Chronic heart failure (CHF) is the end stage of various kinds of cardiovascular diseases with high mortality. After a long period of medical treatment or surgical treatment, patients suffered great pain physically and mentally. How to improve the quality of life and prognosis in patients with CHF, which is a hot topic in the field of cardiac rehabilitation now. Baduanjin, as one of the traditional Chinese qigong exercises, has the features of generous stretch, soft consistency, dynamic but static, which is an appropriate movement pattern for CHF patients. To investigate the efficacy and safety of Baduanjin exercise for patients with coronary heart disease complicated with chronic heart failure (CHF). A randomized, controlled and prospective clinical trial was designed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
Participants in this groups received routine rehabilitation training and Baduanjin exercise. During the period of rehabilitation, physicians provides a wide range of medical, nutrition and mental health counseling, as well as rational drug-treatment. Baduanjin exercise protocol according to the "Health Qigong Baduanjin Standard" enacted by the General Administration of Sports in 2003. Due to the low-activity tolerance of CHF patients, we performed with a refined version of Baduanjin. Each Baduanjin exercise session lasts 45 minutes and continues twice per week for 12 weeks.
Participants in this qroup only received the routine rehabilitation training. During the period of rehabilitation, physicians provides a wide range of medical, nutrition and mental health counseling, as well as rational drug-treatment. They should also come to rehabilitation center for physical exercise,45 minutes per day，twice per week, lasts 12 weeks.
Xiyuan Hospital of China Academy of Chinese Medical Sciences
Beijing, China
RECRUITINGSix-minute walk test（6MWT）
Testing patients changes on walking distance and accompanies symptoms in 6 minutes
Time frame: Baseline, 3 months
Cardiopulmonary exercise test (CPET)
CPET including peak VO2 (ml/kg/min)， AT，VE/VCO2, et,al.
Time frame: Baseline, 3 months
Left ventricular ejection fraction（LVEF）
Time frame: Baseline, 3 months
Left ventricular end-diastolic diameter (LVDD)
Time frame: Baseline, 3 months
Minnesota living with heart failure questionnaire (MLHFQ)
Record the quality of life of patients with heart failure
Time frame: Baseline, 3 months
NT-proBNP
Time frame: Baseline, 3 months
hs-CRP
Time frame: Baseline, 3 months
HRV
Mainly includes SDANN Index, SDNN Index
Time frame: Baseline, 3 months
Major adverse cardiovascular events (MACE)
Defined as death, myocardial infarction (MI), stroke and re-hospitalization related to cardiovascular disease
Time frame: Baseline, 3 months, 6months
NYHA classification
The changes of heart function were compared after treatment
Time frame: Baseline, 3 months, 6months
The Main TCM symptoms
The changes of scores of TCM syndromes
Time frame: Baseline, 3 months
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