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Cardiac rehabilitation and prevention health

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https://www.readbyqxmd.com/read/27906920/the-electronic-tracking-of-referral-and-attendance-at-cardiac-rehabilitation-in-counties-manukau-health-a-potential-model-for-new-zealand
#1
Andy McLachlan, Fiona Doolan-Noble, Mildred Lee, Katherine McLean, Andrew J Kerr
AIM: Cardiac rehabilitation (CR) programmes for patients surviving an acute coronary syndrome (ACS) event are important and recommended by clinical guidelines. Referral and attendance, however, remain suboptimal and tracking both of these aspects to inform quality improvement has been difficult. The aim of this study was to describe the use of an electronic registry to capture referral and attendance at CR in CMH and to report the characteristics of the initial cohort. METHOD: We developed and implemented an electronic tracking tool, designed to be compatible with ANZAC-QI to monitor referral and attendance in a cohort of patients with confirmed ACS between 1 January 2013 and 1 January 2015...
December 2, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27865682/cardiac-rehabilitation-in-portugal-results-from-the-2013-14-national-survey
#2
Conceição Silveira, Ana Abreu
INTRODUCTION: In recent years, cardiac rehabilitation (CR) programs have evolved from being limited to exercise training to comprehensive secondary prevention programs. Given the solid scientific evidence supporting them, they are given a class I recommendation in the American and European guidelines for various cardiovascular diseases, but they continue to be underused in Portugal. OBJECTIVE: To analyze the situation of CR programs in Portugal in 2013-14 and to assess developments in recent years...
December 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/27847558/physical-activity-in-primary-and-secondary-prevention-of-cardiovascular-disease-overview-updated
#3
REVIEW
Alberto J Alves, João L Viana, Suiane L Cavalcante, Nórton L Oliveira, José A Duarte, Jorge Mota, José Oliveira, Fernando Ribeiro
Although the observed progress in the cardiovascular disease treatment, the incidence of new and recurrent coronary artery disease remains elevated and constitutes the leading cause of death in the developed countries. Three-quarters of deaths due to cardiovascular diseases could be prevented with adequate changes in lifestyle, including increased daily physical activity. New evidence confirms that there is an inverse dose-response relationship between physical activity and cardiovascular disease and mortality risk...
October 26, 2016: World Journal of Cardiology
https://www.readbyqxmd.com/read/27817198/heart-of-the-tropics-delivering-evidence-based-care-for-acute-coronary-syndromes-in-northern-australia
#4
Greg Starmer, Ryan Schrale
Acute coronary syndromes (ACS) are life-threatening medical emergencies that require urgent treatment, posing particular challenges for systems of health care in regional and remote parts of the world characterised by large distances and widely dispersed populations and healthcare facilities. Northern Australia is such an environment. The prevalence of cardiovascular risk factors, coronary artery disease and ACS (myocardial infarction and unstable angina) in northern Australia is amongst the highest in Australia...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27798509/multicenter-study-of-temporal-trends-in-the-achievement-of-atherosclerotic-cardiovascular-disease-risk-factor-goals-during-cardiac-rehabilitation
#5
Neil F Gordon, Richard D Salmon, Laurence S Sperling, Brenda S Wright, George C Faircloth, Terri L Gordon, Martin R Berk, Melvyn Rubenfire, Barry A Franklin
PURPOSE: Secondary prevention risk factor goals have been established by the American Heart Association/American College of Cardiology, and the American Heart Association has further delineated ideal cardiovascular health metrics. We evaluated risk factor goal achievement during early-outpatient cardiac rehabilitation (CR) and temporal trends in risk factor control. METHODS: Patients completed assessments on entry into and exit from CR at 35 centers between 2000 and 2009 and were categorized into 3 cohorts: entire (N = 12 984), 2000-2004 (n = 5468), and 2005-2009 (n = 7516) cohorts...
October 28, 2016: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/27748471/what-to-do-after-cardiac-rehabilitation-programs-the-role-of-the-general-practitioner-in-cardiovascular-prevention
#6
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
https://www.readbyqxmd.com/read/27692116/ensuring-cardiac-rehabilitation-access-for-the-majority-of-those-in-need-a-call-to-action-for-canada
#7
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
https://www.readbyqxmd.com/read/27631118/employment-status-and-sick-leave-after-first-time-implantable-cardioverter-defibrillator-implantation-results-from-the-cope-icd-trial
#8
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
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
#9
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/27583372/secondary-prevention-after-coronary-artery-bypass-graft-surgery-a-primer
#10
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
https://www.readbyqxmd.com/read/27542575/cardiac-rehabilitation-delivery-model-for-low-resource-settings-an-international-council-of-cardiovascular-prevention-and-rehabilitation-consensus-statement
#11
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
https://www.readbyqxmd.com/read/27456104/the-mediterranean-and-other-dietary-patterns-in-secondary-cardiovascular
#12
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
https://www.readbyqxmd.com/read/27412113/cardiac-rehabilitation-for-aboriginal-and-torres-strait-islander-people-in-western-australia
#13
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
https://www.readbyqxmd.com/read/27403900/-the-use-of-controlled-physical-training-in-patients-with-acute-coronary-syndrome-treated-with-intervention-assessment-of-effects-on-biochemical-parameters-and-functional-myocardial
#14
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
https://www.readbyqxmd.com/read/27401377/-cost-effectiveness-of-a-theoretical-cardiac-rehabilitation-program-after-myocardial-infarction
#15
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
https://www.readbyqxmd.com/read/27382670/-no-available
#16
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
https://www.readbyqxmd.com/read/27374045/cardiovascular-prevention-and-rehabilitation-in-the-elderly-evidence-for-cardiac-rehabilitation-after-myocardial-infarction-or-chronic-heart-failure
#17
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
https://www.readbyqxmd.com/read/27316556/unhealthy-behaviour-modification-psychological-distress-and-1-year-survival-in-cardiac-rehabilitation
#18
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
https://www.readbyqxmd.com/read/27262389/mhealth-in-cardiovascular-health-care
#19
REVIEW
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
https://www.readbyqxmd.com/read/27181874/cardiac-rehabilitation-delivery-model-for-low-resource-settings
#20
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
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