CTEPH, PAH
Conditions
Brief summary
Pulmonary hypertension (PH) is a major global health concern, affecting approximately 1% of the world's population. With global aging and increased life expectancy, its incidence continues to rise. PH is a progressive and disabling disease, with studies showing its progression correlates with worsening symptoms and increased mortality. Even with targeted medications, the prognosis remains poor across PH subtypes, with PAH patients showing only a 49% 7-year survival rate. The 2022 ESC/ERS guidelines emphasize that PH management requires a comprehensive, multidisciplinary approach. Beyond pharmacological and surgical treatments, rehabilitation has demonstrated benefits in improving exercise capacity, quality of life, functional class, and peak oxygen consumption. However, research on specific and effective comprehensive pulmonary rehabilitation programs remains lacking.
Interventions
Combined Aerobic + Resistance Training Program Mode: Cycle ergometry (stationary bicycle) Frequency: 3-5 sessions per week Program Duration: 12 weeks Session Structure: * 5-minute warm-up * Continuous or interval training (15-30 minutes) * 5-minute cool-downesistance Exercise Component Mode: Dumbbell exercises + cycle ergometry Frequency: 3 sessions per week Program Duration: 12 weeks Session Structure: * 5-minute warm-up * Training session (10-20 minutes) * 5-minute cool-down
xercise Components: Aerobic Exercise Mode: Walking or jogging Resistance Exercise Mode: Elastic bands or dumbbells Training Parameters: Session Duration: ≥35 minutes (combined aerobic + resistance) Frequency: 3-5 sessions per week Program Duration: 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
Confirmed PH Diagnosis: Right heart catheterization-confirmed pulmonary hypertension Meets 2022 ESC/ERS Guidelines diagnostic criteria for: * Group 1 (PAH) or * Group 4 (CTEPH/other pulmonary artery obstructions) Stabilized Treatment Status: Group 1 (PAH): Received ≥3 months of targeted drug therapy Group 4 (CTEPH): Completed ≥6 sessions of BPA\* or reached therapeutic endpoint Functional Capacity: WHO Functional Class I-III Age: ≥18 years Consent: Willing to provide written informed consent -
Exclusion criteria
Physical Limitations: Unable to perform pulmonary rehabilitation exercises due to disability or congenital malformations Cardiopulmonary Testing Contraindications: Medically unfit to complete CPET (cardiopulmonary exercise testing) after evaluation Poor Compliance: History of non-adherence making protocol completion unlikely Life Expectancy: Prognosis ≤1 year \-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 6MWD | 12week |