Phase
Condition
Hyponatremia
Chest Pain
Congestive Heart Failure
Treatment
Stepped Care
Clinical Study ID
Ages > 60 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Older adults (greater than 60 years of age)
Live in a Level 1 or 2 state designated rural area in Berkshire County
Has a condition qualifying for reimbursement (by government or private insurance)for cardiac or pulmonary rehabilitation
Score of 4, 5 or 6 on the Clinical Frailty Scale(24) (corresponding to vulnerable,mildly frail, and moderately frail)
Exclusion
Exclusion Criteria:
Attended pulmonary or cardiac rehabilitation within the previous two years
Resting pulse oximetry < 85% on room air or while breathing the prescribed level ofsupplemental oxygen
Unstable asthma with hospital admission or ED visit within previous three months
Severe exercise-induced hypoxemia, not correctable with oxygen supplementation
Acute systemic illness or fever
Complex ventricular arrhythmias
Resting systolic blood pressure greater than 200mmhg
Resting diastolic blood pressure greater than 100mmhg
Orthostatic blood pressure (BP) drop of >20 mm Hg with symptoms
History of arrhythmia with syncope
Severe symptomatic valvular disease
Unstable angina
Uncontrolled atrial or ventricular arrhythmias
Uncontrolled sinus tachycardia (>120 BPM)
Uncompensated congestive heart failure
Third degree heart block without a pacemaker
Active pericarditis or myocarditis
Acute cor pulmonale, severe pulmonary hypertension
Resting ST displacement > 2mm
Uncontrolled diabetes (resting blood glucose >400 mg/dl)
Conditions other than pulmonary or cardiac that prohibit exercise (e.g., arthritis,severe neurologic, hepatic or renal disease)
Planned surgery or transplantation
Hearing impairment limiting ability to participate in data collection by telephone
Life expectancy less than one year
Significant cognitive deficit and/or psychiatric illness that interferes withability to provide consent, follow directions, or adhere to study procedures
referral to cardiac rehab after coronary artery bypass graph (CABG) and valvularsurgery
Study Design
Study Description
Connect with a study center
Berkshire Medical Center, Inc
Pittsfield, Massachusetts 01201
United StatesCompleted
Baystate Health
Springfield, Massachusetts 01199
United StatesActive - Recruiting
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