对接受导管切除的心房患者进行以运动为基础的心脏康复:与嵌入过程评估的可行性随机对照试验 (RCT) 的协议
Charlotte Fitzhugh1,2, Helen Jones1,2, Lawrence Foweather3
1Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool John Moores University, and Liverpool Heart & Chest Hospital, Liverpool, UK.
BMJ open
|January 31, 2025
概括
这项研究探讨了为心房动 (AF) 患者进行导管切除的基于运动的心脏康复的可行性. 结果将为未来的试验提供信息,以通过炼干预来改善AF管理.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 影响英国2.5%的人口,增加中风和死亡风险.
- 导管切除是症状性AF的常见治疗方法.
- 运动训练在改善AF负担和生活质量方面表现有前途.
研究的目的:
- 为了研究在英国通常的护理中进行导管切除的AF患者提供基于运动的心脏康复的可行性.
- 评估未来的大规模试验的可接受性和研究程序.
主要方法:
- 一个双臂可行性随机对照试验 (RCT),在一个NHS地点与60名参与者进行.
- 干预:有监督的运动和精神教育课程.
- 主要结果:招聘率,坚持,以及对后续行动的损失.
主要成果:
- 正在评估可行性结果 (招聘,坚持,后续行动).
- 通过采访和重点小组收集患者和临床医生的可接受性数据.
- 二次结果包括AF负担,生活质量和运动能力.
结论:
- 这项可行性研究将为AF患者在导管切除后实施基于运动的心脏康复提供关键数据.
- 结果将指导更大的,最终的RCT的设计,以确认运动干预在AF管理中的好处.
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