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Cardiac rehabilitation

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https://www.readbyqxmd.com/read/29332626/symptoms-of-depression-and-anxiety-and-11-year-all-cause-mortality-in-men-and-women-undergoing-coronary-artery-bypass-graft-cabg-surgery
#1
Galit Geulayov, Ilya Novikov, Daniella Dankner, Rachel Dankner
OBJECTIVES: To investigate the overall and the sex-specific association of preoperative and one-year post coronary artery bypass (CABG) surgery symptoms of depression and anxiety with 11-year all-cause mortality. METHODS: A multicenter prospective study including 1125 patients who completed the Hospital Anxiety and Depression Scale (HADS) before an elective CABG surgery, of whom 850 completed the HADS again at one-year follow-up. Information on all-cause mortality was obtained through the Israeli Ministry of Internal Affairs Register...
February 2018: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29327226/type-d-personality-and-sleep-quality-in-coronary-artery-disease-patients-with-and-without-obstructive-sleep-apnea-mediating-effects-of-anxiety-and-depression
#2
Alicja Juskiene, Aurelija Podlipskyte, Adomas Bunevicius, Giedrius Varoneckas
PURPOSE: The study aimed to examine the association between type D personality trait and sleep quality in coronary artery disease (CAD) patients with and without obstructive sleep apnea (OSA) and to explore the mediating effects of anxiety and depression symptoms. METHOD: A cross-sectional study was performed in 879 CAD patients attending cardiac rehabilitation program (mean age 57.8 years; SD = 9.0; 75% men). Participants underwent full-night polysomnography and were classified in OSA (n = 349) and no OSA (n = 530) groups...
January 11, 2018: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29326145/return-to-work-and-participation-in-society-after-out-of-hospital-cardiac-arrest
#3
Gisela Lilja, Niklas Nielsen, John Bro-Jeppesen, Hannah Dunford, Hans Friberg, Caisa Hofgren, Janneke Horn, Angelo Insorsi, Jesper Kjaergaard, Fredrik Nilsson, Paolo Pelosi, Tineke Winters, Matt P Wise, Tobias Cronberg
BACKGROUND: The aim of this study was to describe out-of-hospital cardiac arrest (OHCA) survivors' ability to participate in activities of everyday life and society, including return to work. The specific aim was to evaluate potential effects of cognitive impairment. METHODS AND RESULTS: Two hundred eighty-seven OHCA survivors included in the TTM trial (Target Temperature Management) and 119 matched control patients with ST-segment-elevation myocardial infarction participated in a follow-up 180 days post-event that included assessments of participation, return to work, emotional problems, and cognitive impairment...
January 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29325067/cardiac-rehabilitation-in-patients-with-acute-coronary-syndrome-with-primary-percutaneous-coronary-intervention-is-associated-with-improved-10-year-survival
#4
Madoka Sunamura, Nienke Ter Hoeve, Rita Jg van den Berg-Emons, Eric Boersma, Ron T van Domburg, Marcel L Geleijnse
Aims: We aimed to assess the effects of a multidisciplinary cardiac rehabilitation program (CR) on survival after treatment with primary percutaneous coronary intervention (pPCI) for acute coronary syndrome (ACS). Methods and results: Using propensity matching analysis, a total of 1,159 patients undergoing CR were 1:1 matched with ACS patients who did not undergo CR and survived at least 60 days. Kaplan-Meier analyses and multivariate Cox regression analysis were applied to study differences in survival...
January 9, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://www.readbyqxmd.com/read/29321822/pursuing-meaningful-end-points-for-stem-cell-therapy-assessment-in-ischemic-cardiac-disease
#5
REVIEW
Maria Dorobantu, Nicoleta-Monica Popa-Fotea, Mihaela Popa, Iulia Rusu, Miruna Mihaela Micheu
Despite optimal interventional and medical therapy, ischemic heart disease is still an important cause of morbidity and mortality worldwide. Although not included in standard of care rehabilitation, stem cell therapy (SCT) could be a solution for prompting cardiac regeneration. Multiple studies have been published from the beginning of SCT until now, but overall no unanimous conclusion could be drawn in part due to the lack of appropriate end-points. In order to appreciate the impact of SCT, multiple markers from different categories should be considered: Structural, biological, functional, physiological, but also major adverse cardiac events or quality of life...
December 26, 2017: World Journal of Stem Cells
https://www.readbyqxmd.com/read/29319404/gender-differences-in-utilization-of-specialized-heart-failure-clinics
#6
Lusine Abrahamyan, Yeva Sahakyan, Harindra C Wijeysundera, Murray Krahn, Valeria E Rac
BACKGROUND: Although heart failure (HF) prevalence is equally high among men and women, observed differences in the provision of care are still not fully understood. We sought to evaluate gender differences in patient profiles, diagnostic testing, medication prescription, and referrals in specialized multidisciplinary ambulatory HF clinics in Ontario. MATERIALS AND METHODS: Medical chart abstraction was conducted first by randomly selecting 9 (out of 34) HF clinics in Ontario, and then by randomly selecting 100 patient records in each clinic...
January 10, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29315731/understanding-patients-and-spouses-experiences-of-patient-education-following-a-cardiac-event-and-eliciting-attitudes-and-preferences-towards-incorporating-cardiopulmonary-resuscitation-training-a-qualitative-study
#7
Susie Cartledge, Susan Feldman, Janet E Bray, Dion Stub, Judith Finn
AIM: To gain a comprehensive perspective about the experience of patient and spousal education following an acute cardiac event. The second objective was to elicit an understanding of patient and spousal attitudes, preferences and intentions towards future cardiopulmonary resuscitation training. BACKGROUND: Patients with cardiovascular disease require comprehensive patient and family education to ensure adequate long-term disease management. As cardiac patients are at risk of future cardiac events, including out-of-hospital cardiac arrest, providing cardiopulmonary resuscitation training to patients and family members has long been advocated...
January 9, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29315088/the-effect-of-chronic-musculoskeletal-pain-on-sexual-function-and-quality-of-life-of-cardiac-rehabilitation-patients
#8
Pricilla Geraldine Wittkopf, Allana Alexandre Cardoso, Tales de Carvalho, Fernando Luiz Cardoso
BACKGROUND: Comorbidities are stressors to the body and have a negative impact on quality of life and sexual function. OBJECTIVE: The objective of this study was to investigate the effect of the coexistence of coronary heart disease and chronic musculoskeletal pain on sexual function and quality of life of patients undergoing an exercise-based cardiac rehabilitation program. METHODS: This cross-sectional observational study included 105 patients...
January 8, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29313373/the-prognostic-significance-of-improvement-in-exercise-capacity-in-heart-failure-patients-who-participate-in-cardiac-rehabilitation-programme
#9
Avi Sabbag, Israel Mazin, David Rott, Ilan Hay, Nelly Gang, Boaz Tzur, Ronen Goldkorn, Ilan Goldenberg, Robert Klempfner, Ariel Israel
Introduction There are limited contemporary data regarding the association between improvement in cardiovascular fitness in heart failure patients who participate in a cardiac rehabilitation programme and the risk of subsequent hospitalisations. Methods The study population comprised 421 patients with heart failure who participated in our cardiac rehabilitation programme between the years 2009 and 2016. All were evaluated by a standard exercise stress test before initiation, and underwent a second exercise stress test on completion of 3 ± 1 months of training...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29313363/effectiveness-acceptability-and-usefulness-of-mobile-applications-for-cardiovascular-disease-self-management-systematic-review-with-meta-synthesis-of-quantitative-and-qualitative-data
#10
Genevieve M Coorey, Lis Neubeck, John Mulley, Julie Redfern
Background Mobile technologies are innovative, scalable approaches to reducing risk of cardiovascular disease but evidence related to effectiveness and acceptability remains limited. We aimed to explore the effectiveness, acceptability and usefulness of mobile applications (apps) for cardiovascular disease self-management and risk factor control. Design Systematic review with meta-synthesis of quantitative and qualitative data. Methods Comprehensive search of multiple databases (Medline, Embase, CINAHL, SCOPUS and Cochrane CENTRAL) and grey literature...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29305529/geographic-variation-in-cardiac-rehabilitation-participation-in-medicare-and-veterans-affairs-populations-an-opportunity-for-improvement
#11
Alexis L Beatty, Michael Truong, David W Schopfer, Hui Shen, Justin M Bachmann, Mary A Whooley
Background -Cardiac rehabilitation is strongly recommended after myocardial infarction (MI), percutaneous coronary intervention (PCI), or coronary artery bypass surgery (CABG), but is historically underused. We sought to evaluate variation in cardiac rehabilitation participation across the United States. Methods -From administrative data from the Veterans Affairs (VA) healthcare system and a 5% Medicare sample, we used ICD-9 codes to identify patients hospitalized for MI, PCI, or CABG from 2007-2011. After excluding patients who died within 30 days of hospitalization, we calculated the percent of patients who participated in one or more outpatient visits for cardiac rehabilitation during the 12 months after hospitalization...
January 5, 2018: Circulation
https://www.readbyqxmd.com/read/29305064/cardiac-patients-experiences-with-a-telerehabilitation-web-portal-implications-for-ehealth-literacy
#12
Camilla Melholt, Katrine Joensson, Helle Spindler, John Hansen, Jan Jesper Andreasen, Gitte Nielsen, Astrid Noergaard, Anita Tracey, Charlotte Thorup, Rikke Kringelholt, Birthe Irene Dinesen
OBJECTIVE: The aims of this study are two-fold: 1) To explore how cardiac patients experience their use of a telerehabilitation tool for recuperation from surgery, and 2) To study how the patients' use of the interactive 'Active Heart' web portal affected their eHealth literacy skills. METHODS: The 'Active Heart' telerehabilitation web portal offers patients and their relatives information and exercises for recovery from cardiac surgery. 109 cardiac patients were using the Active Heart web portal for a duration of three months...
December 30, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29303869/functional-capacity-but-not-early-uptake-of-cardiac-rehabilitation-predicts-readmission-in-patients-with-metabolic-syndrome
#13
Lee Anne Siegmund, Nancy M Albert, Mark S McClelland, James F Bena, Shannon L Morrison
BACKGROUND: Phase II cardiac rehabilitation reduces hospital readmissions and cardiovascular disease risk factors and improves functional capacity. Cardiovascular disease risk factors double with patients with metabolic syndrome, a population less likely to adhere to cardiac rehabilitation. PURPOSE: The aim of this study was to determine relationships between cardiac rehabilitation uptake timing, demographic variables and functional capacity, and readmission in patients with metabolic syndrome...
January 5, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29303373/cardiac-autonomic-function-and-reactivity-tests-in-physically-active-subjects-with-moderately-severe-copd
#14
Jibril Mohammed, Eric Derom, Tine De Backer, Inge De Wandele, Patrick Calders
Patients with chronic obstructive pulmonary disease (COPD) show impairments in the autonomic nervous systems (ANS) function, which is responsible for cardiac autonomic regulation. This study assessed the autonomic function and cardio-vagal reactivity in conveniently sampled subjects with COPD participating in a pulmonary rehabilitation (PR) program. Twenty-six subjects with COPD and 22 age and gender matched control subjects were evaluated. R-R intervals were collected at rest in supine position. Thereafter, resting autonomic function parameters comprising linear and nonlinear analyses of heart rate variability (HRV) and baroreceptor sensitivity (BRS) were calculated...
January 5, 2018: COPD
https://www.readbyqxmd.com/read/29301762/inequalities-in-access-to-cardiac-rehabilitation-after-an-acute-coronary-syndrome-the-epiheart-cohort
#15
Marta Viana, Andreia Borges, Carla Araújo, Afonso Rocha, Ana I Ribeiro, Olga Laszczyńska, Paula Dias, Maria J Maciel, Ilídio Moreira, Nuno Lunet, Ana Azevedo
OBJECTIVES: To estimate cardiac rehabilitation (CR) referral and participation rates among patients with acute coronary syndrome (ACS) and to identify their determinants, in two Portuguese regions. DESIGN: Prospective cohort study. SETTING: Patients consecutively admitted to the cardiology department of two hospitals, one in the district of Porto and one in the north-east region (NER) of Portugal, were enrolled in the EPIHeart cohort and then followed up for 6 months...
January 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29300792/management-of-acute-coronary-syndromes-in-patients-with-diabetes
#16
Peter P Toth
Given the heightened risk for adverse cardiovascular outcomes in patients with diabetes mellitus, it is important that primary care clinicians be comfortable with the routine management of acute coronary syndromes (ACS) in this patient population. Notably, patients with diabetes are more likely to present atypically during an ACS. To improve health outcomes, patients with a history of diabetes and ACS should be evaluated for peripheral arterial disease and encouraged to pursue cardiac rehabilitation. Clinicians should also be cognizant of the high rate of polypharmacy in patients with diabetes and the potential glycemic and cardioprotective impact of medications they prescribe for these patients...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29297906/-treatment-of-acute-myocardial-infarction-in-2017
#17
Giovanni Cimmino, Davide D'Andrea, Ciro Mauro, Carmine Morisco, Plinio Cirillo
Acute myocardial infarction is a clinical cardiac emergency associated with potential and substantial morbidity and mortality. This disorder is triggered by an acute coronary syndrome caused by episodes of plaque ulceration, fissuration, or rupture with subsequent production of thrombogenic material and intravascular thrombus formation. The presence or absence of ST-segment elevation on the ECG defines the two main clinical spectrum of ST-segment elevation or non-ST-segment elevation myocardial infarction. In the last three decades, pharmacological and interventional management as well as in-hospital care have dramatically improved...
December 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29297147/one-year-cardiovascular-prognosis-of-the-randomized-controlled-short-term-heart-rate-variability-biofeedback-among-patients-with-coronary-artery-disease
#18
Li-Ching Yu, I-Mei Lin, Sheng-Yu Fan, Chin-Lung Chien, Tsung-Hsien Lin
PURPOSE: Heart rate variability biofeedback (HRV-BF) is an effective psychophysiological intervention, with short-term effects of increased autonomic nervous system homeostasis, strengthened baroreflex sensitivity, and decreased hostility in patients with coronary artery disease (CAD). The study examined the 1-year HRV-BF effect on cardiovascular prognosis of these patients. METHODS: Of 222 patients with CAD referred by cardiologists, 210 were screened and randomly assigned to the HRV-BF and control groups...
January 2, 2018: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29290195/do-we-need-cardiac-rehabilitation-in-heart-failure
#19
Abdulhalim Jamal Kinsara
Cardiac rehabilitation is a well established therapy for heart failure patients. Discussion is made of the different types, modalities, time and number of sessions and whether it is restricted to systolic heart failure or younger patients only. Elaboration will be made on how to make it more accessible to a larger proportion of population.
January 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29288657/a-pragmatic-preoperative-prediction-score-for-non-home-discharge-after-cardiac-surgery
#20
Jenna Stuebe, Jessica Rydingsward, Heather Lander, Jillian Ng, Xinling Xu, Tsuyoshi Kaneko, Prem Shekar, Jochen D Muehlschlegel, Simon C Body
BACKGROUND: Targeted rehabilitation of patients at risk for non-home discharge (NHD) following surgery is an appealing area for quality improvement. We sought to identify the primary predictors of NHD following cardiac surgery in order to generate a robust preoperative prediction tool for those at greatest risk. METHODS: The medical records of 5,253 patients undergoing cardiac surgery between 1/1/2012 - 3/31/2016 were reviewed. Two models of NHD were created; a preoperative model using only preoperative predictors and a postoperative model using the same preoperative predictors, and including postoperative adverse outcomes and duration of hospital stay...
December 27, 2017: Annals of Thoracic Surgery
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