Coronary Disease
Conditions
Keywords
exercise, heart, coronary disease, rehabilitation
Brief summary
It is known that organized cardiac rehabilitation is effective in improving exercise capacity in coronary heart disease patients. Less is known about the long-term results after cardiac rehabilitation. Earlier studies have shown that many patients quit exercising when no longer attending formal rehabilitation. The investigators wish to investigate the effect of a maintenance program after ending a rehabilitation program, and to compare this to usual care. The investigators hypothesis is that the maintenance program will result in higher exercise capacity and more physical activity compared to usual care.
Interventions
BEHAVIORALExercise training
The patients will meet for organized exercise training once monthly and also exercise testing every third month.
OTHERControl
The patients will receive the usual care provided by the hospitals and the community health services
Sponsors
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
35 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* coronary heart disease patients
Exclusion criteria
* unstable angina pectoris * hemodynamic significant valve disease (\> New York Heart Association class II) * pregnancy * left ventricular ejection fraction \<30% * kidney failure (creatinin \> 140) * uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak oxygen uptake | baseline and 12 months | The change in peak oxygen uptake from baseline to 12 months after baseline. In the intervention group, the peak oxygen uptake will be measured also every 3 months during the intervention period, and this will be reported |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital readmission | baseline and 12 months | It will be recorded whether the patients is readmitted to hospital during the intervention period |
| Death | baseline and 12 months | — |
| Endothelial function | baseline and 12 months | Flow mediated dilatation of the brachial artery, measured by ultrasound. Changes in flow-mediated dilatation from baseline to 12 months after baseline will be recorded |
| Myocardial infarction | baseline and 12 months | Diagnosis of myocardial infarction during the intervention period will be recorded |
| Blood markers | baseline and 12 months | Lipoproteins, c-peptide, ferritin, glucose, high sensitive c-reactive protein will be analysed. Also, blood will be stored for later analyses not yet planned. Changes in markers from baseline to 12 months after baseline will be recorded |
| Physical activity | baseline and 12 months | Questionnaire and physical activity sensor (armband) will be measured at baseline and after 12 months. |
| Quality of life | baseline and 12 months | Mac New health related quality of life questionnaire. Changes in quality of life from baseline to 12 months after baseline will be recorded |
Countries
Norway
Outcome results
None listed