3-Month Home-based Training With Whole Body Vibration (WBV) Device in Patients With Heart Failure and Preserved Ejection Fraction (GALILEO-HFpEF-HOME) (GALILEOHOME) (GALILEO-HFpEF)
Heart Failure With Preserved Ejection Fraction
About this trial
This is an interventional treatment trial for Heart Failure With Preserved Ejection Fraction
Eligibility Criteria
Inclusion Criteria:
- stable (≥ 2 months) symptomatic heart failure with preserved ejection fraction
- elevated NTproBNP (>= 125 ng/l)
- NYHA-WHO/FC II or III
- peakVO2 <25 mL/kg/min
- LVEF ≥50%
E/e' >15 or 15 ≥E/e' >8 and one of the following:
• NT-proBNP >220 ng/L ar atrial fibrillation
- age ≥18 years
- symptoms and heart insufficiency medication according to current guidelines and stable for at least 4 weeks
- general mental and physical ability to perform the study
- ability to understand and sign informed consent of the study
Exclusion Criteria:
- non cardial origin of symptoms similiar to heart insufficiency
- normal NTproBNP (< 125 ng/l)
- relevant chronic obstructive lungdisease ≥ GOLD Stadium III
- significant anemia (hemoglobin < 11 mg/dl)
- relevant renal insuffciency (eGFR <30 mL/min/1.73 m2 indexed to BSA)
- significant peripheral artery disease (Fontaine ≥ IIb)
- muscolosclettal disease compromising ability to exercise
- specific cardiomyopathy (e.g.. amyloidosis)
- hemodynamic relevant, not repaired valvular diseases
- relevant coronary artery disease (angina pectoris ≥ CCS II or positive functional test, myocardial infarction or CABG within last 3 months)
- unability to perform exercises (mental, physical) or unability to give infromation requested (diary, quality of life)
- uncontrolled arterial hypertension (≥140/90 mmHg or ≥160/100 mmHg with 3 antihypertensive substances) or resting heart rate ≥ 100 b.p.m.)
- unabilty to perform training within time planned (planned vacation)
- Rehabilitation program or planned new training program 2 months before screeninig or within the studyphase
- pregnancy
- acute thrombosis (within the last 3 months)
- Implants in hib, knee or spine (TEP)
- new fracture (within 3 months)
- not feasable to perform trianing (NYHA IV, immobility)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Group 1 WBV - training with wbv
Group 2 Control - training without WBV
Screening (day -21 until day -7): Subjects will be evaluated according to In- and Exclusion critera Randomization (day -7): Subjects will be randomized to either Intervention Group (training on wbv platform) or non-Intervention Group (training without wbv). Introduction Week -1(-7d-d1): All subjects will receive introduction in their training Month 1: Day 1: From this day subjects are supposed to start their training accoridng to protocol Day 2: Telephone Visit Day 5: Telephone Visit Day 7: Telephone Visit Day 10: Telephone Visit Day 13: Telephone Visit Day 20: Telephone Visit Day 27: Telephone Visit Week 4, Day 28: Study center Visit: 6MWD, QoL-Questionnaire, AEs, re-training Month 2: Week 5, Day 34: Week 6, Day 41: Week 7, Day 48: Week 8, Day 55: Month 3: Week 9, Day 62: Week 10, Day 69: Week 11, Day 76: Week 12, Day 83: Final Visit
Screening (day -21 until day -7): Subjects will be evaluated according to In- and Exclusion critera Randomization (day -7): Subjects will be randomized to either Intervention Group (training on wbv platform) or non-Intervention Group (training without wbv). Introduction Week -1(-7d-d1): All subjects will receive introduction in their training Month 1: Day 1: From this day subjects are supposed to start their training accoridng to protocol Day 2: Telephone Visit Day 5: Telephone Visit Day 7: Telephone Visit Day 10: Telephone Visit Day 13: Telephone Visit Day 20: Telephone Visit Day 27: Telephone Visit Week 4, Day 28: Study center Visit: 6MWD, QoL-Questionnaire, AEs, re-training Month 2: Week 5, Day 34: Week 6, Day 41: Week 7, Day 48: Week 8, Day 55: Month 3: Week 9, Day 62: Week 10, Day 69: Week 11, Day 76: Week 12, Day 83: Final Visit