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Behavioral cardiology

Marie-Pierre St-Onge, Michael A Grandner, Devin Brown, Molly B Conroy, Girardin Jean-Louis, Michael Coons, Deepak L Bhatt
Sleep is increasingly recognized as an important lifestyle contributor to health. However, this has not always been the case, and an increasing number of Americans choose to curtail sleep in favor of other social, leisure, or work-related activities. This has resulted in a decline in average sleep duration over time. Sleep duration, mostly short sleep, and sleep disorders have emerged as being related to adverse cardiometabolic risk, including obesity, hypertension, type 2 diabetes mellitus, and cardiovascular disease...
September 19, 2016: Circulation
Bhavika J Patel, Lillian Lai, Gary Goldfield, Renee Sananes, Patricia E Longmuir
Psychosocial health issues are common among children with cardiac diagnoses. Understanding parent and child perceptions is important because parents are the primary health information source. Significant discrepancies have been documented between parent/child quality-of-life data but have not been examined among psychosocial diagnostic instruments. This study examined agreement and discrepancies between parent and child reports of psychosocial health and quality of life in the paediatric cardiology population...
September 20, 2016: Cardiology in the Young
Meghan K Edwards, Elizabeth Crush, Paul D Loprinzi
PURPOSE: The pooled cohort equations were developed in 2013 by the American College of Cardiology/American Heart Association Task Force to predict an individual's 10-year risk of an atherosclerotic cardiovascular disease (ASCVD) event. The purpose of the present study was to evaluate how predicted 10-year ASCVD event risk varies as a function of daily dietary behavior. DESIGN: Cross-sectional. SETTING: National Health and Nutrition Examination Survey 2003 to 2006...
September 7, 2016: American Journal of Health Promotion: AJHP
Crystal W Cené, Beth Haymore, Jeffrey P Laux, Feng-Chang Lin, Dana Carthron, Debra Roter, Lisa A Cooper, Patricia P Chang, Brian C Jensen, Paula F Miller, Giselle Corbie-Smith
OBJECTIVE: To describe the frequency, roles, and utility of family companion involvement in the care of patients with Heart Failure (HF) care and to examine the association between audiotaped patient, companion, and provider communication behaviors. METHODS: We collected survey data and audiotaped a single medical visit for 93 HF patients (36 brought a companion into the examination room) and their cardiology provider. Communication data was analyzed using the Roter Interaction Analysis System...
September 3, 2016: Patient Education and Counseling
Miriam B Vos, Jill L Kaar, Jean A Welsh, Linda V Van Horn, Daniel I Feig, Cheryl A M Anderson, Mahesh J Patel, Jessica Cruz Munos, Nancy F Krebs, Stavra A Xanthakos, Rachel K Johnson
BACKGROUND: Poor lifestyle behaviors are leading causes of preventable diseases globally. Added sugars contribute to a diet that is energy dense but nutrient poor and increase risk of developing obesity, cardiovascular disease, hypertension, obesity-related cancers, and dental caries. METHODS AND RESULTS: For this American Heart Association scientific statement, the writing group reviewed and graded the current scientific evidence for studies examining the cardiovascular health effects of added sugars on children...
August 22, 2016: Circulation
Deborah Rohm Young, Marie-France Hivert, Sofiya Alhassan, Sarah M Camhi, Jane F Ferguson, Peter T Katzmarzyk, Cora E Lewis, Neville Owen, Cynthia K Perry, Juned Siddique, Celina M Yong
Epidemiological evidence is accumulating that indicates greater time spent in sedentary behavior is associated with all-cause and cardiovascular morbidity and mortality in adults such that some countries have disseminated broad guidelines that recommend minimizing sedentary behaviors. Research examining the possible deleterious consequences of excess sedentary behavior is rapidly evolving, with the epidemiology-based literature ahead of potential biological mechanisms that might explain the observed associations...
September 27, 2016: Circulation
Joao S Soares, Kristen R Feaver, Will Zhang, David Kamensky, Ankush Aggarwal, Michael S Sacks
The use of replacement heart valves continues to grow due to the increased prevalence of valvular heart disease resulting from an ageing population. Since bioprosthetic heart valves (BHVs) continue to be the preferred replacement valve, there continues to be a strong need to develop better and more reliable BHVs through and improved the general understanding of BHV failure mechanisms. The major technological hurdle for the lifespan of the BHV implant continues to be the durability of the constituent leaflet biomaterials, which if improved can lead to substantial clinical impact...
August 9, 2016: Cardiovascular Engineering and Technology
Amanda Chlalup Linn, Karina Azollin, Emiliane Nogueira de Souza
OBJECTIVE: to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil. METHOD: it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory...
June 2016: Revista Brasileira de Enfermagem
Oliver Klein-Wiele, Markus Faghih, Stefan Dreesen, Rhyan Urbien, Marwan Abdelghafor, Kaffer Kara, Michael Schulte-Hermes, Marietta Garmer, Dietrich Grönemeyer, Birgit Hailer
BACKGROUND: Patient-activated event recorders (ER) can facilitate diagnosis in unclear palpi-tations, however impact of ER screening on further treatment in clinical routine is unknown. We investigated the feasibility and clinical value of a network-based telemetric monitoring using a patient activated ER. METHODS: The network consisted of 12 general practitioners (GP) and a department of car-diology (DC). GP-patients sent electrocardiograms (ECGs) twice daily and in case of palpitations...
2016: Cardiology Journal
Donatella Radini, Gioia Sola, Nadia Zeriali, Eliana Grande, Franco Humar, Luigi Tarantini, Giovanni Pulignano, Kira Stellato, Giulia Barbati, Andrea Di Lenarda
BACKGROUND: Cardiovascular diseases are the first cause of death worldwide. In the last decades, therapeutic advances have determined an increase in survival rates, with a subsequent rise in the number of elderly people suffering from chronic cardiovascular diseases and associated comorbidities requiring comprehensive, team-based multidisciplinary care. The aim of this study is to describe the organization, purposes and activities of a nurse-led cardiology clinic. METHODS: Between November 1, 2009 and October 31, 2014, the nurse-led clinics located within our Cardiology Outpatient Center provided care to 2081 out of 26 057 patients (8%) with complex healthcare needs, high cardiovascular risk and/or specific therapeutic indications or needs for reassessment; 1875 of these patients received nurse-led interventions: 451 (21...
May 2016: Giornale Italiano di Cardiologia
Ruth M Masterson Creber, Mathew S Maurer, Meghan Reading, Grenny Hiraldo, Kathleen T Hickey, Sarah Iribarren
BACKGROUND: Heart failure is the most common cause of hospital readmissions among Medicare beneficiaries and these hospitalizations are often driven by exacerbations in common heart failure symptoms. Patient collaboration with health care providers and decision making is a core component of increasing symptom monitoring and decreasing hospital use. Mobile phone apps offer a potentially cost-effective solution for symptom monitoring and self-care management at the point of need. OBJECTIVE: The purpose of this review of commercially available apps was to identify and assess the functionalities of patient-facing mobile health apps targeted toward supporting heart failure symptom monitoring and self-care management...
2016: JMIR MHealth and UHealth
Nuhad Yazbik Dumit, Samar Nayef Noureddine, Joan Kathy Magilvy
BACKGROUND: Cardiovascular disease is the leading cause of mortality worldwide. Cardiac self-care practices are essential for managing cardiac illness and improving quality of life. However, these practices may be affected by factors that may hinder or facilitate self-care especially in countries that experience political and economic instabilities. OBJECTIVES: The purpose of this study was to explore self-care practices among Lebanese cardiac patients. Another aim was to reveal factors that might influence these self-care practices...
August 2016: International Journal of Nursing Studies
Juan Salazar, Eliana Luzardo, José Carlos Mejías, Joselyn Rojas, Antonio Ferreira, José Ramón Rivas-Ríos, Valmore Bermúdez
Epicardial fat is closely related to blood supply vessels, both anatomically and functionally, which is why any change in this adipose tissue's behavior is considered a potential risk factor for cardiovascular disease development. When proinflammatory adipokines are released from the epicardial fat, this can lead to a decrease in insulin sensitivity, low adiponectin production, and an increased proliferation of vascular smooth muscle cells. These adipokines move from one compartment to another by either transcellular passing or diffusion, thus having the ability to regulate cardiac muscle activity, a phenomenon called vasocrine regulation...
2016: Cardiology Research and Practice
Beate Muschalla, Michael Linden, Michael Jöbges
OBJECTIVE: The aim of this study was to study the effects of a short-term cognitive behavior therapy on work-anxiety and sickness-absence in patients with work-anxiety. METHODS: Three-hundred forty-five inpatients who suffered from cardiologic, neurological, or orthopedic problems and additionally work-anxiety were randomly assigned into two different group interventions. Patients got four sessions of a group intervention, which either focused on cognitive behavior-therapy anxiety-management (work-anxiety coping group, WAG) or unspecific recreational activities (RG)...
April 2016: Journal of Occupational and Environmental Medicine
Judith E Arnetz, Ludmila Zhdanova, Bengt B Arnetz
Patients have become increasingly well informed with higher expectations to be involved in decision-making processes regarding their care and treatment. However, few studies have examined the impact of patient involvement on health care providers' partnership-building communication. The aim of this study was to measure and explore the self-reported effects of patient involvement on the work of physicians and nurses. A questionnaire survey was distributed among cardiology staff in 12 Swedish hospitals (N = 488, response rate 67%)...
December 2016: Health Communication
Carolyn Miller Reilly, Natia Esiashvili, Susmita Parashar, Melinda Higgins
OBJECTIVE: To describe the prevalence of cardiovascular disease in lymphoma survivors by sex. DESIGN: Cross-sectional, correlation. SETTING: Large cancer institute in Southeastern United States. PARTICIPANTS: Participants (N = 31) had a mean age ± standard deviation of 47.6 ± 11.4 years; 55% were male and 84% were White. Participants averaged 5 years since lymphoma treatment. METHODS: During one research visit, routine laboratory tests and fasting lipid levels, coronary artery calcification computed tomography, echocardiography, comprehensive questionnaires, survivorship clinic, and cardiology consultation were measured...
May 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
S Marlene Grenon, Christopher D Owens, Hugh Alley, Sandra Perez, Mary A Whooley, Thomas C Neylan, Kirstin Aschbacher, Warren J Gasper, Joan F Hilton, Beth E Cohen
BACKGROUND: Current research in behavioral cardiology reveals a significant association between posttraumatic stress disorder (PTSD) and increased risk for cardiovascular disease and mortality; however, the underlying mechanisms remain poorly understood. We hypothesized that patients with PTSD would exhibit endothelial dysfunction, a potential mechanism involved in the development and progression of cardiovascular disease. METHODS AND RESULTS: A total of 214 outpatients treated at the San Francisco Veterans Affairs Medical Center underwent tests of endothelial function and evaluation for PTSD...
March 2016: Journal of the American Heart Association
Ophelia Thomas, Pamella Stoeckel
A factor contributing to uncontrolled hypertension in older persons is medication nonadherence. Older Black men in a rural cardiology clinic were not taking blood pressure medication as prescribed resulting in uncontrolled hypertension. A nurse protocol to assist with self-administration of hypertensive medication was proposed to address the problem. This qualitative key informant study identified a purposive sample of 10 hypertensive Black men who were 65-70 years of age and nonadherent in taking their medication...
2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
Lucienne A Reichardt, Jesse J Aarden, Rosanne van Seben, Marike van der Schaaf, Raoul H H Engelbert, Jos A Bosch, Bianca M Buurman
BACKGROUND: Over 30 % of older patients experience hospitalization-associated disability (HAD) (i.e., loss of independence in Activities of Daily Living (ADLs)) after an acute hospitalization. Despite its high prevalence, the mechanisms that underlie HAD remain elusive. This paper describes the protocol for the Hospital-Associated Disability and impact on daily Life (Hospital-ADL) study, which aims to unravel the potential mechanisms behind HAD from admission to three months post-discharge...
2016: BMC Geriatrics
Meaghan Ferguson, Adrienne H Kovacs
OBJECTIVE: North American adults with congenital heart disease (CHD) are at increased risk of mood and anxiety disorders, although there are no published data on psychological treatment. In order to provide guidance to adult CHD (ACHD) programs considering the integration of psychological care, the aim of this study was to provide a comprehensive description of a specialized ACHD psychological service. DESIGN: At a large tertiary hospital, a retrospective review of 100 ACHD clinic patient psychology files was performed...
February 26, 2016: Congenital Heart Disease
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