Exercise Training in Patients With Hypertrophic Cardiomyopathy

NCT ID: NCT01518114

Last Updated: 2012-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Brief Summary

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Exercise training (ET) is highly beneficial in heart failure patients and has been suggested to confer significant symptomatic and functional improvements in patients with diastolic dysfunction. Accordingly, the aim of this study was to examine the safety, feasibility of a structured ET program in symptomatic HCM patients.

Detailed Description

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Conditions

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Hypertrophic Cardiomyopathy

Keywords

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Hypertrophic Cardiomyopathy Exercise Training Cardiac Rehabilitation Heart Failure

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Exercise Training

Exercise will be performed under continuous telemetry monitoring and medical supervision. Each session will include 5-10 worm-up, 30 min of aerobic activity on treadmill or bicycle ergometer followed by 10-15 min of stretch and relaxation exercise. Blood pressure will be obtained before the onset and at the end of each session. Participants will be requested to rest and observed 15-30 min before going home. The exercise intensity will be monitored and adjusted, per protocol, according to RPE using the Borg scale.

Exercise prescription will be based upon cardiopulmonary test done at baseline.

Group Type EXPERIMENTAL

Exercise Training

Intervention Type BEHAVIORAL

Exercise will be performed under continuous telemetry monitoring and medical supervision. Each session will include 5-10 worm-up, 30 min of aerobic activity on treadmill or bicycle ergometer followed by 10-15 min of stretch and relaxation exercise. Blood pressure will be obtained before the onset and at the end of each session. Participants will be requested to rest and observed 15-30 min before going home. The exercise intensity will be monitored and adjusted, per protocol, according to RPE using the Borg scale.

Best Medical Care

Advanced HCM patients who are eligible to participate in the study but cannot do so for technical reasons will be invited to participate in the project as a control group.These subjects will continue their regular follow up in the Cardiomyopathy Clinic and their usual voluntary physical activity at home.

Group Type ACTIVE_COMPARATOR

Exercise Training

Intervention Type BEHAVIORAL

Exercise will be performed under continuous telemetry monitoring and medical supervision. Each session will include 5-10 worm-up, 30 min of aerobic activity on treadmill or bicycle ergometer followed by 10-15 min of stretch and relaxation exercise. Blood pressure will be obtained before the onset and at the end of each session. Participants will be requested to rest and observed 15-30 min before going home. The exercise intensity will be monitored and adjusted, per protocol, according to RPE using the Borg scale.

Interventions

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Exercise Training

Exercise will be performed under continuous telemetry monitoring and medical supervision. Each session will include 5-10 worm-up, 30 min of aerobic activity on treadmill or bicycle ergometer followed by 10-15 min of stretch and relaxation exercise. Blood pressure will be obtained before the onset and at the end of each session. Participants will be requested to rest and observed 15-30 min before going home. The exercise intensity will be monitored and adjusted, per protocol, according to RPE using the Borg scale.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Hypertrophic Cardiomyopathy
* NYHA 3
* Maximal left ventricular wall thickness \> 20 mm
* Age \>18

Exclusion Criteria

* Severe non-cardiac limitations of functional capacity such as neurological illness, lung disease, peripheral vascular or orthopedic problem, etc.
* Patients state post resuscitation for malignant ventricular arrhythmia.
* History of effort induced syncope, complex ventricular arrhythmia or atrial fibrillation.
* An exercise-induced decrease in blood pressure
* Severe left ventricular outflow obstruction defined as resting outflow gradient \> 50 mmHg on maximal therapy
* Atrial fibrillation with a poorly controlled ventricular response
* Advanced hypokinetic stage of HCM defined as LVEF \< 40%
* Congestive heart failure of angina FC IV according to NYHA or CCS respectively.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Dr. Michael Arad

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sheba Medical Center

Tel Hashomer , Ramat Gan, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Arad Michael, MD

Role: CONTACT

Email: [email protected]

Robert Klempfner, MD

Role: CONTACT

Phone: +972525506852

Email: [email protected]

Facility Contacts

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Robert Klempfner, MD

Role: primary

Other Identifiers

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SHEBA-10-8081-MA-CTIL

Identifier Type: -

Identifier Source: org_study_id