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https://www.readbyqxmd.com/read/29934286/home-based-rehabilitation-with-telemonitoring-guidance-for-patients-with-coronary-artery-disease-short-term-results-of-the-trich-study-randomized-controlled-trial
#1
Andrea Avila, Jomme Claes, Kaatje Goetschalckx, Roselien Buys, May Azzawi, Luc Vanhees, Véronique Cornelissen
BACKGROUND: Cardiac rehabilitation (CR) is an essential part of contemporary coronary heart disease management. However, patients exiting a center-based CR program have difficulty retaining its benefits. OBJECTIVE: We aimed to evaluate the added benefit of a home-based CR program with telemonitoring guidance on physical fitness in patients with coronary artery disease (CAD) completing a phase II ambulatory CR program and to compare the effectiveness of this program in a prolonged center-based CR intervention by means of a randomized controlled trial...
June 22, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29934227/use-of-guideline-recommended-management-in-established-coronary-heart-disease-in-the-observational-dysis-ii-study
#2
Jean Ferrières, Dominik Lautsch, Baishali M Ambegaonkar, Gaetano M De Ferrari, Ami Vyas, Carl A Baxter, Lori D Bash, Maja Velkovski-Rouyer, Martin Horack, Wael Almahmeed, Fu-Tien Chiang, Kian Keong Poh, Moses Elisaf, Philippe Brudi, Anselm K Gitt
BACKGROUND: Guidelines recommend lifestyle modification and medications to control risk factors in coronary heart disease (CHD). Using data from the observational DYSIS II study, we sought to evaluate the use of guideline-recommended treatments at discharge for acute coronary syndromes (ACS) or in the chronic phase for CHD, and participation in rehabilitation/secondary prevention programs. METHODS AND RESULTS: Between 2013 and 2014, 10,661 patients (3867 with ACS, 6794 with stable CHD) were enrolled in 332 primary and secondary care centers in 18 countries (Asia, Europe, Middle East)...
June 6, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29933914/acute-exercise-induced-circulating-haematopoietic-stem-and-progenitor-cells-in-cardiac-patients-a-case-series
#3
J M Kröpfl, G Tschakert, I Stelzer, K Pekovits, S Zelzer, G Dohr, S Holasek, T Stojakovic, H Scharnagl, C M Spengler, P Hofmann
BACKGROUND: Exercise-induced circulating haematopoietic stem and progenitor cell (HPC) number has been discussed in the context of regeneration in heart disease patients. OBJECTIVE: The aim of this pilot study was to compare the effect of different exercise protocols usually applied in cardiac rehabilitation on the number of acute, exercise-induced HPCs, related to potential mediators, e.g. biomarkers of sympathetic and oxidative stress, and inflammation. METHODS: This is a case series comprising seven patients suffering from coronary heart disease (CHD) undertaken at the Center for Ambulant Cardiac Rehabilitation...
May 14, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29933343/impact-of-a-graded-exercise-program-on-vo2peak-and-survival-in-heart-failure-patients
#4
Johan A Snoek, Thijs M H Eijsvogels, Arnoud W J van 't Hof, Eva Prescott, Maria T Hopman, Evelien Kolkman, Ed P de Kluiver
INTRODUCTION: Although exercise therapy has the potential to improve health outcomes of patients with Chronic Heart Failure (CHF), less than 50% of patients adhere to prescribed physical activity guidelines one year after Cardiac Rehabilitation (CR). We aimed to assess the effects of an extended CR program with 12-months of Graded Exercise Therapy (GET) and resistance exercise training (RT) on exercise capacity and long-term survival in patients with CHF. METHODS: This prospective cohort study included sixty CHF patients between 2009 and 2010...
June 21, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29929019/the-rehabilitation-of-advanced-heart-failure-patients-after-left-ventricular-assist-device-a-narrative-review
#5
REVIEW
Sarah M Eickmeyer, Kim D Barker, Anjum Sayyad, Leslie Rydberg
As an increasing number of patients with advanced heart failure are receiving a Left Ventricular Assist Device (LVAD) as either destination therapy or bridge to transplantation, there is increasing attention on functional outcomes and quality of life after LVAD implantation. Rehabilitation providers in the acute inpatient rehabilitation setting increasingly will treat patients with LVAD and should understand the exercise physiology, medical management, rehabilitation considerations, and outcomes after rehabilitation for patients with LVAD...
June 18, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29922523/infective-endocarditis-associated-with-atrial-septal-defect-in-an-intravenous-drug-abuser-a-case-report
#6
Maha Jahangir, Marrium Nawaz, Fareha Jabbar, Fahad Khan, Nimra Hasnain
Atrial septal defect (ASD) is a common congenital abnormality, which accounts for 20-40% of all the adult patients with congenital heart diseases. Due to the slow velocity of shunt flow, ASD has a negligible risk for infective endocarditis (IE). However, intravenous drug abuse (IVDA) is a potential cause for IE. IE remains a diagnostic and therapeutic challenge. Our case report demonstrates the atypical presentation of IE in an ASD patient. The diagnosis was made on the basis of modified Duke criteria, and blood cultures were found out to be positive for methicillin-resistant Staphylococcus aureus (MRSA)...
April 15, 2018: Curēus
https://www.readbyqxmd.com/read/29916597/preliminary-report-on-left-ventricular-assist-devices-are-patients-and-caregivers-psychosocial-needs-adequately-addressed
#7
Silvia Rossi Ferrario, Gianluigi Balestroni, Chiara Gattoni, Giovanna Omarini, Pierangela Omarini, Paola Cerutti, Massimo Pistono
OBJECTIVES: Patients implanted with a Left Ventricular Assist Device (LVAD) constitute a new population of chronic heart failure (HF) patients requiring continuous medical support and representing heavy costs - both direct and indirect - for the healthcare system. If there is consensus about the increased survival, the psychosocial outcomes, in terms of psychological wellbeing, behavioral and social functioning of both patients and caregivers, are still unclear. Overall, it is not clear if local health and social services are equipped to support them in their needs...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916576/validity-and-reliability-of-textile-system-sensoria-for-posturographic-measurements
#8
Giovanni D'Addio, Luigi Iuppariello, Paolo Bifulco, Bernardo Lanzillo, Nicola Pappone, Mario Cesarelli
OBJECTIVES: Smart fabrics and interactive textiles are a relatively new area of research, with many potential applications in the field of biomedical engineering. The ability of smart textiles to interact with the body provides a novel means to sense the wearer's physiology and respond to the needs of the wearer. Physiological signals, such as heart rate, breathing rates, and activity levels, are useful indicators of health status. These signals can be measured by means of textile-based sensors integrated into smart clothing which has the ability to keep a digital record of the patient's physiological responses since his or her last clinical visit, allowing doctors to make a more accurate diagnosis...
December 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29914661/france-canada-technology-at-the-heart-of-rehabilitation-sciences
#9
EDITORIAL
S Nadeau, F Michaud, D Bourbonnais, D Pérennou
No abstract text is available yet for this article.
July 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29911756/participation-in-an-exercise-based-cardiac-rehabilitation-program-and-functional-improvement-of-heart-failure-patients-with-preserved-versus-reduced-left-ventricular-systolic-function
#10
Robert Klempfner, Boaz Tzur, Avi Sabbag, Amira Nahshon, Nelly Gang, Ilan Hay, Tamir Kamerman, Hanoch Hod, Ilan Goldenberg, David Rott
BACKGROUND: About half of all patients with heart failure are diagnosed with heart failure preserved ejection fraction (HFpEF). Until now, studies have failed to show that medical treatment improves the prognosis of patients with HFpEF. OBJECTIVES: To evaluate changes in exercise capacity of patients with HFpEF compared to those with heart failure with reduced ejection fraction (HFrEF) following an exercise training program. METHODS: Patient data was retrieved from a multi-center registry of patients with heart failure who participated in a cardiac rehabilitation program...
June 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29910582/management-of-hyperglycemia-during-and-in-the-immediate-follow-up-of-acute-coronary-syndrome
#11
REVIEW
Jamal El Ouazzani, Amine Ghalem, Ghizlane El Ouazzani, Nabila Ismaili, Noha El Ouafi
Diabetes is a serious, frequent, and insidious morbidity and mortality risk factor in patients with coronary artery disease. It has been shown that carbohydrate metabolism disorders are common in acute coronary syndromes (ACSs): 30-40% of patients have diabetes, 25-36% have an intolerance to carbohydrates, and only 30-40% have a normal carbohydrate profile. Hyperglycemia occurring either in diabetic or nondiabetic patients is strongly associated with a poor prognosis. It increases the extent of myocardial necrosis, and the risk of recurrence acute coronary syndrome and hemodynamic complications, particularly heart failure and cardiogenic shock, reflecting the importance of optimal management of glucose metabolism abnormalities...
April 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29909641/factors-associated-with-non-participation-in-and-dropout-from-cardiac-rehabilitation-programmes-a-systematic-review-of-prospective-cohort-studies
#12
Davinia Maria Resurrección, Patricia Moreno-Peral, Marta Gómez-Herranz, Maria Rubio-Valera, Luis Pastor, Jose Miguel Caldas de Almeida, Emma Motrico
BACKGROUND: Although evidence exists for the efficacy of cardiac rehabilitation programmes to reduce morbidity and mortality among patients with cardiovascular disease, cardiac rehabilitation programmes are underused. We aimed systematically to review the evidence from prospective cohort studies on factors associated with non-participation in and/or dropping out from cardiac rehabilitation programmes. METHODS: MedLine, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications from inception to February 2018...
June 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29905494/prescribed-physical-activity-maintenance-following-exercise-based-cardiac-rehabilitation-factors-predicting-low-physical-activity
#13
Viveka Dagner, Eva K Clausson, Liselotte Jakobsson
BACKGROUND: Physical activity is important to reduce mortality, morbidity and risk factors in patients with coronary heart disease. This report evaluates to what extent patients are still physically active following an exercise-based cardiac rehabilitation programme 12-14 months post-myocardial infarction and factors predicting why not. METHODS: Data from the National Quality Registry Swedeheart with post-myocardial infarction patients ( n=368) admitted from July 2012 to November 2014 were collected with outcomes of physical activity after 12-14 months...
June 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29904044/cardiorespiratory-adaptation-in-a-6-minute-walk-test-by-fibrotic-idiopathic-interstitial-pneumonia-patients-who-did-or-did-not-respond-to-pulmonary-rehabilitation
#14
Baptiste Chéhère, Valérie Bougault, Cécile Chenivesse, Jean-Marie Grosbois, Benoit Wallaert
BACKGROUND: Pulmonary rehabilitation (PR) improves performance in the 6-min walk test (6MWT) in a subset of patients with fibrotic idiopathic interstitial pneumonia (f-IIP); however, a large proportion of patients do not respond to PR. AIM: To investigate the effects of a PR program on cardiorespiratory responses during a 6MWT and to identify the characteristics of patients who do not show improved performance after PR. DESIGN: An observational study...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29903475/computerized-decision-support-for-beneficial-home-based-exercise-rehabilitation-in-patients-with-cardiovascular-disease
#15
Andreas Triantafyllidis, Dimitris Filos, Roselien Buys, Jomme Claes, Véronique Cornelissen, Evangelia Kouidi, Anargyros Chatzitofis, Dimitris Zarpalas, Petros Daras, Deirdre Walsh, Catherine Woods, Kieran Moran, Nicos Maglaveras, Ioanna Chouvarda
BACKGROUND: Exercise-based rehabilitation plays a key role in improving the health and quality of life of patients with Cardiovascular Disease (CVD). Home-based computer-assisted rehabilitation programs have the potential to facilitate and support physical activity interventions and improve health outcomes. OBJECTIVES: We present the development and evaluation of a computerized Decision Support System (DSS) for unsupervised exercise rehabilitation at home, aiming to show the feasibility and potential of such systems toward maximizing the benefits of rehabilitation programs...
August 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29902941/accessibility-information-in-new-delhi-for-easenaccess-android-based-app-for-persons-with-disability-an-observational-study
#16
Yashovardhan Agarwal
BACKGROUND: The World Health Organization and the World Bank's "World Report on Disability" reported that over 1 billion people have various kinds of disability worldwide while Indian Census 2011 reported about 26 million in India. The United Nations Convention states, "The Rights of Persons with Disabilities (PwD) include accessibility to Information, Transportation, Environment, Communication Technology and Services". OBJECTIVE: This article takes forward the reason of making the "EasenAccess" (EnA) Android-based app to empower PwD with wheelchair-accessibility information, communication sentences and sending SOS signals with location...
June 14, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29898588/role-of-rehabilitation-in-the-elderly-after-an-acute-event-insights-from-a-real-life-prospective-study-in-the-sub-acute-care-setting
#17
Gianluigi Galizia, Giulio Balestrieri, Beatrice De Maria, Cinzia La Storia, Mauro Monelli, Stefano Salvaderi, Giuseppe Romanelli, Laura A Dalla Vecchia
BACKGROUND: Any acute event, either primary or secondary to a chronic disease, is generally followed by some degree of physical impairment. The Sub-Acute Care (SAC) represents one of the inpatient intermediate care settings aimed at completing recovery and restoring functional capacity. Debate exists on the role of the rehabilitation treatment in the SAC setting. AIM: To compare the outcomes of patients managed in two different SAC Units where A) patients undergo an individualized rehabilitation program on top of optimal medical therapy (OMT) B) patients receive OMT only...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29896436/frailty-in-older-adults-with-cardiovascular-disease-cause-effect-or-both
#18
Emma Ef Kleipool, Emiel O Hoogendijk, Marijke C Trappenburg, M Louis Handoko, Martijn Huisman, Mike Jl Peters, Majon Muller
Cardiovascular disease (CVD) has been associated with an increased risk of frailty, but the direction of the association remains unclear. This study set out to examine the bidirectional longitudinal association between CVD and frailty over an extended period of time. Data are from 1432 older adults (aged 65-88yrs) of the Longitudinal Aging Study Amsterdam (LASA), who were followed for 17 years. At baseline and follow-up, CVD was assessed through self-report, medication use and medical records, and classified as angina pectoris, myocardial infarction, heart failure (HF), stroke, and peripheral artery disease...
June 2018: Aging and Disease
https://www.readbyqxmd.com/read/29880124/home-time-after-discharge-among-patients-hospitalized-with-heart-failure
#19
Stephen J Greene, Emily C O'Brien, Robert J Mentz, Nancy Luo, N Chantelle Hardy, Warren K Laskey, Paul A Heidenreich, Chun-Lan Chang, Stuart J Turner, Clyde W Yancy, Adrian F Hernandez, Lesley H Curtis, Pamela N Peterson, Gregg C Fonarow, Bradley G Hammill
BACKGROUND: Surveys of patients with cardiovascular disease have suggested that "home-time"-being alive and out of any health care institution-is a prioritized outcome. This novel measure has not been studied among patients with heart failure (HF). OBJECTIVES: This study sought to characterize home-time following hospitalization for HF and assess its relationship with patient characteristics and traditionally reported clinical outcomes. METHODS: Using GWTG-HF (Get With The Guidelines-Heart Failure) registry data, patients discharged alive from an HF hospitalization between 2011 and 2014 and ≥65 years of age were identified...
June 12, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29877845/machine-learning-in-rehabilitation-assessment-for-thermal-and-heart-rate-data-processing
#20
Ales Prochazka, Hana Charvatova, Saeed Vaseghi, Oldrich Vysata
Multimodal signal analysis based on sophisticated noninvasive sensors, efficient communication systems, and machine learning, have a rapidly increasing range of different applications. The present paper is devoted to pattern recognition and the analysis of physiological data acquired by heart rate and thermal camera sensors during rehabilitation. A total number of 56 experimental data sets, each 40 min long, of the heart rate and breathing temperature recorded on an exercise bike have been processed to determine the fitness level and possible medical disorders...
June 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
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