Heart Failure
Conditions
Interventions
Initially, the blood flow - Dopler was performed to evaluate the resistance index of the brachial artery carotid and femoral artery. After blood flow assessment and the first randomization, patients a
Procedure/surgery
E02.190.599
Sponsors
Pós-graduação em Ciências e Tecnologias em Saúde da Faculdade de Ceilândia - UNB
Pós-graduação em Ciências e Tecnologias em Saúde da Faculdade de Ceilândia - UNB
Eligibility
Age
35 Years to 80 Years
Inclusion criteria
Inclusion criteria: Diagnosis of heart failure documented in the last 6 months; left ventricular systolic dysfunction <35 % demonstrated by echocardiography; New York Heart Association classification ( NYHA ) class II and III and without participation in aerobic or resistance training programs in the last three months before the study protocol.
Exclusion criteria
Exclusion criteria: Individual previously diagnosed with moderate or severe chronic obstructive pulmonary disease; recent heart surgery in the last 3 months); morbid obesity; peripheral vascular disease and person who is not able to perform the exercise protocol resisted.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of the cardiorespiratory parameters VE/VCO2 slope, peak oxygen consumption (VO2peak), oxygen consumption at the anaerobic threshold (VO2LA) evaluated by Ergo-Spirometry and Muscle Strength assessed by the 1-RM test in the 8 resistance devices after 12 Weeks of intervention in the two groups that participated in supervised rehabilitation and higher in the group that received manual therapy associated with supervised rehabilitation in comparison to the control groups.;After 12 weeeks of rehabilitation the patients of two groups, Circuit and Circuit plus Manual therapy improvements in peak oxygen consumption (VO2peak) and combined muscle strength in both CRT and MRT+CRT groups (+29% vs +10% and +17.8% vs +16.3%, respectively). While the control group did not show significant difference in the parameters measurement after the home-base rehabilitation. Only the Circuit group showed significant difference of improvement compared with control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction of resistance index in the carotid, brachial and femoral arteries evaluated through the Dopler after intervention only in the intervention group. Improvement of quality of life and depression after 12 months of rehabilitation assessed through validated questionnaires;We found no intra or inter group differences in RI of the carotid (MRT:-0.07% vs Control:11.8%), brachial (MRT:0.17% vs Control:-2.9%), or femoral arteries (MRT:1.65% vs Control:-0.97%). Improvement in both quality of life and depression was observed in the two groups that participated in cardiac rehabilitation for 12 weeks. | — |
Countries
Brazil
Contacts
Public ContactSergio Thomaz
Pós-graduação em Ciências e Tecnologias em Saúde da Faculdade de Ceilândia - UNB
Outcome results
None listed