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Inpatient cardiac rehabilitation

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https://www.readbyqxmd.com/read/28223950/the-motiv-heart-study-a-prospective-randomized-single-blind-pilot-study-of-brief-strategic-therapy-and-motivational-interviewing-among-cardiac-rehabilitation-patients
#1
Giada Pietrabissa, Gian Mauro Manzoni, Alessandro Rossi, Gianluca Castelnuovo
Background: Psychological distress, biomedical parameters, and unhealthy lifestyles contribute to a poorer prognosis for cardiac disease. Public health's challenge is to motivate patients to utilize self-care. Objective: This prospective, randomized, single-blind pilot study aimed at testing the incremental efficacy of Brief Strategic Therapy (BST) combined with Motivational Interviewing (MI) in improving selected biomedical and psychological outcomes over and beyond those of the stand-alone BST in a residential Cardiac Rehabilitation (CR) program...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28109570/osteopathic-manipulative-treatment-improves-heart-surgery-outcomes-a-randomized-controlled-trial
#2
Vittorio Racca, Bruno Bordoni, Paolo Castiglioni, Maddalena Modica, Maurizio Ferratini
BACKGROUND: Controlling sternal pain after heart surgery is important to reduce the risk of postoperative complications, but pain is often undertreated because of contraindications and side effects of analgesic drugs. Recently, osteopathic manipulative treatment (OMT) was demonstrated to reduce pain in different clinical contexts, suggesting its potential utility after cardiac surgery. The aim of this open-label, controlled study is to assess whether OMT contributes to sternal pain relief and improves postoperative outcomes...
January 18, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28075500/very-short-short-term-benefit-of-inpatient-outpatient-cardiac-rehabilitation-programs-after-coronary-artery-bypass-grafting-surgery
#3
Dejan Spiroski, Mojsije Andjić, Olivera Ilić Stojanović, Milica Lazović, Ana Djordjević Dikić, Miodrag Ostojić, Branko Beleslin, Snežana Kostić, Marija Zdravković, Dragan Lović
BACKGROUND: Exercise-based rehabilitation is an important part of treatment patients following coronary artery bypass graft (CABG) surgery. HYPOTHESIS: To evaluate effect of very short/short-term exercise training on cardiopulmonary exercise testing (CPET) parameters. METHODS: We studied 54 consecutive patients with myocardial infarction (MI) treated with CABG surgery referred for rehabilitation. The study population consisted of 50 men and 4 women (age 57...
January 11, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28043958/fluctuating-drowsiness-following-cardiac-catheterisation-artery-of-percheron-ischaemic-stroke-causing-bilateral-thalamic-infarcts
#4
Daniel Hammersley, Ankur Arora, Madhava Dissanayake, Nabarun Sengupta
An 81-year-old man underwent cardiac catheterisation to investigate breathlessness and left ventricular impairment of unknown cause. He had unobstructed coronary arteries. Immediately following the procedure, he became suddenly unresponsive with vertical gaze palsy, anisocoria and bilateral upgoing plantar responses. He made a rapid recovery to his premorbid state 25 min later with no residual focal neurological signs. He then had multiple unresponsive episodes, interspaced with complete resolution of symptoms and neurological signs...
January 2, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28033254/efficacy-of-an-early-home-based-cardiac-rehabilitation-program-for-patients-after-acute-myocardial-infarction-a-three-dimensional-speckle-tracking-echocardiography-randomized-trial
#5
RANDOMIZED CONTROLLED TRIAL
Lin Xu, Zekun Cai, Meihua Xiong, Yekuo Li, Guoying Li, Yu Deng, William Kongto Hau, Shuo Li, Wenhua Huang, Jian Qiu
BACKGROUND: The effect of an early short-term home-based cardiac rehabilitation (CR) program on ventricular function in acute myocardial infarction (AMI) patients is not yet clear. The purpose of this study was to evaluate the efficacy of our CR program on the improvement of myocardial function using three-dimensional speckle tracking echocardiography (3D-STE) in AMI patients. METHODS: Fifty-two AMI patients were randomly assigned to 2 groups after discharge: the rehabilitation group, which participated in an early, home-based CR program, and the control group, which received only usual care...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28001000/echocardiographic-abnormalities-and-their-impact-on-health-status-in-patients-with-copd-referred-for-pulmonary-rehabilitation
#6
Sarah Houben-Wilke, Martijn A Spruit, Nicole H M K Uszko-Lencer, Gosia Otkinska, Lowie E G W Vanfleteren, Paul W Jones, Emiel F M Wouters, Frits M E Franssen
BACKGROUND AND OBJECTIVE: Both patients with cardiac diseases as well as those with COPD report an impaired health status. The frequencies of objectively assessed co-morbid cardiac diseases and their impact on health status in patients with COPD are unknown. We aimed to investigate echocardiographic abnormalities and their impact on health status in a large cohort of patients with COPD referred for pulmonary rehabilitation (PR). METHODS: In this cross-sectional, observational analyses, demographic and clinical characteristics were assessed during an inpatient pre-PR assessment...
December 21, 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/27996993/-referral-to-cardiac-rehabilitation-of-patients-with-left-ventricular-assist-devices-in-italy
#7
Anna Scaglione, Claudia Panzarino, Anna Torri, Monica Tavanelli, Anastasia Toccafondi, Bruno Bordoni, Maurizio Ferratini
In recent years, the lack of heart donors caused an increase in the proportion of patients undergoing left ventricular assist device (LVAD) implantation. The clinical complexity of these devices requires a multidisciplinary approach to be extended after hospital discharge. The lack of shared care pathways for these patients may result in an impairment of both of short- and long-term results. Available data show that cardiac rehabilitation (CR) improves physical performance and quality of life. Notwithstanding this, there is a lack of information about its effects on mortality, hospitalizations and major complications...
November 2016: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/27904909/from-left-ventricular-assist-device-to-transplant-to-home-an-interdisciplinary-team-approach-to-treating-medically-complex-cardiac-patients-during-the-bridge-to-transplantation-a-case-report
#8
Keith J Foster, Angelica Cota, Stephanie Cleves
CASE REPORT: A 56-year-old man presented with advanced heart failure requiring implantation of a left ventricular assist device and was discharged home. after implantation He returned to the hospital with right posterior putamen stroke and after a comprehensive rehabilitation programme was discharged home with the ability to be independent. The patient later underwent heart transplantation and subsequently required readmission to inpatient rehabilitation. He again completed a comprehensive rehabilitation programme and returned home with the ability to be independent with use of a single-point cane for ambulation...
January 19, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27852810/multicomponent-cardiac-rehabilitation-in-patients-after-transcatheter-aortic-valve-implantation-predictors-of-functional-and-psychocognitive-recovery
#9
Sarah Eichler, Annett Salzwedel, Rona Reibis, Jörg Nothroff, Axel Harnath, Martin Schikora, Christian Butter, Karl Wegscheider, Heinz Völler
BACKGROUND: In the last decade, transcatheter aortic valve implantation has become a promising treatment modality for patients with aortic stenosis and a high surgical risk. Little is known about influencing factors of function and quality of life during multicomponent cardiac rehabilitation. METHODS: From October 2013 to July 2015, patients with elective transcatheter aortic valve implantation and a subsequent inpatient cardiac rehabilitation were enrolled in the prospective cohort multicentre study...
November 16, 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27692116/ensuring-cardiac-rehabilitation-access-for-the-majority-of-those-in-need-a-call-to-action-for-canada
#10
REVIEW
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/27590904/the-association-between-patient-participation-and-functional-gain-following-inpatient-rehabilitation
#11
Sara Morghen, Alessandro Morandi, Andrew A Guccione, Michela Bozzini, Fabio Guerini, Roberto Gatti, Francesco Del Santo, Simona Gentile, Marco Trabucchi, Giuseppe Bellelli
OBJECTIVES: To evaluate patients' participation during physical therapy sessions as assessed with the Pittsburgh rehabilitation participation scale (PRPS) as a possible predictor of functional gain after rehabilitation training. METHODS: All patients aged 65 years or older consecutively admitted to a Department of Rehabilitation and Aged Care (DRAC) were evaluated on admission regarding their health, nutritional, functional and cognitive status. Functional status was assessed with the functional independence measure (FIM) on admission and at discharge...
September 2, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27522842/the-walk-to-save-benefits-of-inpatient-cardiac-rehabilitation
#12
Joann H Rion, Donald D Kautz
Hospital immobilization after a cardiac event can cause complications. The pathophysiology of complications, research concerning benefits of early ambulation, and recommendations from the American College of Sports Medicine are discussed.
May 2016: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
https://www.readbyqxmd.com/read/27333876/five-year-hospitalisations-and-survival-in-patients-admitted-to-inpatient-cardiac-rehabilitation-after-cardiac-surgery
#13
Claudio Marcassa, Andrea Giordano, Pantaleo Giannuzzi
BACKGROUND: The effect of an early comprehensive rehabilitation programme on the evolution of disability after cardiac surgery and the long-term effect of the residual functional status has not yet been investigated. AIM: To analyse the recovery from disability after cardiac surgery and to assess the impact of residual disability on long-term outcomes. METHODS: Data prospectively recorded from 5261 patients, consecutively admitted to an inpatient rehabilitation programme after cardiac surgery, were retrospectively analysed...
October 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27326243/availability-and-characteristics-of-cardiac-rehabilitation-programmes-in-china
#14
Zixin Zhang, Quinn Pack, Ray W Squires, Francisco Lopez-Jimenez, Lujiao Yu, Randal J Thomas
OBJECTIVE: Cardiac rehabilitation (CR) improves patient outcomes in cardiovascular disease (CVD), but little is known about its current practice in China. Since China has a high CVD burden, the potential impact of CR is large. We surveyed large hospitals in China to assess the prevalence and characteristics of CR. METHODS: We carried out a cross-sectional survey of 454 large medical centres in China to ascertain the prevalence of CR, perceived barriers to CR and various other characteristics of centres with and without CR programmes...
2016: Heart Asia
https://www.readbyqxmd.com/read/27324396/effect-of-short-term-exercise-training-in-patients-following-acute-myocardial-infarction-treated-with-primary-percutaneous-coronary-intervention
#15
Mojsije Andjic, Dejan Spiroski, Olivera Ilic Stojanovic, Tijana Vidakovic, Milica Lazovic, Dragan Babic, Arsen Ristic, Sanja Mazic, Marija Zdravkovic, Petar Otasevic
BACKGROUND: Exercise-based rehabilitation is an important part of treatment patients following acute myocardial infarction (MI). However, data are scarce on the efffects of short-term exercise programs in patients with acute MI treated with primary percutaneous coronary intervention (PPCI). AIM: To evaluate the effect of short-term exercise training on cardiopulmonary exercise testing (CPET) parameters in patients suffering acute MI treated with PPCI. STUDY DESIGN: Observational longitudinal study...
June 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27268564/efficacy-of-inpatient-rehabilitation-after-left-ventricular-assist-device-implantation
#16
Gardner Yost, Laura Coyle, Kristen Milkevitch, Roy Adair, Antone Tatooles, Geetha Bhat
BACKGROUND: Left ventricular assist devices (LVADs) have become an increasingly popular and effective means for treating advanced heart failure. LVAD implantation requires extensive surgery and postoperative rehabilitation. The Functional Independence Measure (FIM) has been used to quantify functional gains in numerous patient populations, including those with stroke and spinal cord injury. This study investigated functional improvements in patients undergoing LVAD implantation using the FIM score...
June 4, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27094189/antidepressant-controlled-trial-for-negative-symptoms-in-schizophrenia-actions-a-double-blind-placebo-controlled-randomised-clinical-trial
#17
RANDOMIZED CONTROLLED TRIAL
Thomas R E Barnes, Verity C Leeson, Carol Paton, Céire Costelloe, Judit Simon, Noemi Kiss, David Osborn, Helen Killaspy, Tom K J Craig, Shôn Lewis, Patrick Keown, Shajahan Ismail, Mike Crawford, David Baldwin, Glyn Lewis, John Geddes, Manoj Kumar, Rudresh Pathak, Simon Taylor
BACKGROUND: Negative symptoms of schizophrenia represent deficiencies in emotional responsiveness, motivation, socialisation, speech and movement. When persistent, they are held to account for much of the poor functional outcomes associated with schizophrenia. There are currently no approved pharmacological treatments. While the available evidence suggests that a combination of antipsychotic and antidepressant medication may be effective in treating negative symptoms, it is too limited to allow any firm conclusions...
April 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27068632/long-term-outcomes-among-elderly-survivors-of-out-of-hospital-cardiac-arrest
#18
COMPARATIVE STUDY
Paul S Chan, Bryan McNally, Brahmajee K Nallamothu, Fengming Tang, Bradley G Hammill, John A Spertus, Lesley H Curtis
BACKGROUND: Most studies on out-of-hospital cardiac arrest have focused on immediate survival. However, little is known about long-term outcomes and resource use among survivors. METHODS AND RESULTS: Within the national CARES registry, we identified 16 206 adults 65 years or older with an out-of-hospital cardiac arrest between 2005 and 2010. Among 1127 patients who were discharged alive, we evaluated whether 1-year mortality, cumulative readmission incidence, and follow-up inpatient costs differed according to patients' race, sex, initial cardiac arrest rhythm, bystander delivery of cardiopulmonary resuscitation, discharge neurological status, and functional status (hospital discharge disposition)...
March 15, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27029880/-the-italian-survey-on-cardiac-rehabilitation-2013-isyde-13-directory-national-availability-and-organization-of-cardiac-rehabilitation-facilities
#19
MULTICENTER STUDY
Raffaele Griffo, Roberto Tramarin, Maurizio Volterrani, Marco Ambrosetti, Francesco Caiazza, Claudio Chimini, Giuseppe Favretto, Oreste Febo, Michele Gabriele, Enrico Pusineri, Cesare Greco, Cesare Proto
BACKGROUND: The Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) and the Italian Society of Cardiologists of Accredited Hospitals (SICOA) developed the ISYDE.13 survey with the purpose to take a detailed snapshot of number, distribution, facilities, staffing levels, organization, and program details of cardiac rehabilitation (CR) units in Italy. METHODS: The study was carried out using a web-based questionnaire running on the GICR-IACPR website for 4 weeks from September 2 to 29, 2013...
March 2016: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/27000785/cardiac-rehabilitation-referral-and-enrolment-across-an-academic-health-sciences-centre-with-ereferral-and-peer-navigation-a-randomised-controlled-pilot-trial
#20
RANDOMIZED CONTROLLED TRIAL
Sobia F Ali-Faisal, Lisa Benz Scott, Lauren Johnston, Sherry L Grace
OBJECTIVES: To describe (1) cardiac rehabilitation (CR) referral across cardiac units in a tertiary centre with eReferral; (2) characteristics associated with CR referral and enrolment and (3) the effects of peer navigation (PN) on referral and enrolment. This pilot was a 2 parallel-arm, randomised, single-blind trial with allocation concealment. SETTING: 3 cardiac units (ie, interventional, general cardiology, and cardiac surgery) in 1 of 2 hospitals of a tertiary centre...
March 21, 2016: BMJ Open
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