Chagas Disease Clinical Trial
Official title:
Impact of a Physical Exercise Program in Cardiopulmonary RehAbilitation In Patients With Chronic Chagas Heart Disease: a Randomized Controlled Trial (PEACH Trial)
The aim of this investigation is to evaluate the impact of exercise in a cardiac rehabilitation program on functional capacity, clinical markers, quality of life and biomarkers in patients with chronic chagasic cardiomyopathy.
The present study consisted in a randomized clinical study conducted at the Evandro Chagas
National Institute of Infectious Disease (INI), located on Rio de Janeiro, Brazil. INI is a
national reference center for treatment and research in infectious diseases and tropical
medicine in Brazil, which follows a large cohort of patients with Chagas disease, all of them
diagnosed by two simultaneously positive serological tests (enzyme-linked immunosorbent assay
and indirect immunofluorescence). Patients included in the study are randomly divided in two
groups: intervention and control groups. Safety analysis will be performed by monitoring any
symptoms presented during data collection and follow-up study.
One of the potential risks that the patient may experience during the study is a noninvasive
test that will be performed on a treadmill in a controlled environment, with the possibility
of the appearance of symptoms such as fatigue, dyspnea, chest pain, dizziness, with minimal
chances of occurring complications of difficult clinical control. Except for the blood test
and the cardiopulmonary exercise test, the other tests to be performed are non-invasive and
do not bring any risk to the participant's health. Will be collect 10 ml of blood which will
be stored for up to five years for biomarker assessments.
During the exercise sessions, patients will be clinically monitored for decompensation, need
for hospitalization and suspend or end the participation on the study. All cases will be
individually assessed to determine the reversibility of the clinical status. Those cases will
continue to be followed by the assistant staff, offering all the clinical support available
in INI.
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