Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease Clinical Trial
— EPICUREOfficial title:
Auswertung Von Multi-modalen unterstützenden Maßnahmen in Der Ambulant Kardiologischen Rehabilitation Bei Patienten Mit Einer kardiovaskulären Erkrankung
Cariovascular diseases (CVD) are the most common cause of death worldwide with high micro- as
well as macro-economic burden. Several modifiable risk factors increase the probability of
contracting a CVE. These risk factors can be positively influenced by a cardiac
rehabilitation measure (CR), which has been shown to reduce mortality in CVD patients and to
reduce the economic burden. An increase in physical activity and performance are central
goals in CR, as they have a positive effect on several cardiovascular risk factors and
correlate strongly with a reduction in mortality in CVD patients. These goals can be achieved
in most CVD patients but can only be achieved by a modification of lifestyle.
In order to positively influence this lifestyle modification beyond the duration of the CR
measure and thus in the long term, CR Phase II should begin as soon as the patient fulfils
one of the well-defined inclusion criteria. CR Phase II can be carried out as an inpatient or
outpatient procedure and depends on the patient's state of health, personal preference and
availability of an outpatient CR facility in the vicinity of the patient. In the Austrian
healthcare system, inpatient CR and thus differs from other European countries. After
completion of phase II, the patient is offered an outpatient phase III with weekly visits to
the outpatient CR facility, so that lifestyle changes achieved at short notice can be
sustainably maintained.
For the secondary prevention of the CVD beyond the CR measure recommend international
guidelines a physical activity of ≥ 150 min with moderate intensity or ≥ 60 to 75 min high
intensity per week. The current study situation allows the statement that a greater benefit
can be expected from more physical activity and that the training should be personalized and
highly titrated. Patients in advanced stages of CVD and very inactive patients, defined as
<14 mets h/week, achieve the greatest health benefit from increased physical activity.
Despite the well-studied benefits, even adherence to the above minimum recommendations for
CVD patients after completion of CR is low. This deficit has been addressed in the latest
European prevention guideline and recommended that patients i) set clearly defined goals, ii)
exercise in the iii) Identify obstacles on the way to achieving the goals so that lifestyle
changes are effective and sustainable and the benefits of physical activity can be achieved
and maintained.
The planned study will investigate the effect of multi-modal support measures to help
patients during the home training phase and their influence on the patients' lifestyle.
| Status | Recruiting |
| Enrollment | 150 |
| Est. completion date | September 9, 2020 |
| Est. primary completion date | September 9, 2020 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years to 99 Years |
| Eligibility |
Inclusion Criteria: - Age >= 18 years - Participation rehabilitation phase III new - Documented cardiovascular disease - Signed informed-consent Exclusion Criteria: - |
| Country | Name | City | State |
|---|---|---|---|
| Austria | Cardiomed Kardiologisches Rehabilitationszentrum GmbH Linz | Linz | Upper Austria |
| Lead Sponsor | Collaborator |
|---|---|
| AIT Austrian Institute of Technology GmbH | Cardiomed Kardiologisches Rehabilitationszentrum GmbH Linz, Gemeinnützige Salzburger Landeskliniken Betriebsgesellschaften, Medreha GmbH, PKA Private Krankenanstalt Wels Betriebs Gesellschaft mit b. H., REHAmed-tirol GmbH Innsbruck, Universität Innsbruck, ZARG - Zentrum für ambulante Rehabilitation Graz GmbH |
Austria,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | The change of maximal workload during ergometry pre and post home-training | 1 year |