RecruitingNot ApplicableNCT06295848

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

Sponsor

Kayseri City Hospital

Enrollment

40 participants

Start Date

Dec 15, 2022

Study Type

INTERVENTIONAL

Conditions

Hypertension Rheumatoid Arthritis Cardiac Rehabilitation

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

Plain Language Summary

Simplified for easier understanding

This study tests whether a structured cardiac rehabilitation (exercise and lifestyle) program helps people who have both rheumatoid arthritis (an inflammatory joint disease) and high blood pressure. **You may be eligible if...** - You have been formally diagnosed with rheumatoid arthritis and are on regular treatment for at least one month - You have also been diagnosed with high blood pressure **You may NOT be eligible if...** - You have a severe mental disorder - You have a neurological condition or lower limb disability that would prevent you from using a treadmill - You have unstable chest pain, recent heart attack, heart inflammation, or other acute heart problems - Your blood pressure, diabetes, heart rhythm, or heart failure is not well controlled - You have severe narrowing of the aortic heart valve - You have a blood clot in your lungs or severe pulmonary high blood pressure Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALExercise

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.