Interventional Effects on Myocardial Revascularization Post-surgical Patients

Not Applicable

Completed

• Conditions: Myocardial Revascularization
• Interventions: Other: Conventional Therapy; Other: Cycle ergometer combine with CPAP

• Registration Number: NCT04790656
• Lead Sponsor: Riphah International University

Brief Summary

The aim is to evaluate the effectiveness of physical exercise on a cycle ergometer combine with CPAP in the postoperative period after myocardial revascularization

Detailed Description

Physical exercise on a cycle ergometer combine with CPAP as an adjunct to the rehabilitation of hospitalized subjects who will undergo myocardial revascularization will be safe, decrease the length of stay in the ICU, and help maintain functional capacity

Study Timeline

• Study Start: 2020-10-14
• Study First Submitted: 2021-03-06
• Study First Submitted QC: 2021-03-06
• Study First Posted: 2021-03-10
• Primary Completion: 2021-08-20
• Study Completion: 2021-08-20
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-17
• Last Update Posted: 2021-09-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 102

Inclusion Criteria

• Subjects who have undergone myocardial revascularization surgery
• An ejection fraction of greater than40%
• Post operative mechanical ventilation for <12hours
• No definite diagnosis of chronic obstructive pulmonary disease and asthma

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Exclusion Criteria

• With complications in post operative period (e.g., Artial fibrillation, prolonged mechanical ventilation)
• Hemodynamically unstable patients
• Intolerance to CPAP(continuous positive airway)mask

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional Therapy	Conventional Therapy	The control program will consist of progressive exercises according to each postoperative day. Two daily sessions with an average duration of 25 min will be performed. In addition to the physiotherapeutic program standardized by the hospital's team of physical therapists, the intervention group will perform physical exercise on a cycle ergometer with CPAP.
Cycle ergometer combine with CPAP	Cycle ergometer combine with CPAP	Physical exercise on a cycle ergometer combine with CPAP will be performed in a single daily session from the second to the fourth postoperative days

Primary Outcome Measures

Name	Time	Method
6 min walk distance	4th day	The six minute walking test (6MWT) was developed by the American Thoracic Society and it was officially introduced in 2002, coming along with a comprehensive guideline. The 6 Minute Walk Test is a sub-maximal exercise test used to assess aerobic capacity and endurance. The distance covered over a time of 6 minutes is used as the outcome by which to compare changes in performance capacity
Modified Borg scale	4th day	The Modified Borg Dyspnoea Scale is most commonly used to assess symptoms of breathlessness. Despite being a subjective measure of exercise intensity, RPE scales provide valuable information when used correctly.
1 min sit to stand test	4th day	Vaidya et al reported that 1-minute STS test is a simple and sensitive test and appears to be a practical, reliable, valid, and responsive alternative for measuring exercise capacity, particularly where space and time are limited
Digital Monovacumeter	4th day	The manovacuometer is a simple, quick and non-invasive test which measures the maximal respiratory pressures (MRS).Digital manovacuometer is a reliable and valid instrument for assessing maximum inspiratory pressure and maximum expiratory pressure in healthy subjects

Trial Locations

Locations (1)

Rawalpindi institute of cardiology; 🇵🇰 Rawalpindi, Punjab, Pakistan