Cycle Ergometer Training and Heart Failure on Heart Rate Recovery and Mind Fullness

Riphah International University

Status: Completed

Conditions: Heart Failure NYHA Class II; Heart Failure NYHA Class I

Treatments: Other: Cycle ergometer training; Other: Conventional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04741191

Rec/00784 Irfan ullah

Details and patient eligibility

About

To evaluate the effects of cycle ergometer training on heart rate recovery in Newyork Heart Association (NYHA) class I and II heart patients. To evaluate the effects of cycle ergometer training on mind fullness in NYHA class I and II heart patients. Previous studies were designed to target only cardiac functions and no psychological aspect was studied so this study cover this aspect as well so from the outcomes of this study we can determine both psychological satisfaction and cardiac function as well.

Full description

A review stated that "clinical and experimental data shows that physical training is an important aspect in the management of chronic heart failure patients. Also, it stated that physical exercise training plays an important role to modulate peripheral immune responses if congestive heart failure (CHF) patients show high pro-inflammatory cytokines, soluble cellular adhesion molecules, which further resulted in an improvement in exercise capacity in CHF patients.

Heart rate recovery (HRR) improved in patients who were enrolled in the cardiac rehabilitation stage 2 program while similar outcomes were not noted among the control group. It was concluded that cardiac rehabilitation exercise program improves heart rate recovery. Also, HRR may be used in a cardiac rehabilitation program to recognize high risk factors and also useful in evaluating the outcomes.

a systematic review about the effects of exercise training in patients with CHF was published who concluded that short-term physical exercise training in selected subgroups of patients with CHF, has physiological benefits and positive effects on quality of life.

A meta-analysis by the Collaborative Group concluded that there is no evidence that supervised medical training programs for patients with CHF are dangerous and indeed there is clear evidence of an overall reduction in mortality. The authors did not perform a quantitative analysis on the outcome of cardiac performance, exercise capacity, or quality of life.

Enrollment: 38 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Vitally stable Patients with HF 6-8 weeks post-discharge from the hospital
• NYHA class I, II
• EF: 25-40%

Exclusion criteria

• Arrhythmias /Regular Pvc/Permanent pacemaker/Tpm
• Any systematic disease /infections
• Uncontrolled DM/HTN
• Unable to perform the 6-min walk test

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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38 participants in 2 patient groups

Cycle ergometer training

Experimental group

Description:

Hospital-based ergometer cycling for 20 minutes (Including warm-up and cooldown)

Treatment:

Other: Cycle ergometer training

Conventional therapy

Active Comparator group

Description:

Patient education and counseling, In bed activities, Ambulation

Treatment:

Other: Conventional therapy