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Cardiac rehabilitation.

Seung-Hyun Hyun, Che-Cheong Ryew
The study was undertaken to investigate the change of cardiac compression force relative to levels of information provision using components of ground reaction force. Male participants of 20s-30s (n=10) who was not trained on cardiopulmonary resuscitation (CPR) and used an automated external defibrillator carried out CPR using manikin on ground reaction force plate. All executed 30 times the CPR according to the levels (1-time viewing, repeated viewing, and basic life support education) of information provision and then total sample of 300 times of ground reaction force data was utilized for the analysis...
February 2019: Journal of Exercise Rehabilitation
Sameera Senanayake, Nicholas Harrison, Michael Lewis
This study sought to determine whether a 6-week physical rehabilitation programme has a measurable influence on heart rate responsiveness to changing metabolic demand in patients with pulmonary fibrosis. Fifteen individuals (13 with idiopathic pulmonary fibrosis and two with pulmonary fibrosis associated with rheumatoid disease) underwent assessments of physical function (6-min walk test), ventilatory function (spirometry), and cardio-respiratory function (respiratory gas analysis and electrocardiogram [ECG] recording during a protocol consisting of periods of rest, incremental bicycle exercise to maximal effort, and post-exercise recovery)...
February 2019: Journal of Exercise Rehabilitation
Laura Calvillo, Mariela M Gironacci, Lia Crotti, Pier Luigi Meroni, Gianfranco Parati
Hypertension is an important risk factor for cardiovascular morbidity and mortality and for events such as myocardial infarction, stroke, heart failure and chronic kidney disease and is a major determinant of disability-adjusted life-years. Despite the importance of hypertension, the pathogenesis of essential hypertension, which involves the complex interaction of several mechanisms, is still poorly understood. Evidence suggests that interplay between bone marrow, microglia and immune mediators underlies the development of arterial hypertension, in particular through mechanisms involving cytokines and peptides, such as neuropeptide Y, substance P, angiotensin II and angiotensin-(1-7)...
March 20, 2019: Nature Reviews. Cardiology
Johan De Sutter, Raymond Kacenelenbogen, Sofie Pardaens, Sofie Cuypers, Paul Dendale, Ivan Elegeert, Véronique Cornelissen, Roselien Buys, Lutgart Braeckman, Benedicte Heyndrickx, Ines Frederix
Cardiovascular disease is one of the main causes of morbidity and sick leave in Belgium, imposing a great socio-economic burden on the contemporary healthcare system and society. Cardiac rehabilitation is an evidence-based treatment strategy that not only improves the cardiac patients' health state but also holds promise so as to facilitate vocational reintegration in the society. This position paper was developed and endorsed by the Belgian Working Group of Cardiovascular Prevention and Rehabilitation. It provides an overview of the currently available Belgian data with regard to the role of cardiac rehabilitation in return to work after an initial cardiac event...
March 20, 2019: Acta Cardiologica
Isabel Witvrouwen, Emeline M Van Craenenbroeck, Ana Abreu, Trine Moholdt, Nicolle Kränkel
BACKGROUND: Exercise-based cardiac rehabilitation has a class 1A recommendation in coronary artery disease and heart failure based on its beneficial effects on mortality, morbidity and quality of life. However, the inter-individual response to exercise training is highly variable and influenced by both training and patient characteristics. Notably, men and women display a different training response, even when accounting for age, height and lean muscle mass. Most studies investigating exercise effects on various physiological outcomes focus on male patients...
March 19, 2019: European Journal of Preventive Cardiology
Maarten Falter, Werner Budts, Kaatje Goetschalckx, Véronique Cornelissen, Roselien Buys
BACKGROUND: Wrist-worn tracking devices such as the Apple Watch are becoming more integrated in health care. However, validation studies of these consumer devices remain scarce. OBJECTIVES: This study aimed to assess if mobile health technology can be used for monitoring home-based exercise in future cardiac rehabilitation programs. The purpose was to determine the accuracy of the Apple Watch in measuring heart rate (HR) and estimating energy expenditure (EE) during a cardiopulmonary exercise test (CPET) in patients with cardiovascular disease...
March 19, 2019: JMIR MHealth and UHealth
Lyndel Shand, Rosemary Higgins, Barbara Murphy, Alun Jackson
OBJECTIVE: It has become increasingly important to assess healthcare providers' role in chronic disease self-management (CDSM) and patient activation (PA). The present study extends previous work relating to patients' behaviours by assessing healthcare providers' own behaviours in supporting PA. METHOD: 50 items were generated: half assessed a PA approach; half reflected a non-patient-activation approach. 105 healthcare providers working in cardiac rehabilitation who were participants in a CDSM online training program completed the items pre- and post-training...
March 8, 2019: Patient Education and Counseling
Irene Valaker, Bengt Fridlund, Tore Wentzel-Larsen, Heather Hadjistavropoulos, Jan Erik Nordrehaug, Svein Rotevatn, Maj-Britt Råholm, Tone M Norekvål
BACKGROUND: Continuity of cardiac care after hospital discharge is a priority, especially as healthcare systems become increasingly complex and fragmented. There are few available instruments to measure continuity of cardiac care, especially from the patient perspective. The aim of this study was (1) to translate and adapt the Heart Continuity of Care Questionnaire (HCCQ) to conditions in Norway, and (2) to determine its psychometric properties in self-report format administered to patients after percutaneous coronary intervention (PCI)...
March 18, 2019: BMC Medical Research Methodology
Rod S Taylor, Susannah Sadler, Hasnain M Dalal, Fiona C Warren, Kate Jolly, Russell C Davis, Patrick Doherty, Jackie Miles, Colin Greaves, Jennifer Wingham, Melvyn Hillsdon, Charles Abraham, Julia Frost, Sally Singh, Christopher Hayward, Victoria Eyre, Kevin Paul, Chim C Lang, Karen Smith
BACKGROUND: The REACH-HF (Rehabilitation EnAblement in CHronic Heart Failure) trial found that the REACH-HF home-based cardiac rehabilitation intervention resulted in a clinically meaningful improvement in disease-specific health-related quality of life in patients with reduced ejection fraction heart failure (HFrEF). The aims of this study were to assess the long-term cost-effectiveness of the addition of REACH-HF intervention or home-based cardiac rehabilitation to usual care compared with usual care alone in patients with HFrEF...
March 18, 2019: European Journal of Preventive Cardiology
Nihar R Desai, Jacob A Udell, Yongfei Wang, Erica S Spatz, Kumar Dharmarajan, Tariq Ahmad, Howard M Julien, Amarnath Annapureddy, Abhinav Goyal, James A de Lemos, Frederick A Masoudi, Deepak L Bhatt, Karl E Minges, Harlan M Krumholz, Jeptha P Curtis
Background Despite improvements on individual process of care measures for acute myocardial infarction (AMI), little is known about performance on a composite measure of AMI care that assesses the delivery of many components of high-quality AMI care. We sought to examine trends in patient- and hospital-level performance on a composite defect-free care measure, identify disparities in the performance across sociodemographic groups, and identify opportunities to further improve quality and outcomes. Methods and Results We calculated the proportion of patients in the National Cardiovascular Data Registry-Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines (now known as the Chest Pain - Myocardial Infarction Registry) between January 1, 2010, and December 31, 2017, receiving defect-free AMI care including guideline-recommended pharmacotherapy, timely provision of medical and reperfusion therapy, assessment of ventricular function, referral to cardiac rehabilitation, and smoking cessation counseling for patients with AMI...
March 2019: Circulation. Cardiovascular Quality and Outcomes
Alba González-Roz, Diann E Gaalema, Irene Pericot-Valverde, Rebecca J Elliott, Philip A Ades
PURPOSE: Depression is overrepresented in patients with cardiovascular disease and increases risk for future cardiac events. Despite this, depression is not routinely assessed within cardiac rehabilitation. This systematic review sought to examine available depression questionnaires to use within the cardiac population. We assessed each instrument in terms of its capability to accurately identify depressed patients and its sensitivity to detect changes in depression after receiving cardiac rehabilitation...
March 11, 2019: Journal of Cardiopulmonary Rehabilitation and Prevention
Janice Hegewald, Uta E Wegewitz, Ulrike Euler, Jaap L van Dijk, Jenny Adams, Alba Fishta, Philipp Heinrich, Andreas Seidler
BACKGROUND: People with coronary heart disease (CHD) often require prolonged absences from work to convalesce after acute disease events like myocardial infarctions (MI) or revascularisation procedures such as coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Reduced functional capacity and anxiety due to CHD may further delay or prevent return to work. OBJECTIVES: To assess the effects of person- and work-directed interventions aimed at enhancing return to work in patients with coronary heart disease compared to usual care or no intervention...
March 14, 2019: Cochrane Database of Systematic Reviews
Kimberley L Way, Jennifer L Reed
No abstract text is available yet for this article.
March 5, 2019: Circulation
Raquel Rodrigues Britto, Marta Supervia, Karam Turk-Adawi, Gabriela Suéllen da Silva Chaves, Ella Pesah, Francisco Lopez-Jimenez, Danielle Aparecida Gomes Pereira, Artur H Herdy, Sherry L Grace
BACKGROUND: Brazil has insufficient cardiac rehabilitation capacity, yet density and regional variation in unmet need is unknown. Moreover, South America has CR guidelines, but whether delivery conforms has not been described. OBJECTIVE: This study aimed to establish: (1) cardiac rehabilitation volumes and density, and (2) the nature of programmes, and (3) compare these by: (a) Brazilian region and (b) to other upper middle-income countries (upper-MICs). METHODS: In this cross-sectional study, a survey was administered to cardiac rehabilitation programmes globally...
March 5, 2019: Brazilian Journal of Physical Therapy
Andrea N Devrome, Sandeep Aggarwal, M Sean McMurtry, Danielle Southern, Trina Hauer, Brea Lamb, Ross Arena, Randy D Moore, Stephen B Wilton, James Stone, Billie-Jean Martin
BACKGROUND: Peripheral arterial disease (PAD) is common in people referred for cardiac rehabilitation (CR). However, the associations between PAD diagnosis and CR attendance and mortality remain to be defined. METHODS: All patients referred to a 12-week exercise-based CR program were included. Associations between PAD diagnosis and starting CR as well as between PAD diagnosis and completing CR were measured using multivariable logistic regression. Associations between CR completion and mortality were measured using adjusted Cox proportional hazards models, and a propensity-based matching sensitivity analysis was performed...
March 5, 2019: International Journal of Cardiology
Christian Albus, Christoph Herrmann-Lingen, Katrin Jensen, Matthes Hackbusch, Nina Münch, Catharina Kuncewicz, Maurizio Grilli, Bernhard Schwaab, Bernhard Rauch
BACKGROUND: Exercise-based cardiac rehabilitation (ebCR) often includes various psychological interventions for lifestyle change or distress management. However, the additional benefit of specific psychological interventions on depression, anxiety, quality of life, cardiac morbidity and cardiovascular or total mortality is not well investigated. DESIGN: Systematic review and meta-analysis. METHODS: Randomized controlled trials and controlled cohort trials published between January 1995 and October 2017 comparing ebCR with or without pre-specified psychosocial interventions were selected and evaluated on the basis of predefined inclusion and outcome criteria...
March 11, 2019: European Journal of Preventive Cardiology
Kenji Watanabe, Nobuko Ito, Takuya Ohata, Taro Kariya, Hiroshi Inui, Yoshitsugu Yamada
RATIONALE: Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease with a poor prognosis, characterized by chronic thromboembolic obstruction of the pulmonary arteries and pulmonary hypertension. Balloon pulmonary angioplasty (BPA) is a newly emergent treatment for CTEPH, which may substitute pulmonary endarterectomy, the standard but more invasive treatment for CTEPH. Here, we report the case of a CTEPH patient who underwent 2 noncardiac surgeries without complications after preoperative intervention of BPA...
March 2019: Medicine (Baltimore)
Zoltán Janka
Depending on the personal attitude toward a given style and performance, music can influence mental activities such as emotion, mood, motivation, psychomotor tempo and possibly cognition. Experimental data indicate that music can alter physiological parameters of somatic functions (blood pressure, heart rhythm, peripheral blood flow, respiration). However, efforts are taken in medicine and neuroscience to decipher brain physiological and morphological correlates in processing or performing music. Modern imaging techniques brought a significant advance in this respect...
March 2019: Orvosi Hetilap
Hyo Won Im, Sora Baek, Sungju Jee, Jung-Min Ahn, Myung Woo Park, Won-Seok Kim
No abstract text is available yet for this article.
February 2019: Annals of Rehabilitation Medicine
Sora Baek, Hee-Won Park, Yookyung Lee, Sherry L Grace, Won-Seok Kim
No abstract text is available yet for this article.
February 2019: Annals of Rehabilitation Medicine
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