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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Aerobic exercise-based cardiac rehabilitation in Chinese patients with coronary heart disease: study protocol for a
Richard Y Cao1, Hongchao Zheng2, Qiongyao Mi2
1The Joint Laboratory of Cardiac Rehabilitation, Shanghai Xuhui Central Hospital & Shanghai University, 966 Middle Huaihai Road, 200031 & 99 Shangda Road, Shanghai, 200444, China. rycao@scrc.ac.cn.
Insights
This pilot study explores aerobic exercise-based cardiac rehabilitation (CR) for Chinese patients with coronary heart disease (CHD). It assesses CR feasibility, aerobic capacity, and molecular biomarkers to improve cardiovascular health.
Area of Science:
- Cardiology
- Exercise Physiology
- Biochemistry
Background:
- Cardiovascular disease (CVD) is a major global health burden, particularly in China.
- Cardiac rehabilitation (CR) effectively reduces cardiovascular mortality and adverse events.
- Aerobic exercise-based CR shows promise for managing coronary heart disease (CHD).
Purpose of the Study:
- To evaluate the feasibility of an 8-week aerobic exercise-based CR program in Chinese patients with CHD.
- To assess the impact of targeted aerobic exercise on aerobic metabolism capacity.
- To explore changes in molecular biomarkers related to cardiovascular function.
Main Methods:
- Pilot, single-center, randomized controlled trial in Shanghai.
- Forty patients with CHD post-percutaneous coronary intervention were randomized.
- Intervention group: 8 weeks of targeted aerobic exercise; Control group: 8 weeks of leisure exercise.
Main Results:
- Feasibility of the CR trial was the primary outcome.
- Secondary outcomes included changes in aerobic metabolism capacity.
- Exploratory outcomes involved screening molecular biomarkers for cardiovascular function.
Conclusions:
- This is the first prospective randomized controlled study in China on aerobic exercise for CHD patients.
- It comprehensively screens blood biomarkers to elucidate molecular mechanisms of aerobic exercise benefits.
- Findings will inform future CR study designs for CHD patients in China.
Background:
Cardiovascular disease is the leading cause of morbidity and mortality in the world, including China. Cardiac rehabilitation (CR) has been demonstrated to be beneficial in reducing cardiovascular mortality, myocardial infarction, and cerebrovascular events. This pilot study seeks to assess the feasibility of aerobic-exercise-based CR in Chinese patients with coronary heart disease (CHD) and outcomes of aerobic metabolism capacity and molecular biomarkers.
Methods/Design:
This study is a single-center, pilot, randomized, controlled study that is currently being carried out at a regional hospital in Shanghai. Forty patients with CHD who underwent percutaneous coronary intervention will be randomly allocated into either the intervention group or control group. Participants in the intervention group will undergo 8 weeks of aerobic exercise with targeted intensity and participants in the control group will undergo 8 weeks of leisure exercise. The primary measurement is the feasibility of the trial; the secondary measurement is the capacity of aerobic metabolism and the exploratory measurement includes additional molecular biomarkers underlying cardiovascular function.
Discussion:
This is the first prospective randomized and controlled clinical study in China that assesses the parameters of aerobic metabolism and comprehensively screens for substantial blood biomarkers to reveal the molecular mechanisms underlying changes in cardiovascular function after aerobic exercise with targeted intensity in participants with CHD. The success of this study will contribute to guide the design of future CR studies in patients with CHD in China.
Trial Registration:
Chinese Clinical Trial Registry, ChiCTR-IPR-17010556 . Registered on 1 June 2016.
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