Heart Failure
Conditions
Keywords
Heart-assist devices, exercise capacity
Brief summary
This randomized trial has been designed to study if it is possible to enhance work capacity during submaximal efforts in heart failure patients supported with continuous-flow left ventricular assist devices (CF-LVAD). The hypothesis is that exercise tolerability during low to moderate workloads in CF-LVAD patients can be increased when pump speed is increased soon after the onset of exercise.
Detailed description
To test the hypothesis described above the investigators will study submaximal exercise tests below anaerobic threshold in patients supported with CF-LVADs.Each patient will perform two tests- one with baseline CF-LVAD pump speed and the other with incrementally increased pump speed.
Interventions
Submaximal exercise test with baseline pump speed.
Submaximal exercise test with increased pump speed (+800RPM).
Sponsors
Study design
Eligibility
Inclusion criteria
* Ischemic and non-ischemic cardiomyopathy patients with CF-LVADs,signed informed consent.
Exclusion criteria
* Unstable patients, CF-LVAD implantation less than three months ago.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exercise time | Exercise time will be estimated only on the day of the study. No follow-up. | Exercise will be performed on a upright ergometer bike with simultaneously breath-by-breath gaz analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perceived exertion | Perceived exertion will be estimated during exercise on the ergometer bike on the day of the study. | Rate of exertion will be estimated using the Borg Scale. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | Heart rate will be measures during exercise. | Heart rate is measured by ECG monitoring. |
| Anaerobic threshold | Anaerobic threshold is measured during exercise on the study day. | Anaerobic threshold is defined as respiratory exchange rate (RER) \>1. |
Countries
Denmark