Comparative study of the effects of cardiac rehabilitation on autonomic, hemodynamic, metabolic and physical condition parameters among subjects submitted to percutaneous revascularization and bypass due to Acute Coronary Syndrome.

Not Applicable

Completed

• Conditions: Acute Coronary Syndromes; Percutaneous revascularization; Ischaemic heart disease; Coronary artery bypass; Physical Medicine / Rehabilitation - Physiotherapy; Cardiovascular - Coronary heart disease; Surgery - Other surgery

• Registration Number: ACTRN12622001491752
• Lead Sponsor: Profesionales de la Salud Ltda.

Brief Summary

Aim: Compare the effects of cardiac rehabilitation on autonomic, hemodynamic, metabolic, and physical capacity parameters between subjects undergoing PTCA and CB for acute coronary syndrome. Results: 34 of the 58 subjects participated in the two evaluations, finding that in the baseline evaluation there were differences in heart rate variability (HRV), measured through the RR interval, in fasting blood glucose and in functional capacity, finding more favorable results in the PTCA group. After the cardiac rehabilitation program, significant changes were found in the CB group in HRV measured through the RR interval and in functional capacity. When comparing the groups there were no differences in any of the measured variables. Conclusion: The people analyzed in the present study, who underwent percutaneous revascularization, showed better cardiovascular autonomic modulation and functional physical capacity before beginning a phase II cardiac rehabilitation process. After this treatment, subjects undergoing coronary bypass increased cardiac variability and tolerance to physical effort, changes that were not evident in those who received PTCA; however, when comparing groups, no significant differences were found after the cardiac rehabilitation program phase 2.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-11-29
• Study Completion: 2023-06-02
• Last Update Posted: 8 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

Subjects over 18 years, residing in Bucaramanga during the study and who are referred to a cardiac rehabilitation program-Phase II, after having undergone percutaneous or bypass revascularization for a first coronary event.

Exclusion Criteria

- Patients who have absolute or relative contraindications for the performance of physical exercise or the functional capacity test.
-Subjects with ejection fraction <40%.
-Patients with pacemaker implantation.
-Patients with diagnosed arrhythmias.

Study & Design

• Study Type: Interventional
• Study Design: Not specified