Customization of Cardiac Readaptation Based on Force-velocity Profile and Heart Rate Variability

Centre Hospitalier Universitaire de Saint Etienne110 enrolled

Overview

Cardiac readaptation aims to mitigate cardiovascular risks and enhance the quality of life among coronary patients. Our research laboratory has an international expertise in training optimization in top-athletes and a previous study has demonstrated the efficacy of optimizing cardiac rehabilitation through the power-force-velocity profile (PFVP). The findings exhibited significant improvements in aerobic capacity, muscular strength, and cardiovascular parameters among patients who were trained based on their PFVP. Guided training utilizing heart rate variability (HRV) is also garnering increasing interest as a means to optimize training load and promote recovery

Our study aims to evaluate the application of HRV in regulating training load based on fatigue levels in cardiac rehabilitation patients utilizing the PFVP framework.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

110

Conditions

Acute Coronary Syndrome

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * \>18 * Acute Coronary Syndrome treated in the last 6 months * Medical revascularization (angioplasty ± stenting) or surgical (coronary artery bypass) * Initial CPETt: MPA ≥ 60w in women and ≥80w in men * French * Informed consent Exclusion Criteria: \- Significant co-morbidities limited practice of physical activity

Outcomes

Primary Outcomes

The root mean square of successive differences in heart rate or RMSSD

The root mean square of successive differences in heart rate or RMSSD will be measured from a nocturnal Holter ECG recording at the end of 8 weeks of exercise retraining and compared with the initial pre-training value. weeks of exercise re-training and compared with the initial pre-training value.