The Effects of Cardiac Rehabilitation Programme in Hypertensive Rheumatoid Arthritis Patients
The Effects of 6-week Cardiac Rehabilitation Programme on Cardiovascular Disease Risk, Systolic and Diastolic Blood Pressure and Disease Activity in Hypertensive Rheumatoid Arthritis Patients : A Randomised Controlled Trial
Kayseri City Hospital
40 participants
Dec 15, 2022
INTERVENTIONAL
Conditions
Summary
The aim of this study is to investigate the beneficial impacts of the 6-week standardized CR program applied to hypertensive RA patients whose disease activity is under control with regular pharmacological treatment. Subjects will be randomly assigned to one of two groups: 1.) standard of care (SOC) treatment or 2.) SOC plus a 6 week CR program.
Eligibility
Inclusion Criteria3
- Patients diagnosed with RA according to ACR/EULAR 2010 criteria
- Taking regular treatment for at least 1 month according to ACR/EULAR guidelines
- Patients diagnosed with HT according to the 2018 European Society of Hypertension and European Society of Cardiology (ESH/ESC) guideline
Exclusion Criteria7
- Refusing to participate in the program
- Severe mental disorder
- Neurological disease or deformity in the lower extremity that would prevent the patient from using the treadmill.
- High-risk unstable angina and all acute cardiac diseases (acute myocardial infarction, acute endocarditis, myocarditis or pericarditis)
- Uncontrolled HT, Diabetes, cardiac arrhythmia and heart failure
- Symptomatic severe aortic stenosis
- Acute pulmonary embolism or pulmonary infarction and severe pulmonary hypertension
Interventions
An individual program will be organized for each patient according to the exercise test result. Since the patients have both arthritis and HTN, aerobic exercises will be given at moderate intensity (40-60% VO2 reserve) according to ACMS recommendations. Xrcise Runner Med treadmill and Xrcise Care 2.5.8.3 software will be used for aerobic exercises. Resistant exercises will be given under the supervision of a physiotherapist, calculating 1 repetitation maximum (1-RM) in the main muscle groups.Patients will perform isotonic exercises with 3 sets of 15 repetitions with a resistance of 60% of 1-RM. The education sessions will be conducted by a multidisciplinary team of health professionals (nurse, physiotherapist and dietician) under the leadership of a clinician experienced in CR. Education topics will consist of 60-minute sessions covering heart-healthy eating, setting health-related goal, exercise, diet, healthy weight loss, smoking cessation, and stress/coping.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06295848