Stable Coronary Artery Disease
Conditions
Keywords
stable coronary artery disease, significant coronary stenosis
Brief summary
Exercise training in patients with coronary artery disease is able to correct several risk factors. Furthermore endothelial function can be improved. There are some hinds for improved collateral circulation after exercise training, nevertheless there is no study showing significant improvement/ increase in coronary collaterals. This might be due to technique of collateral measurement. Therefore we conduct a study were coronary blod flow before and after 4 weeks of exercise training were measured.
Interventions
exercise training min. 4 times a day for at least 30 min
Intensive exercise training for 4 times / day incl. interval training at 95% individual threshold
Sponsors
Study design
Eligibility
Inclusion criteria
* stable CAD * min.1 coronary artery stenosis \>50% * patient is symptomatic ( CCS 1-3)or has documented myocardial ischemia during stress test * angina threshold \>75 Watt * informed consent
Exclusion criteria
* Age \<18 oder \>75 * akut coronary syndrome within 2 weeks * LV-EF \< 40 % * significant valve diseases * reduced patient compliance * muscular disorder * bronchial asthma or COLD stadium III and IV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| coronary collateral blod flow | 4 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| plaque composition within the coronary artery | 4 weeks | plaque composition measured by virtual histology intravascular ultrasound |
| MACCE | 4 week, 6 months, 12 months | major cardiovascular events (death, myocardial infarction, stroke, TIA, coronary revascularisation, hospitalisation) |
| atherosclerosis parameter within the laboratory | 4 weeks, 3, 6, 12 months | e.g. wie hs-CRP, HDL, LDL, ges. Cholesterin, Triglyceride, Zytokine, Adipokine, Endocannaboide |
Countries
Germany