journal article·2022-05-17Open access

Efficacy and Safety of Hybrid Cardiac Telerehabilitation in Patients with Hypertrophic Cardiomyopathy without Left Ventricular Outflow Tract Obstruction and Preserved Ejection Fraction—A Study Design

Krzysztof Sadowski, Ryszard Piotrowicz, Mariusz Kłopotowski, Jadwiga Wolszakiewicz, Agnieszka Lech, Adam Witkowski, Edyta Smolis-Bąk, Ilona Kowalik, Anna Mierzyńska, Dorota Piotrowska, Piotr Dobrowolski, Maciej Dąbrowski, Ewa Sadowy, Ewa Piotrowicz

Applied Sciences· Volume 12· Issue 10

Abstract

Hypertrophic cardiomyopathy (HCM) is the most common congenital disease increasing the risk of sudden cardiac death. For many years, HCM patients were excluded from exercise training. However, there are data showing that patients with HCM undergoing supervised exercise training could improve physical performance without serious adverse events. A project was designed as a randomized clinical trial to assess the effectiveness and safety of hybrid cardiac rehabilitation (HCR)—a combination of hospital-based cardiac rehabilitation (1 month) with a new form of home-based telemonitored cardiac rehabilitation (2 months) in HCM patients without left ventricular (LV) outflow tract obstruction and preserved systolic function. Sixty patients who fulfil the inclusion criteria have been randomly assigned (1:1) to either HCR plus usual care (training group) or usual care only (control group). The primary endpoint is a functional capacity evaluated by peak oxygen uptake (pVO2). Secondary endpoints include workload time during the cardiopulmonary exercise testing, a six-minute walk test distance, NT-pro BNP level, echocardiographic parameters of the left ventricular diastolic function (E/A, E/e’, myocardial strain rate), right ventricular systolic pressure, a gradient in the LV outflow tract, and quality of life. The tertiary analysis includes safety, acceptance and adherence to the HCR program. Our research will provide innovative data on the effectiveness and safety of hybrid cardiac rehabilitation in HCM patients without LV outflow tract obstruction and preserved systolic function. Clinical trials registry: ClinicalTrials.gov Identifier NCT03178357.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Cardiomyopathy and Myosin Studies · Cardiovascular Effects of Exercise · Congenital Heart Disease Studies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, 04-628 Warsaw, Poland

Department of Interventional Cardiology and Angiology, National Institute of Cardiology, 04-628 Warsaw, Poland

Department of Congenital Heart Diseases, National Institute of Cardiology, 04-628 Warsaw, Poland

Department of Hypertension, National Institute of Cardiology, 04-628 Warsaw, Poland

Telecardiology Center, National Institute of Cardiology, 04-628 Warsaw, Poland

Funding

The Cardinal Stefan Wyszyński National Institute of Cardiology in Warsaw

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