[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100591726":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":34,"centralContacts":41,"locations":48,"responsibleParty":71,"collaborators":46,"id":73,"slug":74,"hasResults":75,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":46,"eligibilityCriteria":79,"healthyVolunteers":75,"sex":80,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":46,"studyType":86,"phases":87,"briefSummary":89,"conditions":90,"keywords":92,"overallStatus":96,"whyStopped":46,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Hanoi Medical University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention group","EXPERIMENTAL","Undergoes acute-phase rehabilitation training for approximately 1 week immediately after surgery, then transitions to early recovery-phase rehabilitation for about another week at the hospital.\n\nAfter discharge, patients continue to be monitored and guided in their rehabilitation exercises according to the Japanese Circulation Society's protocol (2021) for 1 month (in late recovery phase) through the Open TeleRehab software.\n\nPhysical capacity assessments are conducted at several time points: before surgery, at the end of the acute-phase rehabilitation (beginning of the early recovery phase), at hospital discharge (end of the early recovery phase), and one month after discharge.",[13],"Procedure: Remote cardiac rehabilitation",{"label":15,"type":16,"description":17,"interventionNames":18},"Control group","ACTIVE_COMPARATOR","Undergoes acute-phase rehabilitation training for approximately 1 week immediately after surgery, then transitions to early recovery-phase rehabilitation for about another week at the hospital.\n\nAfter discharge, patients continue late-phase cardiovascular rehabilitation as outpatients for the following month.\n\nPhysical capacity assessments are conducted at several time points: before surgery, at the end of the acute-phase rehabilitation (beginning of the early recovery phase), at hospital discharge (end of the early recovery phase), and one month after discharge.",[19],"Procedure: Facility-based cardiac rehabilitation",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","Remote cardiac rehabilitation","The patient, following heart valve surgery, is undergoing home-based cardiovascular rehabilitation during the late recovery phase. The rehabilitation is remotely supervised by a therapist through the Open TeleRehab software and includes aerobic exercises, breathing exercises, and lower limb resistance training.\n\n* Aerobic exercise: Performed 3 times per week, each session lasting 20-40 minutes. Activities include walking, stair climbing, or cycling. Exercise intensity is determined based on:\n\n  1. Target heart rate: Set at the anaerobic threshold identified through Cardiopulmonary Exercise Testing (CPET) prior to hospital discharge; heart rate is monitored using a handheld pulse oximeter.\n  2. Borg Rating of Perceived Exertion (RPE) scale for dyspnea: maintained at 12-13 out of 20.\n* Lower limb resistance training: Performed 3 times per week, each session lasting 30-40 minutes. Intensity is based on the one-repetition maximum (1RM).\n* Breathing exercises: Performed 3 times per week",[9],[27],"home-based cardiac rehabilitation in late recovery phase",{"type":22,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"Facility-based cardiac rehabilitation","After completing inpatient rehabilitation, patients are discharged and continue supervised outpatient rehabilitation three times per week. The program includes aerobic exercise, lower limb resistance training, and breathing exercises.\n\nAerobic exercise: Each session lasts 20-40 minutes, depending on the patient's condition, and is performed using a Cardiopulmonary Exercise Testing (CPET) device. Exercise intensity is determined based on the target heart rate and the Borg Rating of Perceived Exertion (RPE) scale for dyspnea and fatigue, in accordance with the 2021 guidelines of the Japanese Circulation Society.\n\nLower limb resistance training: Each session lasts 30-40 minutes.\n\nBreathing exercises: Each session lasts 15-20 minutes",[15],[33],"Late-recovery phase outpatient rehabilitation conducted at a rehabilitation center",[35,39],{"name":36,"affiliation":37,"role":38},"Phạm Văn Minh, Assoc. Prof. MD","Trường Đại học Y Hà Nội","PRINCIPAL_INVESTIGATOR",{"name":40,"affiliation":37,"role":38},"Vũ Ngọc Tú, Assoc. Prof. MD",[42],{"name":43,"role":44,"phone":45,"phoneExt":46,"email":47},"TRỊNH B. TRÂM, MMed","CONTACT","(+84) 354176044",null,"trinhbaotram@hmu.edu.vn",[49],{"facility":50,"status":46,"city":51,"state":46,"zip":46,"country":52,"countryCode":53,"cosmosGeoPoint":54,"geoPoint":59,"contacts":60},"Hanoi Medical University Hospital","Hà Nội","Vietnam","VN",{"type":55,"coordinates":56},"Point",[57,58],106.02292,20.47366,{"lat":58,"lon":57},[61,64,68,70],{"name":62,"role":44,"phone":63,"phoneExt":46,"email":47},"TRỊNH B TRÂM, MMED","+84 354176044",{"name":65,"role":44,"phone":66,"phoneExt":46,"email":67},"Phạm V Minh, Assoc. Prof. MD","+84 902251267","pvminhrehab@yahoo.com",{"name":40,"role":69,"phone":46,"phoneExt":46,"email":46},"SUB_INVESTIGATOR",{"name":36,"role":69,"phone":46,"phoneExt":46,"email":46},{"type":72,"investigatorFullName":46,"investigatorTitle":46,"investigatorAffiliation":46,"oldNameTitle":46,"oldOrganization":46},"SPONSOR","100591726","effectiveness-of-remote-cardiac-rehab-after-surgery-for-acquired-heart-valve-disease-100591726",false,"NCT06984172","Effectiveness of Remote Cardiac Rehab After Surgery for Acquired Heart Valve Disease","Effectiveness of Cardiac Rehabilitation With Remote Connection Device for Patients After Surgery for Acquired Heart Valve Disease","Inclusion Criteria:\n\n* Patients undergoing first-time surgery for acquired heart valve diseases (valve replacement or repair), including the aortic valve, mitral valve, tricuspid valve, pulmonary valve, or a combination of these valves.\n* Willing to participate in the study.\n\nExclusion Criteria:\n\n* Contraindications to cardiac rehabilitation.\n* Patients who die during the study after hospital discharge.","ALL","18 Years","70 Years",{"count":84,"type":85},44,"ESTIMATED","INTERVENTIONAL",[88],"NA","The goal of this clinical trial is to learn if home-based cardiac rehabilitation using remote monitoring devices improves exercise capacity in patients after surgery for acquired heart valve diseases. It also aims to learn about factors affecting the outcomes of remote treatment.\n\nThe main questions it seeks to answer are:\n\n* How does cardiac rehabilitation using remote monitoring devices improve exercise capacity in participants compared to those undergoing rehabilitation at medical facilities?\n* What factors influence the outcomes of participants undergoing cardiac rehabilitation with remote monitoring devices? The researchers compare the exercise capacity of the intervention group - receiving home-based cardiac rehabilitation using remote monitoring devices - with that of the control group receiving treatment at a rehabilitation facility during the recovery phase.\n\nAll patients participating in the study receive inpatient cardiac rehabilitation during the acute phase (1 week) and the early recovery phase (1 week) at the hospital.\n\nThe control group continues supervised outpatient rehabilitation at the hospital, three sessions per week for the following month.\n\nThe intervention group undergoes home-based rehabilitation under the guidance of a therapist via the Open TeleRehab platform and self-monitors hemodynamic parameters using a personal blood pressure monitor and a handheld pulse oximeter.\n\nBoth groups are assessed for exercise capacity at baseline (pre-surgery), after each phase of rehabilitation, and one month after hospital discharge.",[91],"Valvular Diseases",[93,94,95],"phẫu thuật tim","phục hồi chức năng","valvular disease","NOT_YET_RECRUITING","2025-05-19",{"date":99,"type":100},"2025-05-22","ACTUAL",{"date":102,"type":85},"2025-06-01",{"date":104,"type":85},"2026-06-30",{"name":5,"class":6},1]