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出境医 / 临床实验 / Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty

Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty

Study Description
Brief Summary:

Cardiac Rehabilitation, as art and acting science multiprofessional, is based on the training with exercises that provides the post-infarct patients to satisfactorily re-establish the patient's clinical condition and that improve the functional capacity of these individuals.

Evidence shows that aerobic exercise training provides improvements in the endothelial function of this population. However, we do not yet have strong evidence of other modalities of exercise in these parameters in post-infarction patients treated with angioplasty.


Condition or disease Intervention/treatment Phase
Cardiac Rehabilitation Aerobic Exercise Resistance Exercise Other: Resistance exercise session Not Applicable

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty: Randomized Clinical Trial
Actual Study Start Date : August 1, 2018
Actual Primary Completion Date : January 31, 2019
Actual Study Completion Date : June 25, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: Resistance exercise session
Acute isometric session, about 20 minutes.
Other: Resistance exercise session
Acute isometric exercise session performed with handgrip Jamar about 20 minutes monitored.
Other Name: Aerobic exercise session

Active Comparator: Aerobic exercise session
Acute aerobic session, about 20 minutes.
Other: Resistance exercise session
Acute isometric exercise session performed with handgrip Jamar about 20 minutes monitored.
Other Name: Aerobic exercise session

Outcome Measures
Primary Outcome Measures :
  1. Endothelial function [ Time Frame: Pre and post 5 minutes exercise session ]
    Flow-mediated dilatation technique


Secondary Outcome Measures :
  1. Arterial stiffness [ Time Frame: Pre and post 5 minutes exercise session ]
    Pulse wave velocity technique


Eligibility Criteria
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Ages Eligible for Study:   20 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Post-acute myocardial infarction patients
  • Ergometric test 30 days after the infarction
  • Ejection fraction> 40% (Simpson's method)
  • Regular use of optimized drugs

Exclusion Criteria:

  • Unable to perform the randomized exercise
Contacts and Locations

Locations
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Brazil
Alexandre Lehnen
Porto Alegre, Rio Grande Do Sul, Brazil, 90620-001
Sponsors and Collaborators
Instituto de Cardiologia do Rio Grande do Sul
Investigators
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Principal Investigator: Alexandre Lehnen, PhD Instituto de Cardiologia do Rio Grande do Sul
Tracking Information
First Submitted Date  ICMJE June 25, 2019
First Posted Date  ICMJE June 27, 2019
Last Update Posted Date June 27, 2019
Actual Study Start Date  ICMJE August 1, 2018
Actual Primary Completion Date January 31, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 26, 2019)
Endothelial function [ Time Frame: Pre and post 5 minutes exercise session ]
Flow-mediated dilatation technique
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: June 26, 2019)
Arterial stiffness [ Time Frame: Pre and post 5 minutes exercise session ]
Pulse wave velocity technique
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty
Official Title  ICMJE Effect of Aerobic or Resistance Exercise on the Endothelial Response in Post-acute Myocardial Infarction Patients Submitted to Angioplasty: Randomized Clinical Trial
Brief Summary

Cardiac Rehabilitation, as art and acting science multiprofessional, is based on the training with exercises that provides the post-infarct patients to satisfactorily re-establish the patient's clinical condition and that improve the functional capacity of these individuals.

Evidence shows that aerobic exercise training provides improvements in the endothelial function of this population. However, we do not yet have strong evidence of other modalities of exercise in these parameters in post-infarction patients treated with angioplasty.

Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Supportive Care
Condition  ICMJE
  • Cardiac Rehabilitation
  • Aerobic Exercise
  • Resistance Exercise
Intervention  ICMJE Other: Resistance exercise session
Acute isometric exercise session performed with handgrip Jamar about 20 minutes monitored.
Other Name: Aerobic exercise session
Study Arms  ICMJE
  • Experimental: Resistance exercise session
    Acute isometric session, about 20 minutes.
    Intervention: Other: Resistance exercise session
  • Active Comparator: Aerobic exercise session
    Acute aerobic session, about 20 minutes.
    Intervention: Other: Resistance exercise session
Publications * Kollet DP, Marenco AB, Bellé NL, Barbosa E, Boll L, Eibel B, Waclawovsky G, Lehnen AM. Aerobic exercise, but not isometric handgrip exercise, improves endothelial function and arterial stiffness in patients with myocardial infarction undergoing coronary intervention: a randomized pilot study. BMC Cardiovasc Disord. 2021 Feb 17;21(1):101. doi: 10.1186/s12872-021-01849-2.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: June 26, 2019)
20
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE June 25, 2019
Actual Primary Completion Date January 31, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Post-acute myocardial infarction patients
  • Ergometric test 30 days after the infarction
  • Ejection fraction> 40% (Simpson's method)
  • Regular use of optimized drugs

Exclusion Criteria:

  • Unable to perform the randomized exercise
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 20 Years to 80 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Brazil
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04000893
Other Study ID Numbers  ICMJE AMI and exercise
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Instituto de Cardiologia do Rio Grande do Sul
Study Sponsor  ICMJE Instituto de Cardiologia do Rio Grande do Sul
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Alexandre Lehnen, PhD Instituto de Cardiologia do Rio Grande do Sul
PRS Account Instituto de Cardiologia do Rio Grande do Sul
Verification Date June 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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