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Cardiac Rehab

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https://www.readbyqxmd.com/read/29850285/ticagrelor-as-an-alternative-for-clopidogrel-associated-acute-arthritis
#1
Starr-Mar'ee C Bedy, Jacob P Kesterson, Greg Flaker
A 65-year-old Caucasian man was hospitalized for a non-ST-elevation myocardial infarction. On discharge, the patient was started on multiple new medications, including clopidogrel and atorvastatin. Twenty-six days after discharge, he presented to the Emergency Department (ED) with polyarthralgias. He was instructed to stop atorvastatin and to follow up with rheumatology and cardiology clinic. At cardiology clinic follow-up 43 days after ED discharge, clopidogrel was discontinued and patient was switched to ticagrelor...
2018: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/29783942/effect-of-the-patient-education-learning-and-coping-strategies-in-cardiac-rehabilitation-on-return-to-work-at-one-year-a-randomised-controlled-trial-show-lc-rehab
#2
Birgitte Laier Bitsch, Claus Vinther Nielsen, Christina Malmose Stapelfeldt, Vibeke Lynggaard
BACKGROUND: Personal resources are identified as important for the ability to return to work (RTW) for patients with ischaemic heart disease (IHD) or heart failure (HF) undergoing cardiac rehabilitation (CR). The patient education 'Learning and Coping' (LC) addresses personal resources through a pedagogical approach. This trial aimed to assess effect of adding LC strategies in CR compared to standard CR measured on RTW status at one-year follow-up after CR. METHODS: In an open parallel randomised controlled trial, patients with IHD or HF were block-randomised in a 1:1 ratio to the LC arm (LC plus CR) or the control arm (CR alone) across three Danish hospital units...
May 21, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29617006/relevance-of-b-lines-on-lung-ultrasound-in-volume-overload-and-pulmonary-congestion-clinical-correlations-and-outcomes-in-patients-on-hemodialysis
#3
Marc M Saad, Jeanne Kamal, Elias Moussaly, Boutros Karam, Wissam Mansour, Emad Gobran, Saqib Hussen Abbasi, Ahmed Mahgoub, Puja Singh, Ross Hardy, Devjani Das, Cara Brown, Monica Kapoor, Seleshi Demissie, Morton J Kleiner, Elie El Charabaty, Suzanne E El Sayegh
BACKGROUND: Volume overload in patients on hemodialysis (HD) is an independent risk factor for cardiovascular mortality. B-lines detected on lung ultrasound (BLUS) assess extravascular lung water. This raises interest in its utility for assessing volume status and cardiovascular outcomes. METHODS: End-stage renal disease patients on HD at the Island Rehab Center being older than 18 years were screened. Patients achieving their dry weight (DW) had a lung ultrasound in a supine position...
2018: Cardiorenal Medicine
https://www.readbyqxmd.com/read/29110132/novel-mesenchymal-stem-cell-strategy-in-alleviating-toll-like-receptor-4-p53-and-nrf2-signaling-in-isoproterenol-induced-myocardial-infarction-in-rat-model
#4
Mai O Kadry, Rehab M Abdel-Megeed
Mesenchymal stem cells (MSCs) are multipotent stromal cells that merit the differentiation into various cell types. The present study was designed to test the hypothesis that the cardioprotective effect of MSCs transplantation and digoxin treatment is mediated via the regulation of messenger RNA gene expression of pro-inflammatory cytokines and apoptotic markers. Myocardial infarction was induced in Wistar rats via isoproterenol injection in a dose of (85 mg/kg, subcutaneously, twice at an interval of 24 h)...
November 6, 2017: Cardiovascular Toxicology
https://www.readbyqxmd.com/read/29033195/national-surgical-quality-improvement-program-surgical-risk-calculator-poorly-predicts-complications-in-patients-undergoing-radical-cystectomy-with-urinary-diversion
#5
Shay Golan, Melanie A Adamsky, Scott C Johnson, Nimrod S Barashi, Zachary L Smith, Maria V Rodriguez, Chuanhong Liao, Norm D Smith, Gary D Steinberg, Arieh L Shalhav
PURPOSE: To evaluate the accuracy of the American College of Surgeons National Surgical Quality Improvement Programs (ACS-NSQIP) surgical risk calculator in patients undergoing radical cystectomy (RC) with urinary diversion. MATERIALS AND METHODS: Preoperative characteristics of patients who underwent RC with ileal conduit or orthotropic neobladder (ONB) between 2007 and 2016 were entered into the proprietary online ACS-NSQIP calculator to generate 30-day predicted risk profiles...
February 2018: Urologic Oncology
https://www.readbyqxmd.com/read/29019280/social-inequality-and-barriers-to-cardiac-rehabilitation-in-the-rehab-north-register
#6
Christina Boesgaard Graversen, Regina Eichhorst, Lisbeth Ravn, Susanne Svane Riis Christiansen, Martin Berg Johansen, Mogens Lytken Larsen
AIM: Barriers to participation in cardiac rehabilitation (CR) may occur at three levels of the referral process (lack of information, declining to participate, and referral to appropriate CR programme). The aim is to analyse the impact of socioeconomic status on barriers to CR and investigate whether such barriers influenced the choice of referral. METHODS: The Rehab-North Register, a cross-sectional study, enrolled 5455 patients hospitalised at Aalborg University Hospital with myocardial infarction (MI) during 2011-2014...
December 2017: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/28837549/use-of-outpatient-cardiac-rehabilitation-among-heart-attack-survivors-20-states-and-the-district-of-columbia-2013-and-four-states-2015
#7
Jing Fang, Carma Ayala, Cecily Luncheon, Matthew Ritchey, Fleetwood Loustalot
Heart disease is the leading cause of death in the United States (1). Each year, approximately 790,000 adults have a myocardial infarction (heart attack), including 210,000 that are recurrent heart attacks (2). Cardiac rehabilitation (rehab) includes exercise counseling and training, education for heart-healthy living, and counseling to reduce stress. Cardiac rehab provides patients with education regarding the causes of heart attacks and tools to initiate positive behavior change, and extends patients' medical management after a heart attack to prevent future negative sequelae (3)...
August 25, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28520624/cardiac-rehabilitation-outcomes-by-ethnocultural-background-results-from-the-canadian-cardiac-rehab-registry
#8
Briar Findlay, Paul Oh, Sherry L Grace
BACKGROUND: Patients of diverse ethnocultural backgrounds are underrepresented among participants and, hence, little is known about their outcomes. The objectives of this study were to compare cardiac rehabilitation (CR) utilization, cardiovascular risk factor reduction (blood pressure, lipids, anthropometrics), and functional capacity between white and ethnocultural minority patients participating in CR across Canada. METHODS: The study was a retrospective, observational cohort study using the Canadian Cardiac Rehab Registry (CCRR)...
September 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28427091/-development-and-evaluation-of-herzwegweiser-de-an-informational-website-designed-for-post-rehabilitation-support-of-cardiac-patients-and-their-healthcare-professionals-in-berlin-brandenburg
#9
Sabine Stamm-Balderjahn, Susanne Bartel, Kristin Wilke, Karla Spyra
The internet portal 'herzwegweiser.de' was developed to assist individuals with cardiovascular diseases in the phase III rehabilitation in the region of Berlin-Brandenburg. It provides information on this specific disease as well as on aftercare services, e. g. regional cardiac groups. For the medical and therapeutic colleagues specific information such as treatment guidelines and a cardiac group placement service for trainers and medical doctors were set up. The study was based on a mixed-methods design...
February 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/28259552/the-patient-education-learning-and-coping-strategies-improves-adherence-in-cardiac-rehabilitation-lc-rehab-a-randomised-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
Vibeke Lynggaard, Claus Vinther Nielsen, Ann-Dorthe Zwisler, Rod S Taylor, Ole May
BACKGROUND: Despite proven benefits of cardiac rehabilitation (CR), adherence to CR remains suboptimal. This trial aimed to assess the impact of the patient education 'Learning and Coping Strategies' (LC) on patient adherence to an eight-week CR program. METHODS: 825 patients with ischaemic heart disease or heart failure were open label randomised to either the LC arm (LC plus CR) or the control arm (CR alone) across three hospital units in Denmark. Both arms received same amount of training and education hours...
June 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/27729797/cataract-induction-by-administration-of-nitroglycerin-in-cardiac-patients-through-imbalance-in-redox-status
#11
Rehab M El-Gharabawy, Amira S Ahmed, Amal H Al-Najjar
PURPOSE: The objective of this study was to evaluate the role of nitroglycerin in the pathogenesis of cataract. DESIGN: Prospective study. PATIENT AND METHODS: This study was performed in adults from tertiary Saudi Arabian hospitals (34 males and 26 females in each group, aged from 40 to 60 years), who were divided into four groups with an equal number of subjects (control group, cardiac group, idiopathic cataract group, and a group of cardiac patients using nitroglycerin and with cataracts)...
2016: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/27596569/smartphone-based-early-cardiac-rehabilitation-in-patients-with-acute-coronary-syndromes-smart-rehab-trial-a-randomized-controlled-trial-protocol
#12
RANDOMIZED CONTROLLED TRIAL
Matias B Yudi, David J Clark, David Tsang, Michael Jelinek, Katie Kalten, Subodh Joshi, Khoa Phan, Arthur Nasis, John Amerena, Sandeep Arunothayaraj, Chris Reid, Omar Farouque
BACKGROUND: There are well-documented treatment gaps in secondary prevention of coronary heart disease and no clear guidelines to assist early physical activity after acute coronary syndromes (ACS). Smartphone technology may provide an innovative platform to close these gaps. This paper describes the study design of a randomized controlled trial assessing whether a smartphone-based secondary prevention program can facilitate early physical activity and improve cardiovascular health in patients with ACS...
September 5, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27453423/the-impact-of-inflammation-on-the-obesity-paradox-in-coronary-heart-disease
#13
A De Schutter, S Kachur, C J Lavie, R S Boddepalli, D A Patel, R V Milani
BACKGROUND: Despite the well-known adverse effects of obesity on almost all aspects of coronary heart disease, many studies of coronary heart disease cohorts have demonstrated an inverse relationship between obesity, as defined by body mass index (BMI), and subsequent prognosis: the 'obesity paradox'. The etiology of this and the potential role of inflammation in this process remain unknown. PATIENTS AND METHODS: We studied 519 patients with coronary heart disease before and after cardiac rehabilitation, dividing them into groups based on C-reactive protein ((CRP)⩾3 mg l(-1) and CRP<3 mg l(-1) after cardiac rehabilitation)...
November 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27361116/peak-vo2-and-12-00-walk-distance-in-diabetics-and-non-diabetics-in-a-phase-ii-cardiac-rehab-program-2480-board-3-june-3-9-30-am-11-00-am
#14
Dalynn T Badenhop, Jayme Rock-Willoughby, Jodi Tinkel, Sadik Khuder
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27268564/efficacy-of-inpatient-rehabilitation-after-left-ventricular-assist-device-implantation
#15
Gardner Yost, Laura Coyle, Kristen Milkevitch, Roy Adair, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist devices (LVADs) have become an increasingly popular and effective means for treating advanced heart failure. LVAD implantation requires extensive surgery and postoperative rehabilitation. The Functional Independence Measure (FIM) has been used to quantify functional gains in numerous patient populations, including those with stroke and spinal cord injury. This study investigated functional improvements in patients undergoing LVAD implantation using the FIM score...
January 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26685718/propranolol-versus-captopril-in-the-treatment-of-infantile-hemangioma-ih-a-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Hesham Zaher, Hoda Rasheed, Mohamed M El-Komy, Rehab A Hegazy, Heba I Gawdat, Dalia M Abdel Halim, Rania M Abdel Hay, Ranya A Hegazy, Abeer M Mohy
BACKGROUND: Renin-angiotensin system components have been demonstrated in the biology of infantile hemangioma (IH). Captopril, an angiotensin-converting enzyme inhibitor, is proposed as a therapeutic alternative to oral propranolol. OBJECTIVES: We sought to compare the benefit of propranolol and captopril in the treatment of IH, and to assess angiotensin-converting enzyme gene polymorphism in patients with IH and in control subjects. METHODS: Thirty patients with IH and 35 healthy control subjects were enrolled in this study...
March 2016: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/26502944/-gender-and-quality-of-life-and-coping-over-one-year-after-myocardial-infarction-do-men-really-have-the-upper-hand
#17
Dorota Włodarczyk
BACKGROUND: Multiple reports have confirmed that quality of life (QoL) in women after myocardial infarction (MI) is worse compared to men of the same age but some variation depending on QoL dimension was also reported. A less studied issue is coping after MI. AIM: The present study examined whether gender affected the level and dynamics of QoL and coping over 1 year after MI. METHODS: This questionnaire-based study included 3 stages, at the beginning and the end of a rehabilitation programme (n = 222, 163 [73%] men) and 1 year later (n = 140, 98 [70%] men)...
2016: Kardiologia Polska
https://www.readbyqxmd.com/read/26387271/quantity-and-quality-of-daily-physical-activity-in-older-cardiac-patients
#18
David M Buijs, Ailar Ramadi, Karen MacDonald, Rhonda Lightfoot, Mano Senaratne, Robert G Haennel
BACKGROUND: Sedentary behaviour and the level of daily physical activity are of particular concern in cardiac patients, as diminished activity may be a strong predictor of mortality in this population. PURPOSE: In this study we assessed sedentary behaviour and the quantity and quality of daily physical activity among older cardiac patients who were at different stages of recovery following a cardiac event. DESIGN: We used a cross-sectional design and a convenience sampling technique...
2015: Canadian Journal of Cardiovascular Nursing, Journal Canadien en Soins Infirmiers Cardio-vasculaires
https://www.readbyqxmd.com/read/26301640/exercise-programs-for-lvad-supported-patients-a-snapshot-from-the-esc-affiliated-countries
#19
MULTICENTER STUDY
Tuvia Ben Gal, Massimo F Piepoli, Ugo Corrà, Viviane Conraads, Stamatis Adamopoulos, Piergiuseppe Agostoni, Ewa Piotrowicz, Jean-Paul Schmid, Petar M Seferovic, Piotr Ponikowski, Gerasimos Filippatos, Tiny Jaarsma
BACKGROUND: To contribute to the protocol development of exercise training in LVAD supported patients by reviewing the exercise programs for those patients in the ESC affiliated countries. METHODS: A subset of data from 77 (26 countries) LVAD implanting centers that participated in the Extra-HF survey (170 centers) was analyzed. RESULTS: Of the 77 LVAD implanting centers, 45 (58%) reported to have a functioning exercise training program (ETP) for LVAD patients...
December 15, 2015: International Journal of Cardiology
https://www.readbyqxmd.com/read/25939657/effect-of-aspirin-on-acute-changes-in-peripheral-arterial-stiffness-and-endothelial-function-following-exertional-heat-stress-in-firefighters-the-factorial-group-results-of-the-enhanced-firefighter-rehab-trial
#20
RANDOMIZED CONTROLLED TRIAL
Oladipupo Olafiranye, David Hostler, Daniel G Winger, Li Wang, Steven E Reis
Peripheral arterial stiffness and endothelial function, which are independent predictors of cardiac events, are abnormal in firefighters. We examined the effects of aspirin on peripheral arterial stiffness and endothelial function in firefighters. Fifty-two firefighters were randomized to receive daily 81 mg aspirin or placebo for 14 days before treadmill exercise in thermal protection clothing, and a single dose of 325 mg aspirin or placebo immediately following exertion. Peripheral arterial augmentation index adjusted for a heart rate of 75 (AI75) and reactive hyperemia index (RHI) were determined immediately before, and 30, 60, and 90 minutes after exertion...
June 2015: Vascular Medicine
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