Home-based Cardiovascular Rehabilitation in Young Patients With Congenital Heart Disease: the "Muscle Your Heart" Program
Muscletoncoeur
Impacts of Home-based Cardiovascular Rehabilitation on the Physical Fitness of Children, Adolescents and Young Adults With Congenital Heart Disease: the "Muscle Your Heart" Program
2 other identifiers
interventional
21
1 country
1
Brief Summary
Standard cardiovascular rehabilitation is performed in a medical care and rehabilitation centre. However, it may not be adapted to the patient's profile and there are few medical care and rehabilitation centres specialized in pediatric cardiology. The objective of this study is to evaluate the impact of cardiovascular rehabilitation entirely at home on the physical fitness of young patients with congenital heart disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 3, 2025
CompletedFirst Posted
Study publicly available on registry
August 11, 2025
CompletedStudy Start
First participant enrolled
January 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2026
CompletedAugust 11, 2025
August 1, 2025
Same day
June 3, 2025
August 6, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Evolution of the maximal oxygen consumption (VO2max) obtained in the cardiopulmonary exercise test (CPET)
baseline and at the end of the 3-month program (week 12)
Secondary Outcomes (10)
First ventilatory anaerobic threshold obtained at the CPET
at week 0 and at week 14 (last visit after the end of the rehabilitation program)
Ventilatory efficiency (VE/VCO2 slope) obtained at the CPET
at week 0 and at week 14 (last visit after the end of the rehabilitation program)
Maximum oxygen pulse obtained at the CPET
at week 0 and at week 14 (last visit after the end of the rehabilitation program)
Maximum workload in watt obtained at the CPET
at week 0 and at week 14 (last visit after the end of the rehabilitation program)
Quality of life assessed with Pediatric Quality of Life questionnaire (PedsQL) questionnaire (self and proxy)
at week 0 and at week 14
- +5 more secondary outcomes
Study Arms (1)
fully home-based cardiovascular rehabilitation program
EXPERIMENTAL3-month cardiovascular rehabilitation program entirely at home, combining adapted physical activity, therapeutic education and psychosocial support
Interventions
2 one-hour sessions of adapted physical activity per week - HIIT and free adapted physical activity - 1 one-hour monthly therapeutic patient education session - A dedicated platform - Adapted physical activity educators - Dedicated education therapeutic nurses
Eligibility Criteria
You may qualify if:
- Indication for home cardiovascular rehabilitation given by the referring cardiologist as part of routine care.
- Follow-up for congenital heart disease in the ACC-CHD classification.
- Consent of the adult patient or the parents or legal guardians of the minor patient.
- Social security affiliation (excluding AME).
- VO2max and/or SV1 \< -1.64 z-score for patients aged 8 to 17 years or VO2max \< 80% and/or SV1 \< 55% of theoretical VO2max for patients aged 18 to 25 years
You may not qualify if:
- Severe hypoxemia: pulse oxygen saturation (SpO2) at rest \< 85%, and/or SpO2 at exercise \< 80%, and/or patient requiring oxygen therapy.
- Pulmonary hypertension as defined by the 2020 ESC guidelines, whatever the aetiology.
- Significant systolic right ventricle (sRV) hypertension (Srv pressure \> 50% of systemic systolic pressure).
- Uncontrolled arrhythmia: symptomatic arrhythmia treated or untreated at rest and/or during exercise, treated arrhythmia with sustained supraventricular or ventricular tachycardia on ECG monitoring or during exercise and/or CPET, occurrence or aggravation of any supraventricular or ventricular arrhythmia during exercise and/or CPET.
- Advanced atrioventricular block (degree 2 or 3), occurrence or aggravation of any conduction disorder during exercise and/or CPET.
- Uncontrolled arterial hypertension at rest (blood pressure at rest during the consultation \> 140/90 mmHg in adults, \> 95th percentile in children).
- Acute or recent myocarditis and pericarditis (\< 3 months).
- Symptomatic aortic or subaortic stenosis (mean gradient \> 50 mmHg).
- Non-corrected coarctation of the aorta (surgical or catheter-based repair) with a clinical systolic gradient \> 20 mmHg.
- Dilatation of the aorta (aortic root \> 40 mm in adults, \> 2 z-score in children) (http://www.parameterz.com/sites/aortic-root) except in the case of repaired CHD with dilatation of the aorta inherent in the malformation and without risk of aortic dissection (tetralogy of Fallot, transposition of the great vessels, pulmonary atresia IVC, common trunk artery).
- Severe obstructive hypertrophic cardiomyopathy.
- Acute systemic disease.
- Recent intracardiac thrombus (\< 3 months), embolism or thrombophlebitis.
- Inability to follow instructions and/or home rehabilitation and/or answer questionnaires, as determined by the investigator.
- Absolute contraindications for CPET: fever, uncontrolled asthma, respiratory failure, acute myocarditis or pericarditis, uncontrolled arrhythmias causing symptoms or hemodynamic compromise, uncontrolled heart failure, acute pulmonary embolus or pulmonary infarction, and patients with mental impairment leading to inability to cooperate.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU de Bordeaux - Hôpital Cardiologique Haut Lévêque
Pessac, France, 33604, France
Related Links
- Amedro, P., Gavotto, A., Guillaumont, S., Bertet, H., Vincenti, M., De La Villeon, G., et al. (2018). Cardiopulmonary fitness in children with congenital heart diseases versus healthy children. Heart (British Cardiac Society), 104(12), 1026-1036.
- Amedro, P., Dorka, R., Moniotte, S., Guillaumont, S., Fraisse, A., Kreitmann, B., et al. (2015). Quality of Life of Children with Congenital Heart Diseases: A Multicenter Controlled Cross-Sectional Study. Pediatric cardiology, 36(8), 1588-1601.
- Amedro, P., Picot, M. C., Moniotte, S., Dorka, R., Bertet, H., Guillaumont, S., et al. (2016). Correlation between cardio-pulmonary exercise test variables and health-related quality of life among children with congenital heart diseases. International
- Longmuir, P. E., \& McCrindle, B. W. (2009). Physical activity restrictions for children after the Fontan operation: disagreement between parent, cardiologist, and medical record reports. American heart journal, 157(5), 853-859
- Swan, L., \& Hillis, W. S. (2000). Exercise prescription in adults with congenital heart disease: a long way to go. Heart (British Cardiac Society), 83(6), 685-687
- Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and science in sports and exercise, 35(8
- Hagströmer, M., Oja, P., \& Sjöström, M. (2006). The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public health nutrition, 9(6), 755-762
- Wind, A. E., Takken, T., Helders, P. J., \& Engelbert, R. H. (2010). Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?. European journal of pediatrics, 169(3), 281-287
- Castro-Piñero, J., Ortega, F. B., Artero, E. G., Girela-Rejón, M. J., Mora, J., Sjöström, M., \& Ruiz, J. R. (2010). Assessing muscular strength in youth: usefulness of standing long jump as a general index of muscular fitness. Journal of strength and
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Pr Pascal AMEDRO, MD,PhD
CHU de Bordeaux - Hôpital Cardiologique Haut Lévêque
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2025
First Posted
August 11, 2025
Study Start
January 1, 2026
Primary Completion
January 1, 2026
Study Completion
January 1, 2026
Last Updated
August 11, 2025
Record last verified: 2025-08