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NCT05925634Active, not recruiting

Improving Cardiac Rehabilitation Exercise Using Target Heart Rate Trial

Improving Outcomes From Cardiac Rehabilitation Among Older Adults Through Exercise Testing and Individualized Exercise Intensity Prescriptions

Source: ClinicalTrials.gov · Last updated 4 Aug 2026

Brief summary (registry, in English)

The goal of this clinical trial is to compare two types of exercise prescriptions in cardiac rehabilitation eligible older adults (60 years or older) with heart disease. The investigators found in a single site pilot trial (insert NCTxxx) that one exercise prescription was better and are now repeating this study in a larger population at two sites (Baystate Medical Center, Springfield MA and Henry Ford Health System, Detroit MI). The main questions the investigators aim to answer are: 1. Compare two different exercise prescriptions in cardiac rehabilitation on exercise outcomes 1. Graded exercise test +Target heart rate range prescription \[GXT-THRR\] 2. Rating of perceived exertion (RPE) 2. What is the role of psychological feedback on fitness outcomes during cardiac rehabilitation and physical activity outside of cardiac rehabilitation. 3. What are the long-term clinical outcomes between the two exercise prescriptions Participants will be asked to: * Complete surveys about physical activity, exercise anxiety, exercise efficacy, and fears about exercising * Perform fitness measures (6-minute walk test, balance tests, stand to sit tests, a 400 meter walk, and handgrip strength) * Attend at least 18 sessions of cardiac rehabilitation after they are randomized to their exercise prescription group * Wear a heart rate monitor and a physical activity monitor per study protocol Participants will be randomized (flip of a coin) to either receive a graded exercise test and psychoeducational feedback or lifestyle education (nutrition for cardiac). The graded exercise test will be used to create a personalized exercise prescription with the target heart rate range calculated from the test and the lifestyle education group will use their ratings of perceived exertion for their exercise prescription.

Status (registry)
Active, not recruiting
Study type
Interventional
Enrollment
320 (estimated)
First submitted
22 Jun 2023
Start date
10 Aug 2023
Primary completion date
24 Oct 2026
Lead sponsor
Baystate Medical Center
NCT number
NCT05925634

What you commit to

  • Study type: Interventional
  • Planned participants: 320
  • From 10 Aug 2023 to the primary completion date, 24 Oct 2026
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Heart transplant
  • Stable angina
  • High-risk un-revascularized coronary artery disease
  • Symptomatic peripheral artery disease
  • Any condition where exercise testing or training might be unsafe or limited

Other

  • Permanent atrial fibrillation
  • Left-ventricular assist devices
  • Aortic and/or mitral stenosis

Who the study is looking for

  • Patients who are eligible for cardiac rehabilitation by having had a cardiac event such as a myocardial infarction (heart attack), heart failure, percutaneous coronary intervention or angioplasty with stent, coronary artery bypass graft, or heart valve surgery in the past 6 months.
  • Lives in, or plans to reside in, the Springfield, MA, or greater Detroit, MI, area for the next year.
  • Recruited from a Phase 2 Cardiac Rehabilitation Center at either Baystate Medical Center or Henry Ford Health System.
  • Age ≥ 60 years
  • Agrees to attend at least 18 sessions of cardiac rehabilitation after randomization
  • Agrees to attend cardiac rehabilitation at least twice a week

Age in the registry: 60 years to 99 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Henry Ford Health System
Coordinator of this site? Confirm its status
DetroitUnited StatesUnknown status
Baystate Medical Center
Coordinator of this site? Confirm its status
SpringfieldUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.