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Cardiac rehabilitation and prevention health

Margaret Cupples, Neil Heron
This paper will review the current role of general practitioners (GPs) in providing cardiovascular prevention for patients after attendance at a cardiac rehabilitation program. Long-term implementation of preventive strategies is needed for continued impact on reducing risk of cardiovascular events and GPs have a major role in providing ongoing continuing medical care. Awareness of patients' social, cultural and physical circumstances allows the GP to identify individuals' needs for support in engaging in secondary prevention: relevant brief interventions can promote behaviour change in physical activity, diet and smoking habits, as well as promoting mental health and adherence to optimal medical therapy...
October 14, 2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Sherry L Grace, Karam Turk-Adawi, Carolina Santiago de Araújo Pio, David A Alter
Cardiac rehabilitation (CR) is a proven model of secondary prevention. Indicated cardiac conditions for CR are well established, and participation of these patients results in significantly lower mortality and morbidity when compared with usual care. There are approximately 170 CR programs in Canada, which varies widely by province. There is a grossly insufficient capacity to treat all patients with cardiac indications in Canada and beyond. The density of CR services is about half that in the United States, at 1 program per 208,823 inhabitants or 1 program per 7779 patients with cardiac disease...
October 2016: Canadian Journal of Cardiology
Anne Vinggaard Christensen, Anne Alexandrine Øhlers, Ann-Dorthe Zwisler, Jesper Hastrup Svendsen, Selina Kikkenborg Berg
BACKGROUND: In the Copenhagen Outpatient Programme-Implantable Cardioverter Defibrillator (COPE-ICD) Trial, a positive effect from a cost-saving, comprehensive cardiac rehabilitation program was found on physical and mental health in patients with ICDs. OBJECTIVE: In the context of the COPE-ICD Trial, the aims of this study is to investigate (a) employment status after ICD implantation, (b) the number of sick days related to ICD implantation, (c) differences in employment status and sick days between rehabilitation and usual care groups, and (d) predictors of employment status and sick leave...
September 13, 2016: Journal of Cardiovascular Nursing
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
Alexander Kulik
PURPOSE OF REVIEW: Despite the benefits of surgical coronary revascularization, patients continue to be at risk for ischemic events in the years that follow coronary artery bypass graft surgery (CABG), mandating the role for postoperative secondary preventive therapy. The purpose of this review was to present a summary on the subject of secondary prevention after CABG, including an overview of a recently published scientific statement, and highlight the newest studies in the field. RECENT FINDINGS: Aspirin and statin therapy continue to be the mainstay of secondary prevention after CABG, although newer antiplatelet and lipid-lowering medicines are being actively studied for their potential benefits...
November 2016: Current Opinion in Cardiology
Sherry L Grace, Karam I Turk-Adawi, Aashish Contractor, Alison Atrey, Norman R C Campbell, Wayne Derman, Gabriela L M Ghisi, Bidyut K Sarkar, Tee J Yeo, Francisco Lopez-Jimenez, John Buckley, Dayi Hu, Nizal Sarrafzadegan
Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-income countries as well. Hence, the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) convened a writing panel to recommend strategies to deliver all core CR components in low-resource settings, namely: (1) initial assessment, (2) lifestyle risk factor management (i...
August 17, 2016: Progress in Cardiovascular Diseases
Demosthenes B Panagiotakos, Venetia Notara, Matina Kouvari, Christos Pitsavos
Cardiovascular Disease (CVD) remains the leading cause of death and disability worldwide, with increased hospital discharge rates, causing a serious public health issue and an economic burden. Recent demographic transitions, including ageing of the population, low fertility, urbanization and shift towards unhealthy behaviours have resulted in an increase in the prevalence of cardiometabolic disorders (i.e. hypertension, obesity, diabetes). According to the reports of international organisations, a substantial number of heart attacks could have been prevented through lifestyle modifications (i...
July 22, 2016: Current Vascular Pharmacology
Sandra Hamilton, Belynda Mills, Shelley McRae, Sandra Thompson
BACKGROUND: Cardiovascular disease (CVD) is a leading cause of morbidity and mortality in Australia. Australian Aboriginal and Torres Strait Islander (Indigenous) people have higher levels of CVD compared with non-Indigenous people. Cardiac Rehabilitation (CR) is an evidence-based intervention that can assist with reducing subsequent cardiovascular events and rehospitalisation. Unfortunately, attendance rates at traditional CR programs, both globally and in Australia, are estimated to be as low as 10-30 % and Indigenous people are known to be particularly under-represented...
2016: BMC Cardiovascular Disorders
Joanna Kapusta, Anna Kapusta, Lucjan Pawlicki, Robert Irzmański
UNLABELLED: Diseases of the cardiovascular system is one of the most common causes of death among people over 65 years. Due to its course and incidence are a major cause of disability and impaired quality of life for seniors, as well as a serious economic problem in health care. Important role in the prevention of cardiovascular disease plays making systematic physical activity, which is a component of any rehabilitation program. Regular physical training by doing cardio-and vasoprotective has a beneficial effect on cardiovascular status and physical performance in patients with diagnosed coronary heart disease, regardless of age...
June 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Paulina López-Montecinos, Jame Rebolledo S, José Miguel Gómez L
BACKGROUND: Secondary prevention programs are an essential part of comprehensive care of patients with cardiovascular disease (CVD), and its effectiveness in reducing morbidity or mortality has been proved. AIM: To determine the cost-effectiveness of a theoretical comprehensive cardiac rehabilitation (CCR) outpatient program after Myocardial Infarction, to be implemented in a Chilean Public Health System. MATERIAL AND METHODS: We designed a theoretical protocol of a CCR program based on recommendations of international guidelines, but adapted to local needs...
April 2016: Revista Médica de Chile
Raphaël Mignault-Laplante, Paul-Émile Bourque, Sarah Pakzad
In the area of cardiac rehabilitation, little attention has been given to phase III (maintenance phase), as compared to phase II (rehabilitation phase). Studies on the maintenance phase have highlighted the importance of maintaining the newly acquired healthy living habits in order to continue benefitting from them and prevent the recurrence of cardiovascular diseases and mortality. However, these studies have revealed disturbing dropout rates, from 25 to 50%. There is little research on the factors associated with the maintenance of the new healthy living habits after completing phase II of a cardiac rehabilitation program...
2016: Canadian Journal of Cardiovascular Nursing, Journal Canadien en Soins Infirmiers Cardio-vasculaires
Francesco Fattirolli, Alessandra Pratesi
Cardiac rehabilitation in the elderly today often represents a utopia. The international scientific literature takes little into account this type of prescription for old people, although they represent a large and growing proportion of cardiac patients, with acute coronary syndrome or heart failure, which we have to manage in everyday life. Furthermore, interventions of health education, clinical follow up, rehospitalisation prevention and prescription of tailored exercise, are sometimes more necessary in this kind of patients, given the presence of multimorbidity, functional dependence, frailty, sarcopenia, social neglect...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Sara Gostoli, Renzo Roncuzzi, Stefano Urbinati, Donald E Morisky, Chiara Rafanelli
OBJECTIVE: Cardiac rehabilitation (CR) is considered the recommended secondary prevention treatment for cardiovascular diseases (CVD), in terms of health behaviours and, secondarily, better cardiac outcomes promotion. However, the role of psychiatric and psychosomatic distress on the efficacy of CR is unclear. This research aimed to evaluate the impact of CR on unhealthy behaviour modification and cardiac course, considering the moderating role of depression, anxiety, and psychosomatic syndromes...
June 18, 2016: British Journal of Health Psychology
Clara K Chow, Nilshan Ariyarathna, Sheikh Mohammed Shariful Islam, Aravinda Thiagalingam, Julie Redfern
Mobile health (mHealth) has been defined as medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices and personal digital assistants. Cardiovascular mHealth is, arguably, leading the mHealth space, through innovation, research and implementation, and especially in the areas of prevention, cardiac rehabilitation and education. mHealth includes simple strategies, such as the use of short message service (SMS) or text messages in successful short-term smoking-cessation, weight loss and diabetes management programs...
August 2016: Heart, Lung & Circulation
Sherry L Grace, Karam I Turk-Adawi, Aashish Contractor, Alison Atrey, Norm Campbell, Wayne Derman, Gabriela L Melo Ghisi, Neil Oldridge, Bidyut K Sarkar, Tee Joo Yeo, Francisco Lopez-Jimenez, Shanthi Mendis, Paul Oh, Dayi Hu, Nizal Sarrafzadegan
OBJECTIVE: Cardiovascular disease is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be cost-effective and efficacious in high-income countries. CR could represent an important approach to mitigate the epidemic of cardiovascular disease in lower-resource settings. The purpose of this consensus statement was to review low-cost approaches to delivering the core components of CR, to propose a testable model of CR which could feasibly be delivered in middle-income countries...
September 15, 2016: Heart: Official Journal of the British Cardiac Society
Tatendashe B Dondo, Marlous Hall, Adam D Timmis, Mark S Gilthorpe, Oras A Alabas, Phillip D Batin, John E Deanfield, Harry Hemingway, Chris P Gale
BACKGROUND: Adherence to guideline-indicated care for the treatment of non-ST-elevation myocardial infarction (NSTEMI) is associated with improved outcomes. We investigated the extent and consequences of non-adherence to guideline-indicated care across a national health system. METHODS: A cohort study ( identifier: NCT02436187) was conducted using data from the Myocardial Ischaemia National Audit Project (n = 389,057 NSTEMI, n = 247 hospitals, England and Wales, 2003-2013)...
May 3, 2016: European Heart Journal. Acute Cardiovascular Care
Min Zhao, Marie Therese Cooney, Kerstin Klipstein-Grobusch, Ilonca Vaartjes, Dirk De Bacquer, Johan De Sutter, Željko Reiner, Eva Prescott, Pompilio Faggiano, Diego Vanuzzo, Hussam AlFaleh, Ian Ba Menown, Dan Gait, Nana Posogova, Wayne H-H Sheu, Dong Zhao, Huijuan Zuo, Diederick E Grobbee, Ian M Graham
BACKGROUND: To simplify the assessment of the recording and control of coronary heart disease risk factors in different countries and regions. DESIGN: The SUrvey of Risk Factors (SURF) is an international clinical audit. METHODS: Data on consecutive patients with established coronary heart disease from countries in Europe, Asia and the Middle East were collected on a one-page collection sheet or electronically during routine clinic visits...
July 2016: European Journal of Preventive Cardiology
Mariana Garcia, Sharon L Mulvagh, C Noel Bairey Merz, Julie E Buring, JoAnn E Manson
Cardiovascular disease continues to be the leading cause of death among women in the United States, accounting for ≈1 of every 3 female deaths. Sex-specific data focused on cardiovascular disease have been increasing steadily, yet is not routinely collected nor translated into practice. This comprehensive review focuses on novel and unique aspects of cardiovascular health in women and sex differences as they relate to clinical practice in the prevention, diagnosis, and treatment of cardiovascular disease...
April 15, 2016: Circulation Research
Carolyn M Astley, Lis Neubeck, Robyn Gallagher, Narelle Berry, Huiyun Du, Martha N Hill, Robyn A Clark
BACKGROUND: Evidence-based guidelines recommend strategies for reducing risk factors for secondary prevention of acute coronary syndromes, yet referral to and completion of programs to deliver this advice are poor. PURPOSE: In this article we describe the complexity of factors that influence referral and delivery of evidence-based cardiac rehabilitation (CR) programs through an Australian context and provide direction for solutions for clinicians and policy makers to consider...
April 12, 2016: Journal of Cardiovascular Nursing
Yu Heng Kwan, Kheng Yong Ong, Hung Yong Tay, Joanne Yeh Chang
INTRODUCTION: Community-based exercise programmes have been shown to be effective in the Western world. However, there is a dearth of literature on their effectiveness in Asia. This pilot study aims to assess the effectiveness of the Asian community-based Health Wellness Programme (HWP) in Singapore. The HWP provides community cardiac rehabilitation services. METHODS: A retrospective database analysis was conducted on cardiac rehabilitation patients who had completed the one-year wellness programme from 2010 to 2011...
April 2016: Singapore Medical Journal
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