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A comparative study assessing the secondary prevention efficacy between center-based vs. home-based cardiact rehabilitation in patients with cardiovascular diseases

Not Applicable
Conditions
Diseases of the circulatory system
Registration Number
KCT0006385
Lead Sponsor
Ewha Womans University Medical Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
1040
Inclusion Criteria

1) Male or female patients aged 18-75 who had a history of recent admission in 6 mo for 1) congestive heart failure (LVEF =40%) or 2) acute myocardial infarction with enhanced risk factors (1 =)
* enhanced risk factors of MI : DM, history of old myocardial infarction, history of congestive heart failure, old stroke, peripheral artery obstructive disease, Killip calss 2=, left main disease or coronary artery multivessel (2=) disease , LVEF =40%

Exclusion Criteria

1) exercise is impossible or very difficult
2) high risk for exercise: ventricular arrhythmia or hypotension during basical cardiopulmonary exercise test
3) chronic kidney disease stage 4= (eGFR <30 mL/min/1.73m2)
4) active infection
5) active cancer
6) long term treatment of immune-suppresive drugs or steroid
7) congestive heart failure class 4
8) genetic disorder such as familial hypercholesterolemia
9) life expectancy < 2 yr due to accompanied disease
10) pateints already participated in other RCT (randomized controlled trial) study.

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
a composite of total death, sudden cardiac death, nonfatal MI, nonfatal stroke, revascularization [percutaneous coronary intervention, coronary artery bypass graft surgery], hospitalization due to cardiovascular cause, cardiac transplantation
Secondary Outcome Measures
NameTimeMethod
compliance, exercise capacity (VO2 max, 6 minute walking test), hospital admission, HRQoL, drug compliance, economical efficiency, diabetic complication
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