Chronic Heart Failure
Conditions
Keywords
chronic heart failure, cardiac rehabilitation, exercise, Natriuretic Brain Pro-peptid
Brief summary
Evaluate pro-BNP levels, oxygen consumption, functional class, and quality of life in patients with chronic heart failure after participating in an exercise program and compare them baseline and 2 months, with another group who underwent an educational program.
Detailed description
Clinical controlled trial with a double blinded with a aleatory number sequence as the randomization method, patients will be assigned to one of two groups, intervention program (supervises exercise program) and control group (community based exercise)
Interventions
exercise program within a cardiac rehabilitation program
Exercise program at the community
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years, diagnosed with heart failure (NYHA) II-IV for more than six months
Exclusion criteria
* patients with NYHA functional class I, who had attended a cardiac rehabilitation program previously, patients with decompensated diabetes mellitus, hypertension difficult to control, ischemic heart disease in the last month, prior pulmonary embolism, chronic obstructive pulmonary disease, restrictive lung disease , aortic stenosis, new episode of atrial fibrillation and musculoskeletal diseases that limit the performance of physical activity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Natriuretic Brain Pro-peptid | 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Oxygen Consumption | 8 weeks |
Countries
Colombia
Participant flow
Recruitment details
Outpatient with heart failure were recruited since March 2005 to January 2008.
Participants by arm
| Arm | Count |
|---|---|
| Controlled, Supervised Exercise Protocol controlled, supervised exercise protocol within a cardiac rehabilitation program
controlled, supervised exercise protocol: exercise program within a cardiac rehabilitation program | 20 |
| Community Based Exercise educational program and not supervises exercise program | 22 |
| Total | 42 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Withdrawal by Subject | 3 | 2 |
Baseline characteristics
| Characteristic | Controlled, Supervised Exercise Protocol | Community Based Exercise | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 20 Participants | 22 Participants | 42 Participants |
| Age, Continuous | 57 years STANDARD_DEVIATION 14 | 55 years STANDARD_DEVIATION 13 | 55 years STANDARD_DEVIATION 11 |
| Natriuretic Brain pro-peptide | 429 pg/ml | 278 pg/ml | 386 pg/ml |
| Oxygen Consumption | 832 ml/min STANDARD_DEVIATION 228 | 811 ml/min STANDARD_DEVIATION 229 | 821 ml/min STANDARD_DEVIATION 226 |
| Region of Enrollment Colombia | 20 participants | 22 participants | 42 participants |
| Sex: Female, Male Female | 10 Participants | 11 Participants | 21 Participants |
| Sex: Female, Male Male | 10 Participants | 11 Participants | 21 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 20 | 0 / 22 |
| serious Total, serious adverse events | 0 / 20 | 0 / 22 |
Outcome results
Natriuretic Brain Pro-peptid
Time frame: 8 weeks
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Controlled, Supervised Exercise Protocol | Natriuretic Brain Pro-peptid | 312 pg/ml |
| Community Based Exercise | Natriuretic Brain Pro-peptid | 200 pg/ml |
Oxygen Consumption
Time frame: 8 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Controlled, Supervised Exercise Protocol | Oxygen Consumption | 831 ml/min | Standard Deviation 250 |
| Community Based Exercise | Oxygen Consumption | 919 ml/min | Standard Deviation 298 |