Unique ID issued by UMIN | UMIN000049976 |
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Receipt number | R000056644 |
Scientific Title | Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension |
Date of disclosure of the study information | 2023/01/10 |
Last modified on | 2023/01/06 14:56:06 |
Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Japan |
Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Cardiology |
Others
NO
Pulmonary hypertension (PH) is characterized by narrowing and occlusion of pulmonary artery which cause elevation of pulmonary vascular resistance. There are many young-onset patients and continuous administration of cardiotonic agents or lung transplantation are often needed in severe cases. Nowadays progress in treatments of PH including drug and catheter intervention have improved the outcome of PH; however, there are many patients in whom oxygeneration of blood remains low in spite of improved hemodynamics. In those patients, quality of life are reduced and solution for improvement of oxygeneration is needed.It is well known that cardiac rehabilitation, one of the non-pharmacological treatment, ameriolates mortality and incidence of adverse cardiac event with patients with left ventricular heart failure. Some of clinical trials demonstrated the efficacy of cardiac rehabilitation in pulmonary hypertension (Circulation. 2006;114:1482, European Heart Journal. 2016;37:35); however, number of patients was small in those studies and further studies are needed to prove the efficacy of cardiac rehabilitation in pulmonary hypertension.
The adoption rate of cardic rehabilitation is still low and pandemic of coronavirus infection made it difficult for patients to recieve outpatient rehabilitation. Thus, establishment of home-based cardiac rehabilitation would improve the adoption rate of cardiac rehabilitation.(Circulation: Cardiovascular Quality and Outcomes. 2020;13:e005902). In this clinical trial, we aim to prove the safety and efficacy of home-based cardiac rehabilitation for pulmonary hypertension .
Safety,Efficacy
Comparison of morality, the ratio of the patients with adverse cardiovascular events, the ratio of the patients who needed intensive treatment, and the ratio of the patients with addmision during non-intervention period (3months) and rehabilitation period (3month).
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
1
Treatment
Maneuver |
Cardiac rehabilitation
20 | years-old | <= |
Not applicable |
Male and Female
1. Males and females who is 20 years old or over.
2. Patients who are treated for pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension in the Univeresity of Tokyo Hospital and whose mean pulmonary arterial pressures are under 25 mmHg within 6 month before starting this clinical trial.
3. Patients with informed consent for clinical trial enrollment.
1. Patients who are not appropriate for excercise
2. Patients in whom excercise is thought to be contraindication or who are at high risk for complication of excercise (Patients with severe valvular diseases, severe arrythmia, severe renal dysfunction, severe hepatic dysfunction, and carcinoma)
3. Patients with dimentia
4. Patientsin the terminal phase of the disease
5. Patients with pregnancy
30
1st name | Shun |
Middle name | |
Last name | Minatsuki |
The University of Tokyo Hospital
Department of cardiovacular medicine
113-8655
7-3-1 Hongo, Bunkyo-ku, Tokyo
0338155411
shunminatsuki@gmail.com
1st name | Takayuki |
Middle name | |
Last name | Fujiwara |
The University of Tokyo Hospital
Department of Computational Diagnostic Radiology and Preventive Medicine
1138655
7-3-1 Hongo, Bunkyo-ku, Tokyo
0338155411
sasasatf5804@yahoo.co.jp
The University of Tokyo Hospital
Fukuda Foundation for Medical Technology
Non profit foundation
Research ethics committe, the faculty of medicine, the University of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo
0338155411
ethics@m.u-tokyo.ac.jp
NO
2023 | Year | 01 | Month | 10 | Day |
Unpublished
Open public recruiting
2022 | Year | 10 | Month | 19 | Day |
2022 | Year | 10 | Month | 19 | Day |
2022 | Year | 12 | Month | 01 | Day |
2027 | Year | 03 | Month | 31 | Day |
2023 | Year | 01 | Month | 06 | Day |
2023 | Year | 01 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056644
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