Effects of a Multi-Modality Rehabilitation Program on Immune Activation, Depressive Symptoms and Quality of Life in Heart Failure Patients. A Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Heart Failure
- Sponsor
- Ludwig-Boltzmann Institut fuer Rheumatologie, Balneologie und Rehabilitation
- Enrollment
- 16
- Locations
- 2
- Primary Endpoint
- inflammatory activity
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The aim of this descriptive study is to examine potential changes regarding inflammatory cytokine levels, depressive symptoms and quality of life over the course of the 4-week inpatient rehabilitation program which includes a cassette of modalities including counseling, psychosocial education and supervised exercise training as a main pillar, and to further investigate if there are correlations between changes in immune regulation, depressive symptoms and quality of life.
Investigators
Dr. Katherine Wachmann
Study coordinator
Ludwig-Boltzmann Institut fuer Rheumatologie, Balneologie und Rehabilitation
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of heart failure with reduced ejection fraction (HFREF) with an EF ≤ 45%, NYHA (New York Heart Association) I - III; ACC/AHA (American College of Cariology/ American Heart Association) stage C, irrespective of etiology
- •Clinically stable patients without deterioration or hospitalization due to heart failure within the last 4 weeks
- •Neuro-hormonal medication according to the ESC (European Society of Cardiology) guidelines for the treatment of chronic heart failure consisting of antagonists of the Renin-Angiotensin-Aldosterone System (RAAS) and beta-blockers as indicated.
- •Ability to fully understand all elements of and sign the written informed consent before initiation of the study
Exclusion Criteria
- •Fluid retention of cardiac decompensation, necessitating i.v. diuretic therapy
- •Myocardial infarction within the last 2 months
- •Surgery including cardiovascular or valvular surgery within 3 Months
- •Uncontrolled proinflammatory comorbidities (e.g. Diabetes mellitus HbA1c \>9%, COPD ( chronic obstructive pulmonary disease) \>II, active rheumatic diseases and autoimmune disorders)
- •Current infectious diseases ( e.g. pneumonia, COPD exacerbations or urinary tract infections)
- •Morbid obesity: BMI \> 40
- •Alcohol or drug abuse
- •psychiatric disorders
Outcomes
Primary Outcomes
inflammatory activity
Time Frame: 8 weeks
levels of inflammatory biomarkers: Interleukin - 6, Tumor Necrosis Factor-alpha, Interleukin-1beta, Cellular Adhesion Molecule-1
Secondary Outcomes
- Quality of Life(8 weeks)
- physical fitness(8 weeks)
- Depressive Symptoms(8 weeks)