Acute Myocardial Infarction: Rehabilitation Phase
Conditions
Keywords
myocardial infarction, cardiac rehabilitation, metabolomic, autonomic nervous ststem
Brief summary
Ischemic heart disease remains the leading cause of death in the western world. The beneficial effects of cardiac rehabilitation on the evolution of ischemic heart disease are known, but the effects of rehabilitation on the metabolic processes of the patients are so far poorly understood. Metabolomics is the qualitative/quantitative analysis of the body's metabolic responses to pathophysiological stimuli or genetic alterations. Metabolic changes caused by physical activity have been demonstrated in obese and diabetic patients and in athletes. Aim of the study is to evaluate whether cardiac rehabilitation after a first myocardial infarction induces changes in the metabolic state of patients, and whether these changes may be related with changes in the usual risk factors (i.e. glyco-lipidic profile, natriuretic peptides, homocysteine).
Interventions
Six weeks of cardiac rehabilitation with physical training
Sponsors
Study design
Eligibility
Inclusion criteria
* recent first acute myocardial infarction
Exclusion criteria
* severe diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in purine after rehabilitation | Baseline and after 6 weeks of rehabilitation | The concentration of purine will be calculated after rehabilitation, and compared to its baseline concentration by a paired T test analysis. |
| Changes in histidine after rehabilitation | Baseline and after 6 weeks of rehabilitation | The concentration of purine will be calculated after rehabilitation, and compared to its baseline concentration by a paired T test analysis |
| Changes in galactose after rehabilitation | Baseline and after 6 weeks of rehabilitation | The concentration of galactose will be calculated after rehabilitation, and compared to its baseline concentration by a paired T test analysis. |
Countries
Italy