Cardiac rehabilitation to reduce fall risk in elderly patients
Risk of Falling Assessment in a Population of Patients With Cardiovascular Diseases Undergoing Cardiac Rehabilitation
This study tests if a cardiac rehabilitation program can help elderly patients who have had heart problems reduce their risk of falling and stay independent in their daily activities.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 150 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | IRCCS San Raffaele Roma Academic / other |
| Locations | 1 site (Rome, RM) |
| Trial ID | NCT06908759 on ClinicalTrials.gov |
What this trial studies
This study focuses on the implementation of cardiac rehabilitation for elderly patients who have recently experienced acute cardiovascular events. The rehabilitation program consists of three phases: in-hospital rehabilitation, early outpatient rehabilitation, and long-term maintenance. The goal is to improve functional capacity and maintain independence in daily activities while addressing the increased risk of falls due to factors like muscle weakness and orthostatic hypotension. The study evaluates the effectiveness of exercise training, with or without medication, in mitigating these risks.
Who should consider this trial
Good fit: Ideal candidates for this study are elderly individuals aged 65 or older who have recently suffered an acute cardiac event.
Not a fit: Patients with persistent clinical instability or severe cardiovascular symptoms may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the risk of falls and improve the quality of life for elderly patients recovering from cardiac events.
How similar studies have performed: Other studies have shown positive outcomes with cardiac rehabilitation in similar populations, indicating that this approach is supported by existing evidence.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: \- Age \> 65 years Recent acute cardiac event, including: 1. Cardiac surgery (CABG, aortic and/or mitral valve replacement, mitral valvuloplasty, or combined CABG + valve surgery) 2. Recent myocardial infarction treated with percutaneous revascularization 3. Episode of acute heart failure Exclusion Criteria: Persistent clinical instability, defined as: * Marked hypotension (BP ≤ 95/60 mmHg) or hypertension (BP ≥ 160/100 mmHg) * Bradycardia (HR \< 50 bpm) or tachycardia (HR \> 115 bpm) * Resting dyspnea * Signs and symptoms of infection
Where this trial is running
Rome, RM
- IRCCs San Raffaele — Rome, Rm, Italy (Recruiting)
Study contacts
- Study coordinator: Lucia Gatta
- Email: lucia.gatta@sanraffaele.it
- Phone: +390652253440
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.