Randomized Clinical Trial by Conglomerates on the Efficacy of Maintenance of Physical Exercise in Myocardial Ischemia (CarPE3)
Myocardial Ischemia, Physical Exercise
About this trial
This is an interventional prevention trial for Myocardial Ischemia focused on measuring Cardiac Rehabilitation, Myocardial Ischemia, Physical Exercise, Cardiovascular Risk Factors, Randomized Controlled Trial
Eligibility Criteria
Inclusion Criteria:
- Patients diagnosed with myocardial ischemia, angina pectoris, other specific forms of chronic ischemic heart disease or unspecified ischemic heart disease.
- Patients who have completed the supervised physical exercise program of phase II of the CRP.
- Absence of cognitive deficit (Pfeiffer test: 0-2 mistakes).
- Sufficient functional capacity to follow the CRP (Barthel index >60)
- Residence in catchment area of Bages and Moianès.
- Providing signed informed consent.
Exclusion Criteria:
- Symptoms of right heart failure producing pulmonary hypertension.
- Dyspnea caused by severe pulmonary pathology.
- Additional comorbidities affecting the prognosis of cardiac disease.
- Major comorbidities or limitations that could interfere with the exercise training programme.
Sites / Locations
- Althaia Xarxa Assistencial Universitària de Manresa
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control group
Intervention group
The usual care in patients with myocardial ischemia without other cardiovascular risk factors (CVFR) will be to attend one visit per year with doctor and nurse of the local health center. In this visit, it will be done a blood test and an electrocardiogram. Blood pressure, weight, body mass index, abdominal circumference will be measured and, in case of detecting enolic habit, smoking or sedentary lifestyle, generic advice will be done. If the patient, apart from myocardial ischemia, presents diabetes mellitus type 2, 3-4 follow-up visits per year will be recommended and will be increased according to specific needs. In case of presenting hypertension, will be recommended 2 visits with the nurse and one visit with the doctor per year and will be increased according to specific needs. In addition, in this case the blood pressure is checked every 6 months. During all visits, professionals will reinforce the control of CVRF and the maintenance of a long-term cardio-healthy lifestyle.
Patient will go to health center to visit the cardiac rehabilitation (CR) reference team, which is composed for a doctor and a nurse. This team will establish the guideline of action in the maintenance and/or increase in the physical exercise practice, in function of the resources of each zone and the preferences and motivations of the patient. They also reinforce the control of CVRF and the maintenance of a long-term cardio-healthy lifestyle. At the end of the visit, control visit will be given with the CR reference team at 3, 6 and 12 months after completing the supervised physical exercise program of phase II of the CRP. In case of detecting specific needs for the patient and/or relapses, the team will consult with the appropriate professional (cardiologist, cardiology nurse, physiotherapist, rehabilitator, nutritionist and/or psychologist). At the same time, the patient will be informed of the possibility of re-evaluating the CR reference team.