13,843 results match your criteria Cardiac Rehabilitation


Cardiac Prehabilitation.

J Cardiothorac Vasc Anesth 2019 Jan 12. Epub 2019 Jan 12.

Fiona Stanley Hospital, Perth, WA, Australia; St John of God Hospital, Subiaco, Perth, WA, Australia. Electronic address:

The care of patients undergoing cardiac surgery is becoming more complex, in part owing to the increasing burden of comorbid disease, frailty, and psychosocial issues. Many risk factors for postoperative morbidity and mortality are potentially modifiable if identified and treated in a timely fashion before surgery. Cardiac prehabilitation, draws from strategies currently undertaken in cardiac rehabilitation but implements them proactively rather than reactively. Read More

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http://dx.doi.org/10.1053/j.jvca.2019.01.023DOI Listing
January 2019

Maintenance of Gains, Morbidity, and Mortality at 1 Year Following Cardiac Rehabilitation in a Middle-Income Country: A Wait-List Control Crossover Trial.

J Am Heart Assoc 2019 Feb;8(4):e011228

2 Cardiovascular Prevention and Rehabilitation Program Toronto Rehabilitation Institute University Health Network University of Toronto Canada.

Background Despite the epidemic of cardiovascular diseases in middle-income countries, few trials are testing the benefits of cardiac rehabilitation ( CR ). This trial assessed (1) maintenance of functional capacity, risk factor control, knowledge, and heart-health behaviors and (2) mortality and morbidity at 6 months following CR in a middle-income country. Methods and Results Eligible Brazilian coronary patients were initially randomized (1:1:1 concealed) to 1 of 3 parallel arms (comprehensive CR [exercise plus education], exercise-only CR , or wait-list control). Read More

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http://dx.doi.org/10.1161/JAHA.118.011228DOI Listing
February 2019

Relationship Between Endothelial Function and the Eliciting Shear Stress Stimulus in Women: Changes Across the Lifespan Differ to Men.

J Am Heart Assoc 2019 Feb;8(4):e010994

5 School of Human Sciences (Exercise and Sport Science) The University of Western Australia Crawley Western Australia Australia.

Background Premenopausal women have a lower incidence of cardiovascular disease, which may partly be due to a protective effect of estrogen on endothelial function. Animal studies suggest that estrogen may also improve the relationship between shear rate ( SR ) and endothelial function. We aimed to explore the relationship between endothelial function (ie, flow-mediated dilation [ FMD ]) and SR (ie, SR area under the curve [ SRAUC ]) in women versus men, and between pre- versus postmenopausal women. Read More

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https://www.ahajournals.org/doi/10.1161/JAHA.118.010994
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http://dx.doi.org/10.1161/JAHA.118.010994DOI Listing
February 2019
1 Read

Cemented versus uncemented femoral component total hip arthroplasty in elderly patients with primary osteoporosis: retrospective analysis with 5-year follow-up.

J Int Med Res 2019 Feb 14:300060518825428. Epub 2019 Feb 14.

7 Department of Orthopaedics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Objective: To compare medium-term clinical and radiological outcomes of primary unilateral uncemented (UN) or cemented (CE) femoral component total hip arthroplasty (THA) in elderly patients with osteoporosis.

Methods: Consecutive patients with osteoporosis who underwent primary unilateral UN or CE THAs at our institution from 2006 to 2013 were retrospectively reviewed. All consecutive procedures were managed by high-volume surgeons, using UN or CE THA approaches. Read More

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http://dx.doi.org/10.1177/0300060518825428DOI Listing
February 2019

Interventions to Promote Patient Utilization of Cardiac Rehabilitation: Cochrane Systematic Review and Meta-Analysis.

J Clin Med 2019 Feb 5;8(2). Epub 2019 Feb 5.

School of Kinesiology and Health Science, York University, 4700 Keele St, Toronto, ON M3J 1P3, Canada.

Too few patients utilize cardiac rehabilitation (CR), despite its benefits. The Cochrane review assessing the effectiveness of interventions to increase CR utilization (enrolment, adherence, and completion) was updated. A search was performed through July 2018 of the Cochrane and MEDLINE (Medical Literature Analysis and Retrieval System Online) databases, among other sources. Read More

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http://dx.doi.org/10.3390/jcm8020189DOI Listing
February 2019

Binaural advantages in using a cochlear implant for adults with profound unilateral hearing loss.

Acta Otolaryngol 2019 Feb 14:1-9. Epub 2019 Feb 14.

a Institute of Physiology and Pathology of Hearing , Warsaw , Poland.

Background: Recent studies of cochlear implants (CIs) in profound unilateral hearing loss (UHL) patients have demonstrated a restoration of some binaural hearing.

Aims/objectives: The objective was to evaluate three possible advantages of binaural hearing in CIs adult users with UHL including single-side deafness (SSD) and asymmetric hearing loss (AHL) subgroups.

Material And Methods: A prospective study was conducted that included 70 sequentially implanted patients. Read More

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http://dx.doi.org/10.1080/00016489.2018.1535190DOI Listing
February 2019

Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life.

Int J Environ Res Public Health 2019 Feb 12;16(3). Epub 2019 Feb 12.

Laboratory of Welfare Technologies - Telehealth and Telerehabilitation, Department of Health Science and Technology, Aalborg University, 9200 Aalborg East, Denmark.

Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients ( = 136) were randomly assigned to a TR or CR group. Read More

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http://dx.doi.org/10.3390/ijerph16030512DOI Listing
February 2019

Cardiac Manifestations in Systemic Lupus Erythematosus: Clinical Correlates of Subclinical Echocardiographic Features.

Biomed Res Int 2019 10;2019:2437105. Epub 2019 Jan 10.

Rheumatology Department, Faculty of Medicine, Cairo University, Giza, Egypt.

Objectives: This study aims to correlate subclinical echocardiographic features with the clinical, laboratory, and therapeutic profiles of the patients to characterize risks for systemic lupus erythematosus (SLE) cardiac diseases.

Methods: The study included 59 SLE patients. Demographic data, disease characteristics, and current therapies were recorded, and the anthropometric measurements and routine laboratory tests were performed. Read More

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http://dx.doi.org/10.1155/2019/2437105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348873PMC
January 2019

Assessing the Risk Factors for Refractory Eosinophilic Esophagitis in Children and Adults.

Gastroenterol Res Pract 2019 13;2019:1654543. Epub 2019 Jan 13.

Cardiac/Pulmonary Rehabilitation, ASST Pini/CTO, Milan, Italy.

Background: Up to one-third of the patients suffering from eosinophilic esophagitis (EoE) present a refractory form, as defined by nonresponsiveness in clinical, endoscopic, or histological assessment after first-line therapy. Several studies recently investigated which factors can influence the development of this disease, but very few analyzed the factors underlying refractory EoE.

Methods: Medical charts of patients affected by EoE were retrospectively evaluated. Read More

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http://dx.doi.org/10.1155/2019/1654543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348890PMC
January 2019

Mild Depression Predicts Long-Term Mortality After Acute Myocardial Infarction: A 25-Year Follow-Up.

Heart Lung Circ 2018 Dec 5. Epub 2018 Dec 5.

Department of Medicine, University of Melbourne, Melbourne, Vic, Australia; Department of Cardiology, Austin Hospital, Melbourne, Vic, Australia.

Background: Past studies have found that depression is an independent predictor of death in patients after acute myocardial infarction (AMI). Our aim was to investigate whether the adverse effect upon mortality of depression, including mild levels, persisted up to 25 years.

Methods: We used an historical design to study patients who had been consecutively admitted to hospital after transmural AMI during the 1980s and enrolled in an exercise training trial. Read More

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http://dx.doi.org/10.1016/j.hlc.2018.11.013DOI Listing
December 2018

Predictors of response to exercise training in patients with coronary artery disease - a subanalysis of the SAINTEX-CAD study.

Eur J Prev Cardiol 2019 Feb 12:2047487319828478. Epub 2019 Feb 12.

1 Laboratory of Cellular and Molecular Cardiology, Research group Cardiovascular Diseases, GENCOR, University of Antwerp, Belgium.

Exercise training improves peak oxygen uptake, an important predictor of mortality in coronary artery disease patients. The influence of clinical and disease characteristics on training response is not well established in coronary artery disease. Therefore, we aimed to evaluate whether baseline cardiovascular disease variables and training intensity can predict the maximal aerobic response to exercise training. Read More

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http://dx.doi.org/10.1177/2047487319828478DOI Listing
February 2019

Effect of Planned Teaching Programme on Knowledge Regarding Cardiac Rehabilitation among Staff Nurses.

Nurs J India 2015 Sep;106(5):199-202

With a view to improve cardiac rehabilitation, an evaluative study was undertaken to assess the impact of planned teaching programme on 40 staff nurses of a hospital in Belgaum (Karnataka). The findings indicated that there was significant improvement in knowledge of staff nurses along various parameters after administering planned teaching programme. Read More

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September 2015

A community intervention study on patients' resuscitation and defibrillation quality after embedded training in a cardiac rehabilitation program.

Health Educ Res 2019 Feb 11. Epub 2019 Feb 11.

Institute of Health Research of Santiago de Compsotela (IDIS), Spain.

The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61). Read More

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http://dx.doi.org/10.1093/her/cyz002DOI Listing
February 2019
1 Read

Second-degree Skin Burn from A Radiofrequency Grounding Pad: A Case Report and Review of Risk Mitigation Strategies.

PM R 2019 Feb 11. Epub 2019 Feb 11.

University of Utah, Department of Physical Medicine and Rehabilitation, Salt Lake City, UT.

Thermal radiofrequency neurotomy (RFN) is used for a variety of indications. Thermal energy is used to thermocoagulate a target structure. Current introduced into the body through the RFN electrode exits the body via an electrical dispersive pad (EDP). Read More

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http://dx.doi.org/10.1002/pmrj.12143DOI Listing
February 2019
2 Reads

Exercise-based cardiac rehabilitation for adult patients with an implantable cardioverter defibrillator.

Cochrane Database Syst Rev 2019 Feb 12;2:CD011828. Epub 2019 Feb 12.

Department of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, Copenhagen, Denmark, 2100.

Background: An effective way of preventing sudden cardiac death is the use of an implantable cardioverter defibrillator (ICD). In spite of the potential mortality benefits of receiving an ICD device, psychological problems experienced by patients after receiving an ICD may negatively impact their health-related quality of life, and lead to increased readmission to hospital and healthcare needs, loss of productivity and employment earnings, and increased morbidity and mortality. Evidence from other heart conditions suggests that cardiac rehabilitation should consist of both exercise training and psychoeducational interventions; such rehabilitation may benefit patients with an ICD. Read More

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http://doi.wiley.com/10.1002/14651858.CD011828.pub2
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http://dx.doi.org/10.1002/14651858.CD011828.pub2DOI Listing
February 2019
2 Reads

Effects of the First Phase of Cardiac Rehabilitation Training on Self-Efficacy among Patients Undergoing Coronary Artery Bypass Graft Surgery.

J Tehran Heart Cent 2018 Jul;13(3):126-131

Department of Cardiac Surgery, Hamadan University of Medical Sciences, Hamadan, Iran.

Heart surgery is vital for patients with coronary artery diseases that do not respond to drug treatments. We aimed to determine the effects of the implementation of the first phase of a cardiac rehabilitation program on self-efficacy in patients after coronary artery bypass graft surgery (CABG). This clinical trial study was conducted on 60 post-CABG patients by convenience sampling method in 2016. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368910PMC

Efficacy of Alternative Cardiac Rehabilitation Delivery Formats in Improving Psychological Symptoms after Coronary Artery Bypass Grafting.

J Tehran Heart Cent 2018 Jul;13(3):103-107

Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.

Health-care systems always strive for alternative cardiac rehabilitation (CR) models to ensure that options available to patients better fit their needs, risk factor profiles, and preferences. We assessed the effects of hospital-based cardiac rehabilitation (HBCR) and hybrid cardiac rehabilitation (HCR) on psychological symptoms (i.e. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368916PMC

Validation of the Fitbit Flex in an Acute Post-Cardiac Surgery Patient Population.

Physiother Can 2018 ;70(4):314-320

Rehabilitation Sciences Institute.

This study examined the validity of the Fitbit Flex activity monitor for step count and distance walked among post-cardiac surgery patients. Participants (=20) from a major urban cardiac surgery centre were recruited 1-2 days before hospital discharge. The Fitbit Flex step count and distance walked outputs and video recording of each participant performing the 6-minute walk test were collected. Read More

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http://dx.doi.org/10.3138/ptc.2017-34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361401PMC
January 2018

Neonatal Cerebral Air Embolism.

Indian Pediatr 2018 Dec;55(12):1089-1090

Department of Neonatalogy, Surya Children Medicare, Mumbai, India.

Background: Vascular air embolism (VAE) is rare but potentially lethal condition, and survival is rarely reported in newborn.

Characteristics: A preterm (27+1 weeks) neonate on Continuous positive airway pressure developed sudden cardiac asystole on day 3 of life and required 30 minutes of cardiopulmonary resuscitation.

Observation: Infant had air embolism in liver and brain. Read More

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December 2018

Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry.

Eur J Prev Cardiol 2019 Feb 10:2047487318825350. Epub 2019 Feb 10.

1 European Society of Cardiology, Sophia Antipolis, France.

Aims: The aim of this study was to determine whether the Joint European Societies guidelines on secondary cardiovascular prevention are followed in everyday practice.

Design: A cross-sectional ESC-EORP survey (EUROASPIRE V) at 131 centres in 81 regions in 27 countries.

Methods: Patients (<80 years old) with verified coronary artery events or interventions were interviewed and examined ≥6 months later. Read More

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http://journals.sagepub.com/doi/10.1177/2047487318825350
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http://dx.doi.org/10.1177/2047487318825350DOI Listing
February 2019
4 Reads
2.675 Impact Factor

Management of pharmacotherapy-related problems in acute coronary syndrome: role of clinical pharmacist in cardiac rehabilitation unit.

Basic Clin Pharmacol Toxicol 2019 Feb 9. Epub 2019 Feb 9.

Department of Clinical Pharmacy, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia Kingdom.

Acute coronary syndrome (ACS) is one of the leading causes of mortality worldwide and negatively impacts health care costs, productivity and quality of life. Poly-morbidity and poly-pharmacy predispose ACS patients to medication discrepancies between cardiologist-prescribed medication and drug use by the patient, drug-related problems (DRPs) and inadequate drug adherence. This study aimed to evaluate the impact of clinical pharmacist-provided services on the outcome of ACS patients. Read More

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http://dx.doi.org/10.1111/bcpt.13210DOI Listing
February 2019
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Effectiveness of manual therapy in COPD: A systematic review of randomised controlled trials.

Pulmonology 2019 Feb 6. Epub 2019 Feb 6.

Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Institute of Lumezzane (BS), Italy.

Purpose: Manual therapy (MT) has been proposed in pulmonary rehabilitation programmes for patients with chronic obstructive pulmonary disease (COPD), but an updated systematic review of the evidence is lacking. We aimed to systematically review the effectiveness of MT interventions, alone or added to exercise, on lung function, exercise capacity and quality of life in COPD patients, compared to other therapies (e.g. Read More

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http://dx.doi.org/10.1016/j.pulmoe.2018.12.008DOI Listing
February 2019
1 Read

[Kinesiophobia in patients with cardiovascular disease].

Wiad Lek 2018 ;71(9):1653-1660

Oddział Elektrokardiologii Górnośląskiego Centrum Medycznego im. Prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach, Katowice, Polska, Katedra Elektrokardiologii, Klinika Elektrokardiologii i Niewydolności Serca Śląskiego Uniwersytetu Medycznego w Katowicach, Katowice, Polska.

Objective: Introduction: Kinesiophobia - a fear of physical activity - is a common and worsening rehabilitation outcomes phenomenon in patients with cardiovascular diseases. The aim: To assess the level of kinesiophobia in relation to heart's function evaluated using echocardiography and clinical parameters in patients with cardiovascular disease.

Patients And Methods: Material and methods:101 patients (28 women) aged 61,9±13,56 years and hospitalized for implantation or replacement of a pacemaker or cardioverter-defibrillator were included in the study. Read More

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January 2018
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Benefits and Risks of High-Intensity Interval Training in Patients With Coronary Artery Disease.

Am J Cardiol 2019 Jan 24. Epub 2019 Jan 24.

International Heart Institute, St. Patrick's Hospital, Missoula, Montana.

Exercise-based cardiac rehabilitation is integral to secondary prevention in patients with coronary artery disease. Recently, the effectiveness and "superiority" of high-intensity interval training (HIIT) is a purported time-saving alternative to "traditional" moderate-intensity continuous training (MICT) in cardiac rehabilitation. The rationale for HIIT adoption is, however, not fully substantiated in the scientific literature. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.01.008DOI Listing
January 2019

eHealth to improve patient outcome in rehabilitating myocardial infarction patients.

Expert Rev Cardiovasc Ther 2019 Feb 7. Epub 2019 Feb 7.

c Department of Cardiology , Leiden University Medical Center , Leiden , The Netherlands.

Introduction: Cardiac rehabilitation is aimed at risk factor modification and improving quality of life. eHealth has a couple of potential benefits to improve this aim. The primary purpose of this review is to summarize available literature for eHealth strategies that have been investigated in randomized controlled trials in post-myocardial infarction (MI) patients. Read More

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https://www.tandfonline.com/doi/full/10.1080/14779072.2019.1
Publisher Site
http://dx.doi.org/10.1080/14779072.2019.1580570DOI Listing
February 2019
3 Reads

Cardiac Rehabilitees' Technology Experiences Before Remote Rehabilitation: Qualitative Study Using a Grounded Theory Approach.

J Med Internet Res 2019 Feb 7;21(2):e10985. Epub 2019 Feb 7.

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Background: Even though technology is becoming increasingly common in rehabilitation programs, insufficient data are as yet available on rehabilitees' perceptions and experiences. It is important to understand their abilities when using technology for remote rehabilitation.

Objective: This is a qualitative study on technology experiences of persons affected by cardiovascular disease assessed before remote rehabilitation. Read More

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http://dx.doi.org/10.2196/10985DOI Listing
February 2019

Effects of sarcopenia on functional improvement over the first year after cardiac surgery: a cohort study.

Eur J Cardiovasc Nurs 2019 Feb 7:1474515118822964. Epub 2019 Feb 7.

1 Department of Nursing, National Taiwan University and National Taiwan University Hospital, Taiwan.

Background:: Sarcopenia is linked with poor postoperative outcomes.

Aims:: To evaluate the effects of sarcopenia on first-year functional changes after cardiac surgery.

Methods:: In this prospective cohort study, functional changes (physical activity levels in metabolic equivalent hours/week, 6-minute walking distance in metres, and grip strength in kg) from preoperative baseline to 1, 3, 6 and 12 months postoperatively were compared in adult patients with and without sarcopenia undergoing cardiac surgery at a tertiary medical centre. Read More

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http://dx.doi.org/10.1177/1474515118822964DOI Listing
February 2019

Secondary prevention therapies in acute coronary syndrome and relation to outcomes: observational study.

Heart Asia 2019 12;11(1):e011122. Epub 2019 Jan 12.

The George Institue of Global Health, Perth, Western Australia, Australia.

Objective: To ascertain the use of secondary prevention medications and cardiac rehabilitation after an acute coronary syndrome (ACS) and the impact on 2-year outcomes.

Methods: CONCORDANCE (Cooperative National Registry of Acute Coronary care, Guideline Adherence and Clinical Events) is a prospective, observational registry of 41 Australian hospitals. A representative sample of 6859 patients with an ACS and 6 months' follow-up on 31 May 2016 were included. Read More

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http://dx.doi.org/10.1136/heartasia-2018-011122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340555PMC
January 2019
2 Reads

"Struggling with practices" - a qualitative study of factors influencing the implementation of clinical quality registries for cardiac rehabilitation in England and Denmark.

BMC Health Serv Res 2019 Feb 6;19(1):102. Epub 2019 Feb 6.

Department of Anaestesiology, Holbaek University Hospital, Smedelundsgade 60, 4300, Holbaek, Region Zealand, Denmark.

Background: The use of clinical quality registries as means for data driven improvement in healthcare seem promising. However, their use has been shown to be challenged by a number of aspects, and we suggest some may be related to poor implementation. There is a paucity of literature regarding barriers and facilitators for registry implementation, in particular aspects related to data collection and entry. Read More

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http://dx.doi.org/10.1186/s12913-019-3940-5DOI Listing
February 2019
2 Reads

[The personalized approach to the rehabilitation of a severely ill patient presenting with a cardio-surgical problem].

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(1):50-54

Research Institute of Complex Problems of Cardio-Vascular Diseases, Kemerovo, Russia.

The ever increasing number of the patients presenting with the cardio-surgical problems referred for surgery emphasizes the importance of the treatment of the cases of post-operative complications based on the personalized approach. The present article was designed to report a clinical case of the successful surgical treatment and rehabilitation of a patient presenting with the dysfunction of the bioprosthetic mitral valve and complications of the post-operative course in the form of polyorgan insufficiency with the predominance of respiratory failure. Special attention is given to the post-operative complications among which the respiratory insufficiency prevailed that made necessary the long period of artificial pulmonary ventilation. Read More

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http://dx.doi.org/10.17116/kurort20199601150DOI Listing
January 2019
2 Reads

[Performance indicators of cardiac rehabilitation in Hungary].

Orv Hetil 2019 Feb;160(Suppl 1):6-12

Egészségtudományi Kar, Egészségbiztosítási Intézet, Pécsi Tudományegyetem Pécs, Mária u. 5-7., 7621.

Introduction: With the improvement of the survival of acute cardiac events and the increasing age, there is a higher demand for cardiac rehabilitation care.

Aim: The aim of our study is to analyse the performance indicators of cardiac inpatient rehabilitation care in Hungary financed by the statutory public health insurance system.

Data And Methods: Data were derived from the financial database of the National Health Insurance Fund of Hungary. Read More

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http://dx.doi.org/10.1556/650.2019.31370DOI Listing
February 2019

Electroceutical Targeting of the Autonomic Nervous System.

Physiology (Bethesda) 2019 Mar;34(2):150-162

Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.

Autonomic nerves are attractive targets for medical therapies using electroceutical devices because of the potential for selective control and few side effects. These devices use novel materials, electrode configurations, stimulation patterns, and closed-loop control to treat heart failure, hypertension, gastrointestinal and bladder diseases, obesity/diabetes, and inflammatory disorders. Critical to progress is a mechanistic understanding of multi-level controls of target organs, disease adaptation, and impact of neuromodulation to restore organ function. Read More

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http://dx.doi.org/10.1152/physiol.00030.2018DOI Listing
March 2019
1 Read

Cardiac output measurement during exercise in COPD: A comparison of dye dilution and impedance cardiography.

Clin Respir J 2019 Feb 5. Epub 2019 Feb 5.

1st Department of Critical Care Medicine and Pulmonary Services, GP Livanos and M Simou Laboratories, Medical School of Athens University, Evangelismos Hospital, Athens, Greece.

Introduction: Impedance cardiography (IC) derived from morphological analysis of the thoracic impedance signal is now commonly used for non-invasive assessment of cardiac output (CO) at rest and during exercise. However, in COPD, conflicting findings put its accuracy into question.

Objectives: We therefore compared concurrent CO measurements captured by IC (PhysioFlow : CO ) and by the indocyanine green dye dilution method (CO ) in patients with COPD. Read More

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http://dx.doi.org/10.1111/crj.13002DOI Listing
February 2019
2 Reads

Working backward: Retrograde balloon angioplasty of atretic arteries in chronic thromboembolic pulmonary hypertension.

Catheter Cardiovasc Interv 2019 Feb 5. Epub 2019 Feb 5.

Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia.

We describe a patient with chronic thromboembolic pulmonary hypertension who presented to the pediatric cardiac catheterization laboratory for peripheral pulmonary artery recanalization and angioplasty. This case report outlines serial pulmonary arterial rehabilitation via a retrograde approach through intrapulmonary collateral arterial connections. Read More

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http://dx.doi.org/10.1002/ccd.28115DOI Listing
February 2019
1 Read

Prognosis of severe congenital heart diseases: Do we overestimate the impact of prenatal diagnosis?

Arch Cardiovasc Dis 2019 Feb 2. Epub 2019 Feb 2.

Paediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, University Hospital, 34295 Montpellier, France; Inserm, PhyMedExp, CNRS, University of Montpellier, 34295 Montpellier, France; Paediatric Cardiology and Rehabilitation Unit, Saint-Pierre Institute, 34250 Palavas-Les-Flots, France. Electronic address:

Background: Prenatal diagnosis of congenital heart disease (CHD) is controversial because of unclear benefits in terms of morbidity and mortality, and issues with healthcare costs and organization.

Aim: To compare, in children with severe CHD, 1-year morbidity and mortality between prenatal and postnatal diagnosis groups.

Methods: All pregnancies and children aged<1 year with a diagnosis of severe CHD were collected over a 5-year period from our database. Read More

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http://dx.doi.org/10.1016/j.acvd.2018.11.013DOI Listing
February 2019
1 Read

The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial.

Clin Rehabil 2019 Feb 6:269215519828212. Epub 2019 Feb 6.

1 Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China.

Objective:: To determine the prophylactic efficacy of short-term intensive preoperative inspiratory muscle training on the incidence of postoperative pulmonary complications in patients scheduled for cardiac surgery.

Design:: Single-blind, randomized controlled pilot study.

Setting:: TEDA International Cardiovascular Hospital, China. Read More

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http://dx.doi.org/10.1177/0269215519828212DOI Listing
February 2019
3 Reads

Neonatal Skin-to-Skin Contact: Implications for Learning and Autonomic Nervous System Function in Infants With Congenital Heart Disease.

Biol Res Nurs 2019 Feb 5:1099800419827599. Epub 2019 Feb 5.

5 The Ohio State University School of Health and Rehabilitation Sciences, Columbus, OH, USA.

Background:: Infants with complex congenital heart disease (CCHD) often develop neurodevelopmental disabilities. Cognitive abilities are associated with vagally mediated autonomic function. Skin-to-skin contact (SSC) interventions enhance infant neurodevelopment and autonomic function in other high-risk populations. Read More

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http://dx.doi.org/10.1177/1099800419827599DOI Listing
February 2019
1 Read

Feasibility and Outcomes of an Exercise Intervention for Chemotherapy-Induced Heart Failure.

J Cardiopulm Rehabil Prev 2019 Jan 31. Epub 2019 Jan 31.

Department of Health Promotion & Behavioral Sciences, The University of Texas School of Public Health, Houston (Mr Tsai); Department of Behavioral Science (Mr Tsai, Ms Harrison, and Dr Basen-Engquist), Department of Cardiology, Division of Internal Medicine (Drs Mouhayar and Durand), Department of Biostatistics (Dr Song), Department of Nursing (Dr Fadol), and Clinical Research Support Center (Ms Massey), The University of Texas MD Anderson Cancer Center, Houston; and Cardiovascular Division, Washington University School of Medicine in St Louis, St Louis, Missouri (Dr Lenihan).

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. Read More

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http://dx.doi.org/10.1097/HCR.0000000000000388DOI Listing
January 2019
2 Reads
1.679 Impact Factor

Cardiac Rehabilitation Quality Improvement: A NARRATIVE REVIEW.

J Cardiopulm Rehabil Prev 2019 Jan 31. Epub 2019 Jan 31.

School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada (Ms Moghei and Dr Grace); and Cardiovascular Prevention and Rehabilitation Program, University Health Network, University of Toronto, Ontario, Canada (Drs Oh, Chessex, and 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. Read More

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http://Insights.ovid.com/crossref?an=01273116-900000000-9953
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http://dx.doi.org/10.1097/HCR.0000000000000396DOI Listing
January 2019
4 Reads

Effects of Catheterization on Artery Function and Health: When Should Patients Start Exercising Following Their Coronary Intervention?

Sports Med 2019 Feb 5. Epub 2019 Feb 5.

Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, L3 3AF, UK.

Coronary artery disease (CAD) is a leading cause of death worldwide, and percutaneous transluminal coronary angiography (PTCA) and/or percutaneous coronary intervention (PCI; angioplasty) are commonly used to diagnose and/or treat the obstructed coronaries. Exercise-based rehabilitation is recommended for all CAD patients; however, most guidelines do not specify when exercise training should commence following PTCA and/or PCI. Catheterization can result in arterial dysfunction and acute injury, and given the fact that exercise, particularly at higher intensities, is associated with elevated inflammatory and oxidative stress, endothelial dysfunction and a pro-thrombotic milieu, performing exercise post-PTCA/PCI may transiently elevate the risk of cardiac events. Read More

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http://dx.doi.org/10.1007/s40279-019-01055-3DOI Listing
February 2019
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Patterns of cardiovascular variability after long-term sino-aortic denervation in unanesthetized adult rats.

Sci Rep 2019 Feb 4;9(1):1232. Epub 2019 Feb 4.

IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

Baroreflex dysfunction is a diffuse chronic condition that is expected to be followed by a profound loss of organization of BP and HR variability. Nevertheless, long-term effects of baroreflex withdrawal are still debated. Aim of our work was to study BP and HR changes long term after sino-aortic denervation (SAD). Read More

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http://dx.doi.org/10.1038/s41598-018-37970-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362124PMC
February 2019
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Baduanjin exercise intervention for community adults at risk of ischamic stroke: A randomized controlled trial.

Sci Rep 2019 Feb 4;9(1):1240. Epub 2019 Feb 4.

Collaborative Innovation Center for Rehabilitation Technology, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.

The aim of current study was to assess the effects of Baduanjin exercise on cerebrovascular function, cardiac structure and cardiac function, static pulmonary function, traditional risk factors of CVD and the related psychological outcomes in older community adults at risk for ischaemic stroke. A randomized controlled trial was conducted in three community between November 2013 and October 2015. Older community-dwelling adults (N = 170) were randomly allocated into either a Baduanjin training (5 × 60 min/weekly) or control group who kept their unaltered lifestyle during a 12-week intervention period. Read More

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http://dx.doi.org/10.1038/s41598-018-37544-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362011PMC
February 2019
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Editorial commentary: Cardiosexology - Let's talk about sex.

Authors:
Dariusz Kałka

Trends Cardiovasc Med 2019 Jan 28. Epub 2019 Jan 28.

Cardiosexology Unit, Department of Pathophysiology, Wrocław Medical University, ul. K. Marcinkowskiego 1; 50-368 Wrocław, Poland; Centre for Men's Health in Wroclaw, Poland. Electronic address:

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http://dx.doi.org/10.1016/j.tcm.2019.01.005DOI Listing
January 2019
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Utilising a Data Capture Tool to Populate a Cardiac Rehabilitation Registry: A Feasibility Study.

Heart Lung Circ 2019 Jan 28. Epub 2019 Jan 28.

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic, Australia.

Background: Clinical registries are effective for monitoring clinical practice, yet manual data collection can limit their implementation and sustainability. The objective of this study was to assess the feasibility of using a data capture tool to collect cardiac rehabilitation (CR) minimum variables from electronic hospital administration databases to populate a new CR registry in Australia.

Methods: Two CR facilities located in Melbourne, Australia participated, providing data on 42 variables including: patient socio-demographics, risk factors and co-morbidities, CR program information (e. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14439506193003
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http://dx.doi.org/10.1016/j.hlc.2018.12.012DOI Listing
January 2019
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Lifetime risk and multimorbidity of non-communicable diseases and disease-free life expectancy in the general population: A population-based cohort study.

PLoS Med 2019 Feb 4;16(2):e1002741. Epub 2019 Feb 4.

Department of Epidemiology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands.

Background: Non-communicable diseases (NCDs) are leading causes of premature disability and death worldwide. However, the lifetime risk of developing any NCD is unknown, as are the effects of shared common risk factors on this risk.

Methods And Findings: Between July 6, 1989, and January 1, 2012, we followed participants from the prospective Rotterdam Study aged 45 years and older who were free from NCDs at baseline for incident stroke, heart disease, diabetes, chronic respiratory disease, cancer, and neurodegenerative disease. Read More

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http://dx.doi.org/10.1371/journal.pmed.1002741DOI Listing
February 2019
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Pediatric Dental Surgery Under General Anesthesia: Uncooperative Children.

Anesth Prog 2018 ;65(4):225-230

Dentist Anesthesiologist, Virginia Dental and Anesthesia Associates, Richmond, Virginia.

Dental treatment of young pediatric patients can be confounded by lack of cooperation for dental rehabilitation procedures and even examination and/or radiographs. With the recent US Food and Drug Administration warning applied to many anesthetic/sedative agents for children less than 3 years old, a retrospective review of general anesthesia (GA) cases from 1 private pediatric dental practice was studied for age, gender, body mass index, anesthetic duration, airway management used, extent of dental surgical treatment, recovery time, and cardiac/pulmonary complications. For the 2016 calendar year, 351 consecutive GA cases were identified with patients aged 2-13 years. Read More

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http://dx.doi.org/10.2344/anpr-65-03-04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318733PMC
January 2018
1 Read

Bicuspid aortic valve behaviour in elite athletes.

Eur Heart J Cardiovasc Imaging 2019 Jan 31. Epub 2019 Jan 31.

Department of Cardiology, Hospital Universitario Fundación Jiménez Díaz, Av. de los Reyes Católicos, 2, 28040 Madrid, Spain.

Aims: To determine the prevalence and characteristics of bicuspid aortic valve (BAV) among elite athletes and to analyse the effect of long-term exercise training on their aortas.

Methods And Results: Consecutive BAV and tricuspid aortic valve (TAV) elite athletes from a population of 5136 athletes evaluated at the Sports Medicine Center of the Spanish National Sports Council were identified using echocardiography. A total of 41 BAV elite athletes were matched with 41 TAV elite athletes, and 41 BAV non-athletic patients from three Spanish tertiary hospitals. Read More

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http://dx.doi.org/10.1093/ehjci/jez001DOI Listing
January 2019
3 Reads
3.669 Impact Factor

Long-term outcome in patients with Takotsubo syndrome presenting with severely reduced left ventricular ejection fraction.

Eur J Heart Fail 2019 Feb 4. Epub 2019 Feb 4.

Department of Cardiology, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.

Aim: To evaluate the long-term outcome of patients with Takotsubo syndrome (TTS) and severely reduced left ventricular ejection fraction (LVEF ≤ 35%) at presentation.

Methods And Results: The study population included 326 patients (mean age 69.5 ± 10. Read More

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http://doi.wiley.com/10.1002/ejhf.1373
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http://dx.doi.org/10.1002/ejhf.1373DOI Listing
February 2019
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Autophagy and Oncosis/Necroptosis Are Enhanced in Cardiomyocytes from Heart Failure Patients.

Med Sci Monit Basic Res 2019 Feb 4;25:33-44. Epub 2019 Feb 4.

Center for Heart and Vessel Preclinical Studies, Department of Internal Medicine, St. John Hospital and Medical Center, Wayne State University, Detroit, MI, USA.

BACKGROUND Although originally described as a survival mechanism, it is unknown whether and to what extent autophagy is implicated in the terminal stages of heart failure. Here, we studied magnitude and evolution of autophagy in patients with intractable heart failure. MATERIAL AND METHODS Myocardial samples were obtained from 22 patients with ischemic cardiomyopathy and idiopathic dilated cardiomyopathy who were undergoing cardiac transplantation. Read More

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https://basic.medscimonit.com/abstract/index/idArt/913436
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http://dx.doi.org/10.12659/MSMBR.913436DOI Listing
February 2019
2 Reads