Evaluation of the Six Minute Walk Test and Other Instruments in Heart Failure
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Purpose
The purpose of this study is to assess functional capacity, quality of life and functioning of the autonomic nervous system in patients with heart failure. The study hypothesis is that subjects who walk less distance, have lower quality of life and reduced heart rate variability during the six minute walk test.
| Condition | Intervention |
|---|---|
|
Heart Failure Autonomic Nervous System Imbalance Heart Rate and Rhythm Disorders Quality of Life |
Other: Six minute walk test |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Cross-Sectional |
| Official Title: | Evaluation of the Six Minute Walk Test, Heart Rate Variability and Quality of Life in Heart Failure |
- Maximum distance walked [ Time Frame: During six minute walk test ] [ Designated as safety issue: No ]The six minute walk test will be performed twice by each patient, at the same day. The collection period will extend until the sample is complete. This is an observational study because there is no follow up and reassessment of patients.
| Estimated Enrollment: | 40 |
| Study Start Date: | November 2011 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Heart failure group
All heart failure group participants will perform two walk tests at the same day, with a heart rate monitor, and answer questionnaires about their perception of quality of life. Tests will be conducted on a single day, without follow up of patients. The six minute walk test will be performed according the American Thoracic Society Statement (2002).
|
Other: Six minute walk test
If patients meet the criteria of the study, their data will be collected and will be interviewed to fill the Minnesota Living with Heart Failure Questionnaire (MLHFQ). They then will be taken to the hallway to perform the six minute walk test monitored with a heart rate monitor (Polar RS800 CX). After the test there will be a break of 20 to 30 minutes before repeating the walk test. During rest time, the patient will answer the general health survey questionnaire: Medical Outcome Study 36-item Short-Form Health Survey (SF-36).
Other Names:
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Detailed Description:
Heart failure and its treatment result in symptoms such as pulmonary or systemic congestion causing impairment to the effort, psychological and social commitment, and impact on quality of life.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Heart failure patients routinely treated at the Amelio Marques Clinic, Hospital de Clínicas, Federal University of Uberlandia, who have scheduled a visit during the period of study and attends the criterias of the study will be included.
The sample will be a convenience, and included all patients who meet the study criteria.
Inclusion Criteria:
- Both sexes
- Different etiologies of Heart Failure
- Functional class I - III (NYHA)
- Left ventricular ejection fraction (LVEF) ≤ 50%
- No history of previous cardiac surgery
- In return for medical evaluation at the Amelio Marques Clinic, Hospital de Clinicas, Federal University of Uberlândia scheduled for the period from October 2012 to January 2013
- Clinical stability observed by: heart rate, respiratory rate, blood pressure and arterial oxygen saturation
Exclusion Criteria:
- Bad cognition compromising the understanding of tests
- Physical disability that compromise the performance in walk test
- Aortic aneurysm or any aortic deformity
- Patients with signs or symptoms of transient myocardial ischemia with angina pectoris and/or class IV by the Canadian Cardiovascular Society Classification
- Anomalous pressure behavior with hypertension > 180/100 mmHg
- Orthostatic hypotension (decrease > 15 mmHg ) with symptoms
- Arrhythmia with presence of complex ventricular extra systoles
- Tachycardia sinus at rest (HR > 120 beats/min)
- Atrioventricular block of 2nd or 3rd degree
- Subjects with pacemakers or implantable cardioverter-defibrillator (ICD)
- Functional class IV by the New York Heart Association
- Chronic organ dysfunction such as renal failure, respiratory or liver disease
- Active neoplasia over the past five years
- Commitment as general weakness, fever, other limiting factors (psychological, musculoskeletal)
- Feeling sick before the beginning of the Six minute walk test: intolerable angina or dyspnea, cramps in legs, staggering gait, excessive sweating (diaphoresis), pallor or ashen skin or SpO2 below 85%
- Voluntary desire of the patient to withdraw from research
Contacts and Locations| Contact: Débora LZ Scheucher | 34 9204-1538 ext 55 | debs.fisio@gmail.com |
| Brazil | |
| Amelio Marques Clinic | Recruiting |
| Uberlandia, Minas Gerais, Brazil, 38405320 | |
| Contact: Débora LZ Scheucher 55-34-9204-1538 debs.fisio@gmail.com | |
| Contact: Celia R Lopes, PhD 55-34-3218-2910 celialopes@faefi.ufu.br | |
| Principal Investigator: Debora LZ Scheucher | |
| Study Chair: | Celia R Lopes, PhD | Federal University of Uberlandia |
More Information
Publications:
| Responsible Party: | Débora Lara Zuza Scheucher, Physiotherapist, Federal University of Uberlandia |
| ClinicalTrials.gov Identifier: | NCT01736137 History of Changes |
| Other Study ID Numbers: | dont have |
| Study First Received: | November 26, 2012 |
| Last Updated: | November 30, 2012 |
| Health Authority: | Brazil: Ministry of Health Brazil: National Committee of Ethics in Research |
Keywords provided by Federal University of Uberlandia:
|
Heart failure Autonomic Nervous System Heart rate Quality of life |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 17, 2013