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Journal of Cardiopulmonary Rehabilitation and Prevention

Kari Peersen, Jan Erik Otterstad, Elise Sverre, Joep Perk, Lars Gullestad, Torbjorn Moum, Toril Dammen, John Munkhaugen
PURPOSE: The reasons why many coronary patients are inactive or have a low level of physical activity (PA) are not completely understood. We identified medical and psychosocial factors associated with PA status and increasing exercise level after a coronary event. METHODS: A cross-sectional study investigated the factors associated with PA in 1101 patients hospitalized with myocardial infarction (MI) and/or a revascularization procedure. Data were collected from hospital records, a self-report questionnaire, and a clinical examination...
January 31, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Edward Tsai, Elie Mouhayar, Daniel Lenihan, Jaejoon Song, Jean-Bernard Durand, Anecita Fadol, Mona Massey, Carol Harrison, Karen Basen-Engquist
PURPOSE: Cancer treatment-related heart failure (HF) is an emerging health concern, as the number of survivors is increasing rapidly, and cardiac health issues are a leading cause of mortality in this population. While there is general evidence for the efficacy of exercise rehabilitation interventions, more research is needed on exercise rehabilitation interventions for patients specifically with treatment-induced HF and whether such interventions are safe and well-accepted. This study provides feasibility and health outcomes of a pilot exercise intervention for cancer survivors with chemotherapy-induced HF...
January 31, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Mahshid Moghei, Paul Oh, Caroline Chessex, Sherry L Grace
PURPOSE: Despite evidence of the effectiveness of cardiac rehabilitation (CR), there is wide variability in programs, which may impact their quality. The objectives of this review were to (1) evaluate the ways in which we measure CR quality internationally; (2) summarize what we know about CR quality and quality improvement; and (3) recommend potential ways to improve quality. METHODS: For this narrative review, the literature was searched for CR quality indicators (QIs) available internationally and experts were also consulted...
January 31, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Bruna Gallo-Silva, Viviane Cerezer-Silva, Danilo Gullo Ferreira, Daniel Iwai Sakabe, Luana Daniele Kel-Souza, Vanessa Cristina Bertholo, Mayara Thaysa Ferreira Brasil, Alessandra de Oliveira Amoroso Ladeia, Marlene Aparecida Moreno
PURPOSE: Chronic obstructive pulmonary disease promotes systemic repercussions, which can be minimized with physical exercise. This study investigated the effects of a water-based aerobic interval training program on the autonomic modulation of heart rate (HR), quality of life (QoL), and functional capacity (FC) of patients with chronic obstructive pulmonary disease. METHODS: Nineteen patients with chronic obstructive pulmonary disease were enrolled in this randomized clinical trial and allocated to either the usual care group (n = 9) or training group (n = 10)...
January 31, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Yidan Zhu, Xin Yu, Yangfeng Wu, Chuan Shi, Aihua Zhang, Ronghuan Jiang, Shenshen Li, Guifang Guo, Runlin Gao, James A Blumenthal
PURPOSE: This study sought to examine associations between depression and unhealthy lifestyle behaviors in Chinese patients with acute coronary syndromes (ACS). METHODS: This cross-sectional study included 4043 ACS patients from 16 hospitals across China who participated in the I-Care (Integrating Depression Care in Acute Coronary Syndromes Patients) trial. Patients were enrolled between November 2014 and January 2017. Depression was assessed with the Patient Health Questionnaire-9 (PHQ-9)...
January 25, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Nijole Kažukauskiene, Julius Burkauskas, Ju Rate Macijauskiene, Narseta Mickuviene, Julija Brožaitiene
PURPOSE: According to recent literature, stressful life events might represent an important risk factor of health-related quality of life (HRQoL) in patients with heart failure. The aim of this study was to evaluate the association between stressful life events and HRQoL in patients with heart failure after acute coronary syndrome, both during cardiac rehabilitation and during 2 yr of follow-up. METHODS: Patients with heart failure (n = 481; 75% male; mean age: 58 ± 9 yr) were evaluated for sociodemographic, clinical, and mental distress factors including stressful life events, anxiety and depression symptoms, perceived social support, and type D personality...
January 25, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Aroub Lahham, Christine F McDonald, Ajay Mahal, Annemarie L Lee, Catherine J Hill, Angela T Burge, Narelle S Cox, Rosemary Moore, Caroline Nicolson, Paul OʼHalloran, Rebecca Gillies, Anne E Holland
PURPOSE: To compare levels of physical activity during center and home-based pulmonary rehabilitation (PR) in people with chronic obstructive pulmonary disease. METHODS: Forty-five consecutive participants (23 male, n = 20, in the home-based group) with mean age of 68 ± 8 yr and forced expiratory volume in the first second of expiration (FEV1) 53 ± 18% predicted undertook physical activity monitoring using the SenseWear Armband during the final week of the interventions of center or home-based PR...
January 25, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Marina Sallum Barusso-Grüninger, Julia Gianjoppe-Santos, Anna Claudia Sentanin, Valéria Amorim Pires Di Lorenzo
PURPOSE: It is unclear whether activities of daily living (ADL) and quality-of-life scales reflect real ADL limitations. The aim of the study was to assess the limitation during ADL simulation and to identify whether the London Chest Activity of Daily Living (LCADL) Scale and St George's Respiratory Questionnaire (SGRQ) are able to reflect the patient's real limitations during ADL simulation. METHODS: Forty-eight patients with chronic obstructive pulmonary disease (age = 69 ± 8 y; forced expiratory volume in the first second of expiration [FEV1] = 1...
January 25, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Stéfanie Parisien-La Salle, Ellie Abel Rivest, Vincent Gosselin Boucher, Mélina Lalande-Gauthier, Julie Morisset, Hélène Manganas, Claude Poirier, Alain-Steve Comtois, Bruno-Pierre Dubé
BACKGROUND: Although mainly described in patients with chronic obstructive pulmonary disease, pursed lip breathing (PLB) could prove useful in patients with interstitial lung disease (ILD) by improving exertional tachypnea and respiratory control. This prospective, randomized, crossover trial aimed at evaluating the impact of PLB on dyspnea and walking distance in ILD patients. METHODS: ILD patients with total lung capacity of <80% predicted were randomized to 6-min walk tests using either PLB or usual breathing...
January 7, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Clarice Y Tang, Felicity C Blackstock, Paul D OʼHalloran, Sheryl A Aldcroft, Nicholas F Taylor
PURPOSE: Little is known about the impact of standard cardiac rehabilitation (CR), consisting of health education and exercise, on self-reported behavior change among people who have completed rehabilitation. This qualitative study aimed to explore the lived experiences of participants' behaviors toward exercise and diet in the short- to medium-term after CR program completion. METHODS: Using a phenomenological framework, we interviewed participants who had completed a 4-wk CR program and then 6 mo later...
January 7, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Joshua G Woolstenhulme, Andrew A Guccione, Jeffrey E Herrick, John P Collins, Steven D Nathan, Leighton Chan, Randall E Keyser
BACKGROUND: Pulmonary arterial hypertension (PAH) is a chronic debilitating illness. The effects of vigorous aerobic exercise training (AET) on heart function in PAH are poorly understood. METHODS: Eighteen women with PAH (aged 56.2 ± 8.8 yr, body mass index: 28.8 ± 7.3 kg/m) underwent 10 wk of vigorous AET. Cardiac function was observed at rest and peak exercise using bioelectrical impedance cardiography before and after the AET. Cardiac function was observed in a small PAH subset (n = 7) for 10 wk before beginning the AET...
January 7, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Richard W Bohannon, Rebecca Crouch
PURPOSE: Tests for quantifying exercise capacity that are applicable in diverse settings are needed. The 1-min sit-to-stand test (1-MSTST) is such a test. This systematic review summarizes the literature addressing 1-MSTST procedures, performance, and clinimetric properties. METHODS: Three online databases, hand searches, and an expert consultant were used to identify literature relevant to the aims of this review. Inclusion required that studies addressed the 1-MSTST, focused on adults, and were written in English...
November 27, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Gary Deng, Marc B Feinstein, Lara Benusis, Amy L Tin, Diane E Stover
PURPOSE: Dyspnea related to chronic pulmonary disorders is difficult to manage. In this single-arm study, we evaluated feasibility and potential efficacy of a self-care breath training program to reduce dyspnea that persists despite standard treatments in patients with chronic lung disease. METHODS: Adult patients with a chronic pulmonary disorder and stable moderate dyspnea received one 30-min training on specific breathing techniques, followed by audio-guided at-home practice 15 min twice daily for 6 wk, supported with weekly telephone monitoring/coaching...
November 27, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Nicolai Mikkelsen, Christian Have Dall, Marianne Frederiksen, Annette Holdgaard, Hanne Rasmusen, Eva Prescott
PURPOSE: To determine whether cardiac patients with psychosocial or socioeconomic problems have lower peak oxygen uptake (VO2peak) and whether these factors modify the effect of cardiac rehabilitation (CR). METHODS: A retrospective cohort study of patients with ischemic heart disease, valvular heart disease, or heart failure referred for CR. VO2peak was assessed by a maximal cardiopulmonary exercise test. Pre-existing depression was defined by use of antidepressants and new-onset depression by a modified Primary Care Evaluation of Mental Disorders (PRIME-MD) questionnaire at CR intake...
November 27, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Raviteja R Guddeti, Geetanjali Dang, Mark A Williams, Venkata Mahesh Alla
PURPOSE: Cardiovascular disease continues to be the leading cause of morbidity and mortality around the world. Yoga, a combination of physical postures (asana), breathing exercises (pranayama), and meditation (dhyana), has gained increasing recognition as a form of mind-body exercise. In this narrative review, we intended to review the emerging evidence assessing the physiologic and clinical effects of yoga on the cardiovascular system and the potential role of yoga as a component of comprehensive cardiac rehabilitation...
November 27, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Kyle R Lemay, Heather E Tulloch, Andrew L Pipe, Jennifer L Reed
PURPOSE: The Hospital Anxiety and Depression Scale (HADS) is frequently used by clinicians to assess anxiety and depression in patients with cardiovascular disease; yet, its minimal clinically important difference (MCID) has not been established. The purpose of this study was to establish an MCID for the HADS in patients with cardiovascular disease. METHODS: A sample of 591 patients (74% male; ethnicity = 89% white; mean ± standard deviation [SD]: age = 63 ± 10 yr; and body mass index = 29...
November 27, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Kristen M Frechette, Sheila M Conley, Austin Tang, Terrence D Welch
PURPOSE: The cardiac rehabilitation (CR) program at Dartmouth-Hitchcock Medical Center (DHMC) devotes a nurse to the inpatient units in an attempt to optimize the referral process. This report defines the rates of referral and participation at DHMC and explores potential factors that affect participation. METHODS: Seven hundred ten consecutive patients who underwent percutaneous coronary intervention, coronary artery bypass grafting, or valve surgery from January 1, 2015 to June 30, 2015 were reviewed to determine whether the patient was referred for CR...
January 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Sanjay Kalra, Peter H Brubaker
No abstract text is available yet for this article.
January 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Neda Aghaei Bahmanbeglou, Khosrow Ebrahim, Majid Maleki, Akbar Nikpajouh, Sajad Ahmadizad
PURPOSE: The present study compared the effects of 2 different high-intensity interval training (HIIT) protocols on arterial stiffness, lipid profiles, and inflammatory markers in hypertensive patients. METHODS: Thirty hypertensive (stage 1) patients, aged 48.0 ± 3.2 yr, were randomly allocated to the short-duration HIIT (SDHIIT, n = 10), long-duration HIIT (LDHIIT, n = 10), and control (n = 10) groups. After a 2-wk preparatory phase of continuous mild training, patients in the SDHIIT group performed 8 wk of HIIT including 27 repetitions of 30-sec activity at 80% to 100% of (Equation is included in full-text article...
January 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Signe Stelling Risom, Ann-Dorthe Zwisler, Lau Caspar Thygesen, Jesper Hastrup Svendsen, Selina Kikkenborg Berg
PURPOSE: Today, catheter ablation is a widely used treatment for atrial fibrillation (AF) and atrial flutter (AFL). Knowledge on long-term patient-reported outcomes and readmissions is lacking and is warranted to plan optimal follow-up care. Objectives were to describe patient-reported outcomes including perceived health, quality of life, anxiety, depression, and physical activity compared with an age- and sex-matched reference population without longstanding disease; readmissions and mortality; and factors associated with suboptimal patient-reported outcomes...
January 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
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