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Cardiac rehabilitation.

Emma Thomas, Mojtaba Lotfaliany, Sherry L Grace, Brian Oldenburg, C Barr Taylor, David L Hare, Wp Thanuja Rangani, Ds Anoja F Dheerasinghe, Dominique A Cadilhac, Adrienne O'Neil
BACKGROUND: Ageing populations and increasing survival following acute coronary syndrome has resulted in large numbers of people living with cardiovascular disease and at high risk of hospitalizations. Rising hospital admissions have a significant financial cost to the healthcare system. AIM: The purpose of this study was to determine whether cardiac rehabilitation is protective against long-term hospital readmission (frequency and length) following acute coronary syndrome...
December 14, 2018: European Journal of Cardiovascular Nursing
Zeinab Mohammed Helmy, Sherin Hassan Mohammed Mehani, Basant Hamdy El-Refaey, Eman Hassan Abd Al-Salam, El-Sayed Essam El-Sayed Felaya
The aim of this study was to investigate the effects of low-level laser therapy (LLLT) versus trunk stabilization exercises on sternotomy healing following coronary artery bypass grafting (CABG) surgery. Forty-five male patients who had acute sternal instability post-CABG surgery in the age range of 45-65 years were divided randomly into three equal groups (n = 15). The laser group received LLLT, while the exercise group received trunk stabilization exercises. The control group only received a routine cardiac rehabilitation programme, which was also provided to both the laser and the exercise groups...
December 13, 2018: Lasers in Medical Science
Eléonore F van Dam van Isselt, Jan van Wijngaarden, Dirk J A Lok, Wilco P Achterberg
Purpose: Cardiac rehabilitation in older patients after hospitalization because of cardiovascular disease is recommended. However, many older patients do not receive cardiac rehabilitation in daily practice, due to lack of referral and poor adherence. This can be related to impaired clinical and functional status of these patients, who are more likely to present with frailty, frequent comorbidities, and disability. Geriatric rehabilitation might be a possible solution to reduce barriers to cardiac rehabilitation attendance...
2018: European Geriatric Medicine
Yihua Bei, Chao Shi, Zhongrong Zhang, Junjie Xiao
As the most populous country worldwide, China has ≈ 290 million patients with cardiovascular diseases (CVDs), representing the leading cause of death in Chinese population. The morbidity and mortality of CVDs are continuously rising. Here, we will first summarize the recent advance in the management of CVDs such as coronary arterial disease, arrhythmia, and heart failure in China. In particular, we will introduce the development of chest pain centers and indicate the novel techniques and methods applied for the management of CVDs...
December 7, 2018: Journal of Cardiovascular Translational Research
Mahwesh Saleem, Nathan Herrmann, Adam Dinoff, Susan Marzolini, Michelle M Mielke, Ana Andreazza, Paul I Oh, Swarajya Lakshmi Vattem Venkata, Norman J Haughey, Krista L Lanctôt
The long term benefits conferred by cardiac rehabilitation (CR) in those with CAD are strongly linked with an improvement in cardiopulmonary fitness. This study aimed to determine the association between peripheral sphingolipids and cardiopulmonary fitness in CAD subjects undertaking CR. Patients with CAD (n=100, mean age=64±6 years, 85% male, mean years of education=17±3 years) underwent 6 months of CR with blood collected at baseline, 3 and 6 months. Cardiopulmonary fitness was assessed by measuring peak oxygen uptake (VO2peak) at all time points...
December 8, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Yu S Esakov, A A Pechetov, M B Raevskaya, T N Khlan, V A Sizov, M A Makov
AIM: To present the results of fast track rehabilitation after anatomical lung resection. MATERIAL AND METHODS: Single-center prospective non-randomized trial has included patients for the period December 2014 - December 2016. Conventional protocol was applied in 124 patients, 58 patients after atypical lung resections or pneumonectomy were excluded from the study. Thus, there were 66 patients aged 61 (51; 67) years. Men/women ratio was 37:29. Lobectomy (n=55) and segmentectomy (n=11) were performed for lung cancer, metastatic injury and various inflammatory diseases in 53 (80...
2018: Khirurgiia
V Antón Menárguez, J M Sempere Ripoll, R Martínez Amorós
OBJECTIVE: The aim of this study was to describe and analyze the results of the cognitive-behavioral intervention in the patients beneficiaries of the multidisciplinary Cardiac Rehabilitation program of the Hospital General Universitario de Elche (Spain). MATERIAL AND METHOD: A sample that included 33 patients who had suffered an acute myocardial infarction or who suffer from unstable angina pectoris. These patients were referred from the Cardiology Department for inclusion in the Cardiac Prevention and Rehabilitation Program during the period from September 2014 to October 2015...
December 7, 2018: Semergen
Célina A Boothby, Bukky R Dada, Doreen M Rabi, Tavis S Campbell, Karen L Tang
BACKGROUND: Decreased sexual activity (SA) is a common problem in patients with cardiovascular disease (CVD). Although there is evidence that cardiac rehabilitation (CR) is effective in improving physical outcomes and overall quality of life, its effects on SA remain unclear. In this systematic review we assessed the association between CR attendance and SA outcomes in adults with CVD. METHODS: Electronic databases (MEDLINE, PsycINFO, EMBASE, CINAHL) were systematically searched in January 2018...
December 2018: Canadian Journal of Cardiology
Claudio Gil Soares de Araújo, Ricardo Stein, Aline Sardinha
No abstract text is available yet for this article.
December 2018: Canadian Journal of Cardiology
Serdar Sever, Su Golder, Patrick Doherty
BACKGROUND: The literature suggests that comorbid depression, defined in this paper as a history of depression prior to a cardiovascular event, has an impact on later onset depression as well as constituting increased risk of mortality and adverse cardiac events. However, which factors are associated with depression, specifically in patients with comorbid depression, is unclear. Therefore, this paper investigates the factors associated with depression in patients with comorbid depression attending cardiac rehabilitation (CR)...
December 10, 2018: BMC Cardiovascular Disorders
David B Seder
PURPOSE OF REVIEW: Because the whole-body ischemia-reperfusion insult associated with cardiac arrest often results in brain injury, neurologists perform an important role in postresuscitation cardiac arrest care. This article provides guidance for the assessment and management of brain injury following cardiac arrest. RECENT FINDINGS: Neurologists have many roles in postresuscitation cardiac arrest care: (1) early assessment of brain injury severity to help inform triage for invasive circulatory support or revascularization; (2) advocacy for the maintenance of a neuroprotective thermal, hemodynamic, biochemical, and metabolic milieu; (3) detection and management of seizures; (4) development of an accurate, multimodal, and conservative approach to prognostication; (5) application of shared decision-making paradigms around the likely outcomes of therapy and the goals of care; and (6) facilitation of the neurocognitive assessment of survivors...
December 2018: Continuum: Lifelong Learning in Neurology
Duygu Koçyiğit, Lale Tokgözoğlu, Meral Kayıkçıoğlu, Servet Altay, Sinan Aydoğdu, Cem Barçın, Cem Bostan, Hüseyin Altuğ Çakmak, Alp Burak Çatakoğlu, Samim Emet, Oktay Ergene, Ali Kemal Kalkan, Barış Kaya, Cansın Kaya, Cihangir Kaymaz, Nevrez Koylan, Hakan Kültürsay, Aytekin Oğuz, Ebru Özpelit, Serkan Ünlü
OBJECTIVE: It has been reported that women receive fewer preventive recommendations regarding pharmacological treatment, lifestyle modifications, and cardiac rehabilitation compared with men who have a similar risk profile. This study was an investigation of the impact of gender on cardiovascular risk profile and secondary prevention measures for coronary artery disease (CAD) in the Turkish population. METHODS: Statistical analyses were based on the European Action on Secondary and Primary Prevention through Intervention to Reduce Events (EUROASPIRE)-IV cross-sectional survey data obtained from 17 centers in Turkey...
December 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Martina Minotto, Alexander S Harrison, Giovanni Grazzi, Jonathan Myers, Patrick Doherty
Introduction: Patients with heart failure (HF) are now a priority group for cardiac rehabilitation (CR). A fundamental component of CR is increasing physical fitness through exercise training. Even though studies show fitness benefits, there is little evidence in routine populations of individual factors that may influence fitness. This study aims to evaluate the extent to which demographics and clinical measures predict physical fitness in patients with HF and develop reference values to guide practice...
March 2019: IJC Heart & Vasculature
Sanjiv Gray, Beatrice Dieudonne
Aortic occlusion is used during trauma resuscitation for patients with profound shock and cardiac arrest. Aortic occlusion increases coronary and cerebral perfusion permitting time for interventions in an attempt to salvage moribund patients. Resuscitative endovascular occlusion of the aorta (REBOA) is a less invasive method of aortic occlusion and its indications are being defined, but it is used primarily for noncompressible torso hemorrhage. This case is the first report of the use of REBOA for neurogenic shock in a trauma patient...
September 27, 2018: Curēus
Martina A Maggioni, Paolo Castiglioni, Giampiero Merati, Katharina Brauns, Hanns-Christian Gunga, Stefan Mendt, Oliver S Opatz, Lea C Rundfeldt, Mathias Steinach, Anika Werner, Alexander C Stahn
Head-down-tilt bed rest (HDT) mimics the changes in hemodynamics and autonomic cardiovascular control induced by weightlessness. However, the time course and reciprocal interplay of these adaptations, and the effective exercise protocol as a countermeasure need further clarification. The overarching aim of this work (as part of a European Space Agency sponsored long-term bed rest study) was therefore to evaluate the time course of cardiovascular hemodynamics and autonomic control during prolonged HDT and to assess whether high-intensity, short-duration exercise could mitigate these effects...
2018: Frontiers in Physiology
Bernhard Schwaab, Uwe Zeymer, Christina Jannowitz, David Pittrow, Anselm Gitt
AIMS: The PATIENT CARE registry aimed to document clinical characteristics of patients during cardiac rehabilitation after myocardial infarction, including the current pharmacological treatment, risk factor modification and achievement of treatment targets for low-density lipoprotein cholesterol (LDL-C). METHODS: Multicentre, prospective non-interventional study at 20 cardiac rehabilitation in-patient centres across Germany. RESULTS: A total of 1408 patients post myocardial infarction were analysed...
December 3, 2018: European Journal of Preventive Cardiology
Ross Arena, Cemal Ozemek
No abstract text is available yet for this article.
December 3, 2018: Expert Review of Cardiovascular Therapy
Cara L Sedney, Uzer Khan, Patricia Dekeseredy
CONTEXT: Medicaid has been linked to worse outcomes in a variety of diagnoses such as lung cancer, uterine cancer, and cardiac valve procedures. It has furthermore been linked to the reduced health-related quality of life outcomes after traumatic injuries when compared to other insurance groups. In spinal cord injury (SCI), the care provided in the subacute setting may vary based upon payor status, which may have implications on outcomes and cost of care. DESIGN: A retrospective review utilizing the institutional trauma databank was performed for all adult patients with spinal cord injury since 2009...
December 3, 2018: Journal of Spinal Cord Medicine
Syed Raza Shah, Richard Alweis, Mohammad Yousuf Ul Islam, Maham Khan, Mehwish Hussain, Syed Zawahir Hassan, Aisha Aslam, Waqas Shahnawaz
Background: Aspirin (acetylsalicylic acid) is commonly prescribed to patients with a history of myocardial infarction (MI) or occlusive vascular events (e.g., stroke). Due to the complications associated with failure to follow aspirin usage guidelines, determining predictors of aspirin noncompliance in these patient populations is of clinical value and may help prevent poor outcomes. Methods: This cross-sectional study of all patients with a previously diagnosed MI was conducted over a period of 3 months from May 2015 to July 2015 at a government-based hospital in Karachi, Pakistan...
April 2018: Heart Views: the Official Journal of the Gulf Heart Association
Danielle Petricone-Westwood, Georden Jones, Brittany Mutsaers, Caroline Séguin Leclair, Christina Tomei, Geneviève Trudel, Andreas Dinkel, Sophie Lebel
PURPOSE: Health anxiety (HA) is associated with reduced quality of life among individuals with chronic illnesses. However, little is known about effective interventions for reducing HA in this context. This study aimed to comprehensively review the literature on interventions for the treatment of HA in chronic illness. METHODS: This study was conducted as part of a larger systematic review on HA among individuals diagnosed with a chronic illness, using literature published between January 1996 and October 2017...
November 29, 2018: International Journal of Behavioral Medicine
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