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It is known that organized cardiac rehabilitation is effective in improving exercise capacity in coronary heart disease patients. Less is known about the long-term results after cardiac rehabilitation. Earlier studies have shown that many patients quit exercising when no longer attending formal rehabilitation. The investigators wish to investigate the effect of a maintenance program after ending a rehabilitation program, and to compare this to usual care. The investigators hypothesis is that the maintenance program will result in higher exercise capacity and more physical activity compared to usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maintenance program | Experimental | Patients will attend a "motivational exercise session" once monthly. They will also be tested (exercise test with measurement of peak oxygen uptake) every third months. |
|
| Control | Active Comparator | Usual care. The patients will receive the usual care provided by the hospital and community health services |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise training | Behavioral | The patients will meet for organized exercise training once monthly and also exercise testing every third month. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Peak oxygen uptake | The change in peak oxygen uptake from baseline to 12 months after baseline. In the intervention group, the peak oxygen uptake will be measured also every 3 months during the intervention period, and this will be reported | baseline and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Myocardial infarction | Diagnosis of myocardial infarction during the intervention period will be recorded | baseline and 12 months |
| Hospital readmission | It will be recorded whether the patients is readmitted to hospital during the intervention period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Trine Moholdt, Phd | Norwegian University of Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Norwegian University of Science and Technology | Trondheim | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25247991 | Result | Madssen E, Arbo I, Granoien I, Walderhaug L, Moholdt T. Peak oxygen uptake after cardiac rehabilitation: a randomized controlled trial of a 12-month maintenance program versus usual care. PLoS One. 2014 Sep 23;9(9):e107924. doi: 10.1371/journal.pone.0107924. eCollection 2014. |
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| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Control | Other | The patients will receive the usual care provided by the hospitals and the community health services |
|
| baseline and 12 months |
| Death | baseline and 12 months |
| Endothelial function | Flow mediated dilatation of the brachial artery, measured by ultrasound. Changes in flow-mediated dilatation from baseline to 12 months after baseline will be recorded | baseline and 12 months |
| Quality of life | Mac New health related quality of life questionnaire. Changes in quality of life from baseline to 12 months after baseline will be recorded | baseline and 12 months |
| Blood markers | Lipoproteins, c-peptide, ferritin, glucose, high sensitive c-reactive protein will be analysed. Also, blood will be stored for later analyses not yet planned. Changes in markers from baseline to 12 months after baseline will be recorded | baseline and 12 months |
| Physical activity | Questionnaire and physical activity sensor (armband) will be measured at baseline and after 12 months. | baseline and 12 months |
| D001519 |
| Behavior |