria
Exclusion criteria: Patients who are scheduled to receive intravenous continuous inotropic therapy after discharge from the hospital, patients with an artificial heart or who are scheduled to receive one within the next 6 months (heart transplant candidates), patients who cannot receive URT due to severe orthopedic disease or stroke, patients with severe dementia who cannot proceed with rehabilitation, patients who need treatment in the ICU, and upper limb Patients who cannot consent to resistance training are excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety, effectiveness, quality of life, and prognosis with upper extremity resistance training | — |
Countries
Japan
Contacts
Public ContactMasami Inokuma
Gunma Prefectural Cardiovascular Center Division of Rehabilitation Medicine
Outcome results
None listed