RECRUITINGINTERVENTIONAL

Effect of Individualized Exercise in Elderly Patients With Coronary Heart Disease

Effect of Individualized Exercise Based on CPET on Multiple Cardiovascular Risk Factors and Cardiopulmonary Function in Elderly Patients With Coronary Heart Disease

About This Trial

The benefits of cardiac rehabilitation have been supported by a large amount of evidence-based medicine. Cardiac rehabilitation can correct cardiovascular risk factors, reduce morbidity and mortality, and improve quality of life.

Who May Be Eligible (Plain English)

Who May Qualify: - Coronary heart disease: coronary angiography confirmed patients with coronary heart disease. - Age is 60-75 years old, and the clinical sinus rhythm is stable. - Left ventricular ejection fraction was\> 40%. - willing to sign a consent form and voluntary participation. Who Should NOT Join This Trial: - Patients with severe organic cardiac and lung diseases. - Patients with hemiplegia and other physical action disorders. - A history of mental illness. - Uncontrolled hypertension, and hemodynamic instability. - Severe nephropathy and severe peripheral artery disease. - Patients with bone and joint diseases who are not suitable for exercise. - Uncontrolled endocrine system and other diseases. - Antibiotics and anti-diarrheal medications have not been used for at least 3 months. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Coronary heart disease: coronary angiography confirmed patients with coronary heart disease. * Age is 60-75 years old, and the clinical sinus rhythm is stable. * Left ventricular ejection fraction was\> 40%. * Informed consent and voluntary participation. Exclusion Criteria: * Patients with severe organic cardiac and lung diseases. * Patients with hemiplegia and other physical action disorders. * A history of mental illness. * Uncontrolled hypertension, and hemodynamic instability. * Severe nephropathy and severe peripheral artery disease. * Patients with bone and joint diseases who are not suitable for exercise. * Uncontrolled endocrine system and other diseases. * Antibiotics and anti-diarrheal medications have not been used for at least 3 months.

Treatments Being Tested

BEHAVIORAL

Individual rehabilitation exercise training

Under the guidance of a specialist, medium-and high-intensity interval training was conducted for 16 weeks, 3 times a week, 30-40 minutes each time, including the beginning of 5 minutes of warm-up and the last 5 minutes of cooling-off period, during which the exercise included 4 intervals, with the 85-95% pre intensity of HR reserve for 15-18 minutes, and then with the 50-70% pre intensity of HR reserve for 12-14 minutes, exercise for 3 minutes, and so on for 4 times. Warm-up and cooling-off periods can be done through stretching exercises, flexibility exercises (that is, neck, shoulders, upper back, buttocks and ankles) and low and medium intensity (50-70% heart rate reserve)

DRUG

optimal medical therapy ：aspirin, clopidogrel, statins.

those in the control group were treated with routine antiplatelet drugs and lipid-lowering drugs after operation. Professional salesmen, according to the specific physical conditions of the patients, formulate corresponding recipes to ensure that the patients have a light diet, low salt, low fat and high nutritional value, and prohibit tobacco and alcohol.

Locations (1)

the First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China