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tai chi stroke

Yi-Hsin Chan, Chi-Tai Kuo, Yung-Hsin Yeh, Shang-Hung Chang, Lung-Sheng Wu, Hsin-Fu Lee, Hui-Tzu Tu, Lai-Chu See
BACKGROUND: It is unclear whether the non-vitamin K antagonist oral anticoagulant agents rivaroxaban and dabigatran are superior to warfarin for efficacy and safety outcomes in Asians with nonvalvular atrial fibrillation (NVAF). OBJECTIVES: The aim of this study was to compare the risk for thromboembolic events, bleeding, and mortality associated with rivaroxaban and dabigatran versus warfarin in Asians with NVAF. METHODS: A nationwide retrospective cohort study was conducted of consecutive patients with NVAF taking rivaroxaban (n = 3,916), dabigatran (n = 5,921), or warfarin (n = 5,251) using data collected from the Taiwan National Health Insurance Research Database between February 1, 2013 and December 31, 2013...
September 27, 2016: Journal of the American College of Cardiology
Chun-Tai Mao, Jian-Liang Wang, Dong-Yi Chen, Ming-Lung Tsai, Yu-Sheng Lin, Wen-Jin Cherng, Chao-Hung Wang, Ming-Shien Wen, I-Chang Hsieh, Ming-Jui Hung, Chun-Chi Chen, Tien-Hsing Chen
BACKGROUND: Prior studies have suggested intraaortic balloon pump (IABP) have a neutral effect on acute myocardial infarction (AMI) patients with cardiogenic shock (CS). However, the effects of IABP on patients with severe CS remain unclear. We therefore investigated the benefits of IABP in AMI patients with severe CS undergoing coronary revascularization. METHODS AND RESULTS: This study identified 14,088 adult patients with AMI and severe CS undergoing coronary revascularization from Taiwan's National Health Insurance Research Database between January 1, 1997 and December 31, 2011, dividing them into the IABP group (n = 7044) and the Nonusers group (n = 7044) after propensity score matching to equalize confounding variables...
2016: PloS One
Pascal Desrochers, Dahlia Kairy, Shujuan Pan, Hélène Corriveau, Michel Tousignant
INTRODUCTION: This study aimed at exploring the perceived benefits and drawbacks of practicing tai chi, an alternative therapy that can be implemented in the community, as part of upper-limb rehabilitation following stroke. METHODOLOGY: Semistructured interviews were carried out with participants with chronic stroke (>6 months). The participants took part in 16 tai chi sessions over 8 weeks. Interviews were conducted in person using an interview guide based on the theory of planned behavior (TPB), and a thematic analysis was conducted...
June 27, 2016: Disability and Rehabilitation
Yong Zhang, Shanshan Wang, Pei Chen, Xiaoshu Zhu, Zongheng Li
INTRODUCTION: Stroke is a major cause of death and disability, and imposes a huge burden and significant workload for patients, their families and society. As a special form of physical activity, Tai Chi is may be useful for stroke rehabilitation. The objective of this review is to systematically evaluate the efficacy and safety of Tai Chi for rehabilitation in stroke patients. METHODS AND ANALYSIS: We will conduct a systematic search of the following electronic databases from their inception to 31 October 2015: MEDLINE, EMBASE, the Cochrane Library, the Chinese BioMedical Literature Database (CBM), the Chinese National Knowledge Infrastructure (CNKI), the Chinese Science and Technology Periodical Database (VIP), Wanfang and the Chinese Dissertation Database...
2016: BMJ Open
Chi-Hang Lee, Rishi Sethi, Ruogu Li, Hee-Hwa Ho, Thet Hein, Man-Hong Jim, Germaine Loo, Chieh-Yang Koo, Xiao-Fei Gao, Sharad Chandra, Xiao-Xiao Yang, Sofia F Furlan, Zhen Ge, Ajeya Mundhekar, Wei-Wei Zhang, Carlos Henrique G Uchôa, Rajiv Bharat Kharwar, Po-Fun Chan, Shao-Liang Chen, Mark Y Chan, Arthur Mark Richards, Huay-Cheem Tan, Thun-How Ong, Glenn Roldan, Bee-Choo Tai, Luciano F Drager, Jun-Jie Zhang
BACKGROUND: There is a paucity of data from large cohort studies examining the prognostic significance of obstructive sleep apnea (OSA) in patients with coronary artery disease. We hypothesized that OSA predicts subsequent major adverse cardiac and cerebrovascular events (MACCEs) in patients undergoing percutaneous coronary intervention. METHODS AND RESULTS: The Sleep and Stent Study was a prospective, multicenter registry of patients successfully treated with percutaneous coronary intervention in 5 countries...
May 24, 2016: Circulation
Lung-Sheng Wu, Shang-Hung Chang, Gwo-Jyh Chang, Jia-Rou Liu, Yi-Hsin Chan, Hsin-Fu Lee, Ming-Shien Wen, Wei-Jan Chen, Yung-Hsin Yeh, Chi-Tai Kuo, Lai-Chu See
BACKGROUND: Contemporary guidelines recommend angiotensin-converting-enzyme inhibitors (ACEi) or angiotensin-receptor blockers (ARB) for hypertensive patients with diabetes. However, there is limited data to evaluate the comparison between ACEi and ARB on end stage renal disease (ESRD) and major adverse cardiovascular events (MACE), in Asian diabetic patients. METHODS: We used the Taiwan Longitudinal Cohort of Diabetes Patients Database to perform a population-based dynamic cohort study...
2016: Cardiovascular Diabetology
(no author information available yet)
No abstract text is available yet for this article.
May 2013: Harvard Women's Health Watch
Chen Chi, Chenhui Tai, Bin Bai, Shikai Yu, Marianna Karamanou, Jiguang Wang, Athanase Protogerou, Jacques Blacher, Michel E Safar, Yi Zhang, Yawei Xu
The authors aimed to investigate the superiority of angiotensin system blockade (angiotensin-converting enzyme [ACE] inhibitor/angiotensin receptor blocker [ARB]) plus a calcium channel blocker (CCB) (A+C) over other combination therapies in antihypertensive treatment. A meta-analysis in 20,451 hypertensive patients from eight randomized controlled trials was conducted to compare the A+C treatment with other combination therapies in terms of blood pressure (BP) reduction, clinical outcomes, and adverse events...
August 2016: Journal of Clinical Hypertension
Yi-Hsin Chan, Kun-Chi Yen, Lai-Chu See, Shang-Hung Chang, Lung-Sheng Wu, Hsin-Fu Lee, Hui-Tzu Tu, Yung-Hsin Yeh, Chi-Tai Kuo
BACKGROUND AND PURPOSE: Whether dabigatran is associated with different risks of cardiovascular, bleeding events, and mortality from warfarin in Asian patients with nonvalvular atrial fibrillation remains unclear. METHODS: We used the Taiwan National Health Insurance Research Database to obtain 9940 and 9913 nonvalvular atrial fibrillation patients taking dabigatran and warfarin, respectively, from June 1, 2012, to December 31, 2013, as the dynamic cohort. Inverse probability of treatment weighting using propensity scores was used to balance covariates across 2 study groups...
February 2016: Stroke; a Journal of Cerebral Circulation
Hsin-Fu Lee, Lung-Sheng Wu, Yi-Hsin Chan, Cheng-Hung Lee, Jia-Rou Liu, Hui-Tzu Tu, Ming-Shien Wen, Chi-Tai Kuo, Wei-Jan Chen, Yung-Hsin Yeh, Lai-Chu See, Shang-Hung Chang
OBJECTIVE: To investigate the efficacy and long-term clinical benefits of DES for dialysis patients. BACKGROUND: It is unclear whether percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation is associated with lower rates of major adverse cardiovascular events (MACE) or mortality compared to bare-metal stents (BMS). METHODS: From a nationwide cohort selected from Taiwan's National Health Insurance Research Database, we enrolled 2,835 dialysis patients who were hospitalized for PCI treatment with stent implantation from Dec 1, 2006...
2016: PloS One
Guohua Zheng, Xin Zheng, Junzhe Li, Tingjin Duan, Dalu Qi, Kun Ling, Jian He, Lidian Chen
INTRODUCTION: Controlling risk factors with regular exercise is effective and cost-effective for the primary prevention of ischaemic stroke. As a traditional Chinese form of exercise, Tai Chi might be beneficial in decreasing ischaemic stroke, but the evidence remains insufficient. We hypothesise that elderly community adults with risk factors for ischaemic stroke will decrease their ischaemic stroke risk by improving cerebral haemodynamic parameters, cardiopulmonary function, motor function, plasma risk indices, physical parameters or psychological outcomes after receiving 12 weeks of regular Tai Chi training compared with those who maintained their original physical activities...
2015: BMJ Open
Chien-Hung Yeh, Chi-Yao Hung, Yung-Hung Wang, Wei-Tai Hsu, Yi-Chung Chang, Jia-Rong Yeh, Po-Lei Lee, Kun Hu, Jiunn-Horng Kang, Men-Tzung Lo
BACKGROUND: The pendulum test is a standard clinical test for quantifying the severity of spasticity. In the test, an electrogoniometer is typically used to measure the knee angular motion. The device is costly and difficult to set up such that the pendulum test is normally time consuming. OBJECTIVE: The goal of this study is to determine whether a Nintendo Wii remote can replace the electrogroniometer for reliable assessment of the angular motion of the knee in the pendulum test...
January 2016: Gait & Posture
Dong-Yi Chen, Chun-Tai Mao, Ming-Lung Tsai, Ming-Jer Hsieh, Yu-Sheng Lin, Wen-Jin Cherng, Ming-Shien Wen, Chao-Hung Wang, I-Chang Hsieh, Ming-Jui Hung, Chun-Chi Chen, Tien-Hsing Chen
BACKGROUND: Data on the cardiovascular (CV) outcomes of drug-eluting stents (DES) vs. bare-metal stents (BMS) in patients with acute myocardial infarction (AMI) under dialysis are limited. METHODS AND RESULTS: We analyzed the data from 42,592 AMI patients in the Taiwan National Health Insurance Research Database between 1 January 2007 and 31 December 2011. A total of 984 AMI patients under dialysis were selected as the study cohort. We evaluated the clinical outcomes by comparing 492 subjects who had DES to 492 matched subjects who had BMS...
2016: Circulation Journal: Official Journal of the Japanese Circulation Society
Tien-Hsing Chen, Yuan-Chuan Hsiao, Chia-Chi Cheng, Chun-Tai Mao, Dong-Yi Chen, Ming-Lung Tsai, Teng-Yao Yang, Yu-Sheng Lin
Atrial septal defect (ASD) closure is major therapy for patients with secundum ASD. Although surgical closure (SC) and transcatheter closure (TC) are usually performed in such patients, data on the long-term outcomes comparing TC and SC in adults are limited. Data on the participants of this cohort study were retrieved from Taiwan's National Health Insurance Research Database from 2004 to 2011. Secundum ASD patients > 18 years of age who underwent TC or SC were initially enrolled, and those with associated comorbidities were excluded...
September 2015: Medicine (Baltimore)
Shu-Chun Huang, May-Kuen Wong, Pyng-Jing Lin, Feng-Chun Tsai, Ming-Shien Wen, Chi-Tai Kuo, Chih-Chin Hsu, Jong-Shyan Wang
Hemodynamic properties affected by the passive leg raise test (PLRT) reflect cardiac pumping efficiency. In the present study, we aimed to further explore whether PLRT predicts exercise intolerance/capacity following coronary revascularization. Following coronary bypass/percutaneous coronary intervention, 120 inpatients underwent a PLRT and a cardiopulmonary exercise test (CPET) 2-12 days during post-surgery hospitalization and 3-5 weeks after hospital discharge. The PLRT included head-up, leg raise, and supine rest postures...
2015: PloS One
Bing-Lin Chen, Jia-Bao Guo, Ming-Shuo Liu, Xin Li, Jun Zou, Xi Chen, Ling-Li Zhang, Yu-Shan Yue, Xue-Qiang Wang
OBJECTIVE: A systematic review is conducted to determine the effect of traditional Chinese exercise for patients with stroke. METHODS: Studies are obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate the effects of traditional Chinese exercise for patients with stroke, and with no limits on study data or language. The primary outcome was the Berg balance score (BBS), Functional walking scale...
2015: PloS One
C Chi, C Tai, J Wang, A Protogerou, J Blacher, M E Safar, Y Zhang, Y Xu
OBJECTIVE: Current clinical evidence and latest guidelines recommended the combination antihypertensive therapy with angiotensin-converting enzyme (ACE) inhibitor / angiotensin receptor blocker (ARB) and calcium channel blocker (CCB) in patients with grade 2 to 3 hypertension. However, data are scarce in the comparison between the ACE inhibitor / ARB + CCB (A+C) therapy and other combinations. We therefore conducted a meta-analysis to see if ACE inhibitor/ARB combined with CCB is superior to other combinations...
June 2015: Journal of Hypertension
Ji Sung Lee, Chi Kyung Kim, Jihoon Kang, Jong-Moo Park, Tai Hwan Park, Kyung Bok Lee, Soo Joo Lee, Yong-Jin Cho, Jaehee Ko, Jinwook Seo, Hee-Joon Bae, Juneyoung Lee
BACKGROUND AND PURPOSE: Thrombolysis is underused in acute ischemic stroke, mainly due to the reluctance of physicians to treat thrombolysis patients. However, a computerized clinical decision support system can help physicians to develop individualized stroke treatments. METHODS: A consecutive series of 958 patients, hospitalized within 12 hours of ischemic stroke onset from a representative clinical center in Korea, was used to establish a prognostic model. Multivariable logistic regression was used to develop the model for global and safety outcomes...
May 2015: Journal of Stroke
Jing Tao, Ting Rao, Lili Lin, Wei Liu, Zhenkai Wu, Guohua Zheng, Yusheng Su, Jia Huang, Zhengkun Lin, Jinsong Wu, Yunhua Fang, Lidian Chen
BACKGROUND: Balance dysfunction after stroke limits patients' general function and participation in daily life. Previous researches have suggested that Tai Chi exercise could offer a positive improvement in older individuals' balance function and reduce the risk of falls. But convincing evidence for the effectiveness of enhancing balance function after stroke with Tai Chi exercise is still inadequate. Considering the difficulties for stroke patients to complete the whole exercise, the current trial evaluates the benefit of Tai Chi Yunshou exercise for patients with balance dysfunction after stroke through a cluster randomization, parallel-controlled design...
2015: BMC Complementary and Alternative Medicine
Guohua Zheng, Maomao Huang, Feiwen Liu, Shuzhen Li, Jing Tao, Lidian Chen
Background. Stroke is a major healthcare problem with serious long-term disability and is one of the leading causes of death in the world. Prevention of stroke is considered an important strategy. Methods. Seven electronic databases were searched. Results. 36 eligible studies with a total of 2393 participants were identified. Primary outcome measures, TCC exercise combined with other intervention had a significant effect on decreasing the incidence of nonfatal stroke (n = 185, RR = 0.11, 95% CI 0.01 to 0.85, P = 0...
2015: Evidence-based Complementary and Alternative Medicine: ECAM
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