A Clinical Study on the Effect of Cardiopulmonary Function and Quality of Life in Patients With Acute Coronary Syndrome Complicated by Heart Failure by "Lying-Sitting-Standing" Sequential Baduanjin
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Shanxi
-
Taiyuan, Shanxi, China, 030001
- Recruiting
- Second Hospital of Shanxi Medical
-
Contact:
- xiling Qi
- Phone Number: 86-13903412295
- Email: stick@163.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients meeting the diagnostic criteria for ACS (including unstable angina, non-ST-segment elevation myocardial infarction, and ST-segment elevation myocardial infarction)
- Complicated by heart failure during hospitalization
- Age ≤ 85 years
- Muscle strength ≥ grade 3
- No history of mental illness, conscious and able to cooperate independently with this study
- Voluntarily participate in this study and sign the informed consent form
Exclusion Criteria:
- Patients with persistent heart failure symptoms or NYHA functional class IV despite optimal pharmacological therapy;
- Patients with contraindications to cardiac rehabilitation, such as uncontrolled hypertension, uncontrolled arrhythmias, or hemodynamic instability;
- Patients with untreated structural heart disease, such as heart failure caused by valvular heart disease or congenital heart disease;
- Patients in the acute phase of various diseases, such as severe infection, deep vein thrombosis, or severe hepatic or renal failure;
- Patients with disabilities, bone or joint diseases, or neurological disorders that preclude participation in Baduanjin exercises;
- Patients with a life expectancy of less than one year;
- Patients currently participating in other clinical trials.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: standard treatment and routine rehabilitation nursing guidance
|
standard treatment and routine rehabilitation nursing guidance
|
|
Experimental: "Lying-Sitting-Standing" Sequential Baduanjin
|
"Lying-Sitting-Standing" Sequential Baduanjin
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patients were stratified based on their 6-minute walk test distance
Time Frame: From enrollment to the end of the 12-week treatment
|
The 6-minute walk test is an objective indicator for evaluating exercise tolerance in patients with heart failure, representing the total distance a patient can walk in 6 minutes.
The results are categorized into four grades based on the distance covered: <300 m, 300-374.9
m, 375-449.9
m, and ≥450 m.
|
From enrollment to the end of the 12-week treatment
|
|
NYHA(New York Heart Association)classification of cardiac function
Time Frame: From enrollment to the end of the 12-week treatment
|
The New York Heart Association (NYHA) Functional Classification, proposed in 1928 and still in use today, categorizes patients into classes Ⅰ through Ⅳ, with class Ⅰ representing the best condition and class Ⅳ the worst.
|
From enrollment to the end of the 12-week treatment
|
|
Left ventricular ejection fraction (LVEF) on echocardiography
Time Frame: From enrollment to the end of the 12-week treatment
|
Ejection fraction is a ratio reflecting the efficiency of cardiac pumping, defined as the percentage of blood volume pumped out by the left ventricle during each contraction (stroke volume, SV) relative to its end-diastolic volume (EDV).
It is measured using the Simpson's method on echocardiography.
|
From enrollment to the end of the 12-week treatment
|
|
C-reactive protein levels
Time Frame: From enrollment to the end of the 12-week treatment
|
Unit:mg/L
|
From enrollment to the end of the 12-week treatment
|
|
SF-36(ShortForm36HealthSurvey)
Time Frame: From enrollment to the end of the 12-week treatment
|
The SF-36 is a generic scale developed by the Boston Health Research Institute in the United States in 1988, based on the Medical Outcomes Study Short-Form (MOS SF) originally devised by Stewart et al.
It is used to assess health-related quality of life in populations.
The scale contains 36 items and comprehensively evaluates health-related quality of life across eight dimensions: Physical Functioning (PF), Role-Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role-Emotional (RE), and Mental Health (MH).
Scores for each dimension are converted using specific formulas to a scale of 0 to 100, with higher scores indicating better health status.
|
From enrollment to the end of the 12-week treatment
|
|
NT-proBNP(N-terminal pro-B-type natriuretic peptide)levels
Time Frame: From enrollment to the end of the 12-week treatment
|
Unit:pg/ml
|
From enrollment to the end of the 12-week treatment
|
|
FMD(flow-mediated vasodilation)
Time Frame: From enrollment to the end of the 12-week treatment
|
Flow-mediated dilation (FMD) is a non-invasive method for assessing vascular endothelial function, based on the mechanism by which endothelial cells respond to changes in shear stress.
It uses high-frequency ultrasound (7-12 MHz) to measure the inner diameter of the brachial artery at rest, record the peak blood flow velocity and changes in vessel diameter following reactive hyperemia, and calculate the maximum vasodilatory response.
The calculation formula is: FMD = [(post-reactive diameter - baseline diameter) / baseline diameter] × 100%.
|
From enrollment to the end of the 12-week treatment
|
|
ADL(Activities of Daily Living Scale)
Time Frame: From enrollment to the end of the 12-week treatment
|
The ADL , which stands for the Activities of Daily Living Scale, was developed by Lawton and Brody in 1969.
It is primarily used to assess an individual's ability to perform daily activities.
The basic activities of daily living evaluated by this scale include ten items: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, bed-to-chair transfer, walking on level ground, and stair climbing.
The total score is 100 points.
Based on the score, functional status is classified into four levels: ≤40 indicates severe dependence; 41-60 indicates moderate dependence; 61-99 indicates mild dependence; and 100 indicates independence.
|
From enrollment to the end of the 12-week treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SecondShanxiMU01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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