intervention, COPD, heart failure, reactivation interventie, COPD, hartfalen, reactivatie
Conditions
Interventions
The patients will participate in a 10 weeks community based reactivation programme under supervision of a physiotherapist. The programme contains cycling, walking, lifting and muscle strength training
Sponsors
Medisch Spectrum Twente
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 40 and 75 2. A clinical diagnosis of COPD defined by the GOLD-criteria stage 2 and 3 3. A diagnosis of CHF; New York Heart Association (NYHA) class II-III 4. Left ventricular ejection fraction (LVEF) < 40% by echocardiogram, within 2 months before inclusion 5. A history of smoking of a least 10 pack-years 6. Hemodynamically and respiratory stable and on a stable drug regimen with regard to both COPD and CHF for at least four weeks 7. Able to understand, read and write Dutch.
Exclusion criteria
Exclusion criteria: 1. Serious other diseases with a low survival rate 2. Other diseases which generate symptoms of dyspnoea and/or decreased exercise capacity 3. Severe psychiatric illness, diagnosed by anamnesis 4. Severe anaemia (Hb 30 breaths/min 10. Resting heart rate > 110 beats/min in rest or atrial fibrillation with a ventricular rate > 100/min at rest 11. Sustained ventricular tachycardias not protected by ICD 12. Indication for a revascularisation intervention 13. A pulmonary embolism or a deep venous thrombosis less than a half year back
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is exercise capacity, measured with the six minute walking test. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measure is health related quality of life and health status measured with disease specific (CCQ, CRQ, MLHFQ) and generic questionnaires (MRC). Also exercise capacity will be measured with the Incremental Shuttle Walk Test. | — |
Contacts
Public ContactP.D.L.P.M. Valk, van der
Medisch Spectrum Twente Hospital Department of Pulmonology PO Box 50.000
Outcome results
None listed