Preventive Heart Rehabilitation to Prevent Complications in Patients Undergoing Elective Open Heart Surgery (Heart-ROCQ)
Coronary (Artery); Disease, Aortic Valve Stenosis, Cardiac Surgery
About this trial
This is an interventional treatment trial for Coronary (Artery); Disease focused on measuring cardiac rehabilitation, surgical complications, quality of life, preoperative, cardiac surgery
Eligibility Criteria
Inclusion Criteria:
- Patients admitted to the department of Thoracic Surgery of the UMCG for:
- coronary artery bypass graft surgery
- valve surgery
- aortic surgery
- or a combination of the surgeries mentioned above
Exclusion Criteria:
- Patients accepted for transcatheter aortic valve implantation (TAVI)
- Patients undergoing congenital heart surgery
- Aortic descendens or dissections surgery
- Elite athletes
- Co-morbidities that prevent participation in one or more program elements (e.g. disorders to the nervous or musculoskeletal system that limits exercise capacity, severe COPD (GOLD class 3-4), addiction to alcohol or drugs/ serious psychiatric illness) or when it is undesirable to exercise (e.g. cardiomyopathy/morrow).
- Other treatment planned that possibly will interrupt the program (for example on a waiting list for an organ transplantation, preoperative endocarditis or planned chemotherapy for cancer etc.)
- Unable to read, write and understand Dutch
Sites / Locations
- University Medical Center GroningenRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pre+postoperative Cardiac rehabilitation
Postoperative Cardiac rehabilitation
receive a cardiac rehabilitation program consisting of three phases. 1) A preoperative optimization phase (3x p/wk, 4-6 weeks, before surgery), 2) a postoperative in-patient phase (15 to 18 days in rehabilitation center, weekend at home) and, 3) an outpatient patient clinical rehabilitation phase (2x p/wk, 4 weeks). During each phase, patients will visit a physical therapist (group sessions of inspiratory muscle training (IMT), strength training, aerobic cycling and breath, cough and relaxation sessions), a dietician and a psychologist to optimize general health and receive advice on lifestyle, anxiety and stress management. Two additional components are coaching to stop smoking
Patients who are randomized to the POST group receive an out-patient cardiac rehabilitation program after surgery. In general, this program starts three to six weeks after discharge (phase ǀǀ) and patients always start with an exercise program, which is supervised by a physical therapist for about six weeks (twice a week). On indication support of psychological and/or dietary consult is added.