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Exercise Training to Atrial Fibrillation

Not Applicable
Conditions
Atrial Fibrillation
Interventions
Behavioral: Aerobic training
Behavioral: Resistance training
Behavioral: Control physical exercise
Registration Number
NCT04508478
Lead Sponsor
National Taiwan University Hospital
Brief Summary

To test the impacts of different exercise training programs to the cardiopulmonary function, muscle metabolism, and body mass composition

Detailed Description

Atrial fibrillation (AF) has been a global threat due to its increasing incidence and prevalence, and also its potential complications of embolic stroke and heart failure, and therefore has a great impact on life expectancy and quality of life. AF with preserved ventricular function is associated with exercise intolerance, and the effect of physical training had shown to improve life quality and heart function in the population. However, the optimal physical training modalities and intensities are not well studies.

Here we conduct a prospective, randomized, and interventional trial to investigate the effects of different exercise training programs to the burden of AF. We also exploit advanced imaging modalities, including dual x-ray absorptiometry and muscle magnetic resonance, to explore the change of body mass compositions. With this project, we will be able to explore the effects of different physical exercise modalities to the burden of AF and heart function, and also build up a best exercise training program, specific for this population.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
100
Inclusion Criteria
  1. Paroxysmal or persistent atrial fibrillation
  2. Daily activity below moderate intensity < 300 minutes or high intensity < 150 minutes per week.
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Exclusion Criteria
  1. Active infection.
  2. Implant cardiac pacemaker.
  3. Uncontrolled hypertension.
  4. Cardiopulmonary contraindication to exercise training, such as decompensated heart failure, acute pulmonary edema, unstable angina, uncontrolled arrhythmia causing hemodynamic compromise, symptomatic severe aortic stenosis, suspected dissecting aortic aneurysm, severe pulmonary hypertension, acute myocarditis, endocarditis or pericarditis, uncontrolled asthma and SpO2 < 90% at rest on room air.
  5. Inability to follow verbal command or to walk on treadmill or use stationary bike.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Aerobic trainingAerobic training-
Resistance trainingResistance training-
ControlControl physical exercise-
Primary Outcome Measures
NameTimeMethod
CPET/6 minute walking test5 months

CPET/6 minute walking test

DEXA/muscle MRI5 months

DEXA/muscle MRI

AF burden5 months

AF burden on 14 day ECG

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

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