Heart Failure Clinical Trial
Official title:
Effects of Neuromuscular Electrical Stimulation in Patients With Congestive Heart Failure
This study intends to treat patient with congestive heart failure that are maximized their
pharmacological treatment and at heart transplant wait list.
All patients in the treatment arm will receive electric muscular stimulation with a Russian
current protocol twice a week for 7 weeks.
The outcome will be assessed by the improvement in quality of life and functional capacity.
The neuromuscular electrical stimulation (NMES) has been used as adjuvant treatment in
patients with end-stage congestive heart failure. Those patients are limited to perform
conventional physical activity and adherence to any every day protocols frequency. The aim
of this study was evaluated the effect on functional status and quality of life after NMES
treatment using Russian stimulation wave solely twice a week during five weeks period in
patients waiting for a heart transplant.
Inclusion criteria:
Age between 30 to 80 years old Congestive heart failure in NYHA class III or IV Ejection
fraction lower than 35% Stable clinical status Full pharmacologic treatment
Exclusion criteria:
Unstable angina Ventricular arrhythmia intermittent lameness Inferior limb amputation
Protocol Design:
Patients at waiting list for heart transplant will be invited to participate on protocol of
NMES using Russian stimulation wave (2.5 kHz, burst at 50Hz, on/off: 3/9 sec), named NMES
group or sham stimulation, named control group. The NMES will be applied for 50 minutes,
twice a week on both quadriceps femoral muscles during 7 weeks. The patients will be
evaluated every week for distance walked during six minutes walk test (6MWT), heart rate
variability, and functional status according to New York Heart Association. All patients
were evaluated at the beginning and after completion of the protocol for quality of life
with Minnesota Living with Heart Failure Questionnaire (LHFQ).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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