Cardiac Rehabilitation, Myocardial Fibrosis
Conditions
Keywords
Aerobic exercise rehabilitation, Myocardial Fibrosis, human gut microbiome, cardiac magnetic resonance
Brief summary
To invegstive the Changes of Intestinal Flora and the improvements of Cardiac Fibrosis in Patients With Dilated Cardiomyopathy Diagnosed for the First Time by heart Rehabilitation
Detailed description
Previous studies have confirmed that Aerobic exercise rehabilitation can reduce the rate of readmission of patients with heart failure and improve their cardiopulmonary endurance and exercise ability. However, whether aerobic exercise rehabilitation can inhibit myocardial fibrosis or delay the progress of fibrosis in patients with heart failure has not been reported. At the same time, some studies have shown that the change of intestinal microbial flora may promote the progress of heart failure, and regular aerobic exercise will also lead to the change of intestinal microbial flora, but whether aerobic exercise rehabilitation can improve intestinal microbial flora in patients with dilated cardiomyopathy has not been reported. In our study, patients who were hospitalized for heart failure for the first time and were finally diagnosed with dilated cardiomyopathy were recruited. Recruited patients will enter the routine cardiac rehabilitation process and make an individualized aerobic exercise plan according to the cardiopulmonary exercise test. Cardiac MRI and intestinal microflora changes will be evaluated.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 1、Patients hospitalized for the first time because of heart failure 2、The patient who was definitely diagnosed as dilated cardiomyopathy for the first time
Exclusion criteria
* 1、Other types of cardiomyopathy 2、Has been diagnosed as dilated cardiomyopathy. 3、malignant tumor 4、acute infection 5、Cannot perform cardiopulmonary exercise test.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| myocardial fibrosis | first admission six months one year | Assessment of myocardial fibrosis based on cardiac MRI examination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bacterial spectrum of intestine | first admission six months one year | Assessment of Bacterial spectrum of intestine based on Patient feces sequencing |
Other
| Measure | Time frame | Description |
|---|---|---|
| cardiac fitiness | first admission six months one year | Assessment of caridac fitness based on ardiopulmonary exercise test |
Countries
China