Short and Fast Step Test: Feasibility, Validity and Tolerance of a Functional Evaluation Test of Lactic Anaerobic Capacities in Patients With Coronary Artery Disease (CORANAE)

University Hospital Center (CHU) Dijon Bourgogne

Status

Completed

Conditions

Coronary Artery Disease Without Heart Failure

Treatments

Other: questionnaires

Biological: glucose meter

Other: Short and fast step test without measurement of pulmonary gas exchange

Other: Short and fast step test with measurement of pulmonary gas exchange

Other: ECG / heart rate

Study type

Interventional

Funder types

Other

Identifiers

NCT03491423

HANNEQUIN APPARA 2016

Details and patient eligibility

About

Recommendations for cardiovascular rehabilitation (CVR) encourage exercise training, primarily involving the aerobic system, to allow patients to regain independence in daily activities. However, the lactic anaerobic process is also involved during these activities (stair climbing, carrying loads, etc.). Hence there is a major interest in accurately assessing patients' anaerobic capacities in order to tailor suitable exercise programs. However, there are no functional tests specifically dedicated to the evaluation of lactic anaerobic metabolism and adapted to people with coronary disease. The investigators offer a dedicated test, the short and fast test (SFST), which can be applied in current clinical practice and has already been evaluated in a population of healthy subjects. The purpose of this project is to evaluate the safety, feasibility and validity of SFST in a population of patients with coronary artery disease.

Enrollment

44 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

- Patient who has given oral consent Adult patient (male or female) with coronary artery disease without heart failure referred for rehabilitation program Left ventricular ejection fraction (Simpson method) > 45%.

Exclusion criteria

Protected adult
Patient not affiliated to a national health insurance scheme
Pregnant or breastfeeding woman
Orthostatic hypotension
Severe obstructive heart disease
aortic valve narrowing
Progressive severe cardiac rhythm or conduction disorders not requiring a device, detected during the initial stress test.
intracavitary cardiac thrombus
severe pulmonary arterial hypertension (systolic pulmonary hypertension >70mmHg)
recent venous thromboembolic history (last 3 months)
heart transplantation
associated medical condition that can predominantly impair functional and respiratory capacities (examples: unstabilized metabolic disorders such as progressive renal failure, significant asthenia related to a severe unstabilized condition such as neoplasia, systemic disease, chronic obstructive pulmonary disease...)
physical impairments of the lower limbs hindering the test, whether neurological (central or peripheral), arterial (in particular, arteriopathy of the lower limbs with systolic index < 0.6) or orthopedic (degenerative or inflammatory rheumatism)
Treatment with Corticosteroids, Anabolics, or L-Carnitine.