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1
Барбук, О. А. "Rehabilitation of Patients with Cardiovascular Diseases who have Undergone COVID-19." Рецепт, no. 4 (September 13, 2022): 484–95. http://dx.doi.org/10.34883/pi.2022.25.4.004.
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Анализ факторов, связанных с тяжелым течением и неблагоприятным прогнозом новой коронавирусной инфекции (СOVID-19), указывает на важную роль коморбидной патологии. К состояниям, которые ассоциированы с неблагоприятным прогнозом, относят сердечно-сосудистые заболевания, такие как артериальная гипертензия, ишемическая болезнь сердца, хроническая сердечная недостаточность, фибрилляция предсердий. В статье проанализированы современные подходы к лечению и реабилитации пациентов с сердечно-сосудистыми заболеваниями и СOVID-19. Освещены этиопатогенетические механизмы влияния коронавируса на сосудистое русло, возможности профилактики и контроля сердечно-сосудистых осложнений в период пандемии СOVID-19. An analysis of the factors associated with the severe course and poor prognosis of a new coronavirus infection (COVID-19) indicates the important role of comorbid pathology. Conditions that are associated with a poor prognosis include cardiovascular diseases, such as arterial hypertension, coronary heart disease, chronic heart failure, and atrial fibrillation. The article analyzes modern approaches to the treatment and rehabilitation of patients with cardiovascular diseases and COVID-19. The etiopathogenetic mechanisms of the influence of coronavirus on the vascular bed, the possibilities for the prevention and control of cardiovascular complications during the COVID-19 pandemic are consecrated.
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Naccarella, Lucio, Catuscia Biuso, Amanda Jennings, and Harry Patsamanis. "Improving access to important recovery information for heart patients with low health literacy: reflections on practice-based initiatives." Australian Health Review 43, no. 3 (2019): 323. http://dx.doi.org/10.1071/ah17270.
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Evidence exists for the association between health literacy and heart health outcomes. Cardiac rehabilitation is critical for recovery from heart attack and reducing hospital readmissions. Despite this, <30% of people participate in a program. Significant patient, hospital and health system challenges exist to improve recovery through increased heart health literacy. This brief case study reflects and documents practice-based initiatives by Heart Foundation Victoria to improve access to recovery information for patients with low literacy levels. Three key initiatives, namely the Six Steps To Cardiac Recovery resource, the Love Your Heart book and the nurse ambassador program, were implemented informed by mixed methods that assessed need and capacity at the individual, organisational and systems levels. Key outcomes included increased access to recovery information for patients with low health literacy, nurse knowledge and confidence to engage with patients on recovery information, improved education of patients and improved availability and accessibility of information for patients in diverse formats. Given the challenges involved in addressing heart health literacy, multifaceted practice-based approaches are essential to improve access to recovery information for patients with low literacy levels. What is known about the topic? Significant challenges exist for patients with lower health literacy receiving recovery information after a heart attack in hospitals. What does this paper add? This case study provides insights into a practice-based initiative by Heart Foundation Victoria to improve access to recovery information for patients with low literacy levels. What are the implications for practitioners? Strategies to improve recovery through increased heart health literacy must address the needs of patients, nursing staff and the health system within hospitals. Such strategies need to be multifaceted and designed to build the capacity of nurses, heart patients and their carers, as well as support from hospital management.
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Crisafulli, E., S. Costi, F. Luppi, G. Cirelli, C. Cilione, O. Coletti, L. M. Fabbri, and E. M. Clini. "Role of comorbidities in a cohort of patients with COPD undergoing pulmonary rehabilitation." Thorax 63, no. 6 (January 18, 2008): 487–92. http://dx.doi.org/10.1136/thx.2007.086371.
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Background:Chronic obstructive pulmonary disease (COPD) is often associated with other chronic diseases. These patients are often admitted to hospital based rehabilitation programmes.Objectives:To determine the prevalence of chronic comorbidities in patients with COPD undergoing pulmonary rehabilitation and to assess their influence on outcome.Design:Observational retrospective cohort study.Setting:A single rehabilitation centre.Patients:2962 inpatients and outpatients with COPD (73% male, aged 71 (SD 8) years, forced expiratory volume in 1 s (FEV1) 49.3 (SD 14.8)% of predicted), graded 0, 1 or ⩾2 according to the comorbidity categories and included in a pulmonary rehabilitation programme.Measurements:The authors analysed the number of self-reported comorbidities and recorded the Charlson Index. They then calculated the percentage of patients with a predefined positive response to pulmonary rehabilitation (minimum clinically important difference (MCID)), as measured by improvement in exercise tolerance (6 min walking distance test (6MWD)), dyspnoea (Medical Research Council scale) and/or health related quality of life (St George’s Respiratory Questionnaire (SGRQ)).Results:51% of the patients reported at least one chronic comorbidity added to COPD. Metabolic (systemic hypertension, diabetes and/or dyslipidaemia) and heart diseases (chronic heart failure and/or coronary heart disease) were the most frequently reported comorbid combinations (61% and 24%, respectively) among the overall diseases associated with COPD. The prevalence of patients with MCID was different across the comorbidity categories and outcomes. In a multiple categorical logistic regression model, the Charlson Index (OR 0.72 (96% CI 0.54 to 0.98) and 0.51 (96% CI 0.38 to 0.68) vs 6MWD and SGRQ, respectively), metabolic diseases (OR 0.57 (96% CI 0.49 to 0.67) vs 6MWD) and heart diseases (OR 0.67 (96% CI 0.55 to 0.83) vs SGRQ) reduced the probability to improve outcomes of rehabilitation.Conclusions:Most patients with COPD undergoing pulmonary rehabilitation have one or more comorbidities. Despite the fact that the presence of comorbidities does not preclude access to rehabilitation, the improvement in exercise tolerance and quality of life after rehabilitation may be reduced depending on the comorbidity.
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Bularkieva, E. "Medical Efficiency of Cardiological Rehabilitation in Sanatorium-and-Spa and Medical and Health-improving Institutions on the Example of Kyrgyz Research Institute of Balneology and Rehabilitation Treatment." Bulletin of Science and Practice 8, no. 2 (February 15, 2022): 152–60. http://dx.doi.org/10.33619/2414-2948/75/21.
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Modern cardiological rehabilitation is carried out as a structured multicomponent program that includes physical activity, patient education, changes in health behavior, psychological and social support. In the countries of the European Union, only 44.8% of patients with coronary heart disease are recommended to participate in any form of rehabilitation and only 36.5% of all patients currently have access to any rehabilitation program. Over the past decade, the Russian Federation has seen a systematic decrease in mortality from coronary heart disease, mainly due to the introduction of modern technologies for the treatment of patients with coronary heart disease. According to medical statistics, cardiovascular diseases occupy the first place in the structure of total mortality in Kyrgyzstan, accounting for almost half (50.4% according to data for 2014) of all deaths. On average, more than 18 thousand people die from heart diseases in Kyrgyzstan every year, about 50 every day. At the same time, these diseases claim up to 17.5 million lives a year in the world.
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Mujovic, Natasa, Nebojsa Mujovic, Vladimir Zugic, Ljubica Nikcevic, Milan Savic, and Mihailo Stjepanovic. "Rehabilitation treatment in diseases of the pulmonary interstitium." Medical review 66, suppl. 1 (2013): 72–76. http://dx.doi.org/10.2298/mpns13s1072m.
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Introduction. Patients with interstitial lung disease suffer from a wide range of persistent symptoms, such as fatigue, shortness of breath and general weakness. Discussion and Review of Literature. So far, there have scarcely been any specific nonpharmacological treatments to reduce the above mentioned symptoms in the treatment of these patients. However, it has been shown that physical exercise improves health status, exercise capacity, skeletal muscle function and reduces fatigue and dyspnea in patients with chronic lung and heart diseases. These symptoms significantly deteriorate the quality of daily life in these patients. The mechanisms by which dyspnea is produced by interstitial lung diseases differ in some aspects from those of chronic obstructive pulmonary diseases and they include neuromechanical and physiological limitations, ventilatory-perfusion disorder, damaged diffusion, circulatory and cardiovascular limitations, anxiety, depression, as well as ventilating and skeletal muscle weakness. Early initiation of pulmonary rehabilitation is likely to improve several of these factors, particularly cardiovascular performance, muscular strength and mood disorders. Conclusion. Dysfunction of peripheral and respiratory muscles may contribute to a decrease in exercise tolerance due to systemic manifestations of disease, unwanted therapeutic effects or deconditioning of patients.
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Badan, Maxim, and Lucia Mazur-Nicorici. "Cardiac Rehabilitation of Patients Following Myocardial Infarction." Internal Medicine 19, no. 4 (December 1, 2022): 71–75. http://dx.doi.org/10.2478/inmed-2022-0230.
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Abstract Myocardial infarction (MI) - represents cardiomyocytes necrosis due to prolonged myocardial ischemia, occurring in the context of an imbalance between myocardial oxygen supply and consumption. According to the National Bureau of Statistics, in 2017, mortality from cardiovascular diseases made up 58.4% of all deaths, of which ischemic heart disease (IHD) constituted 52.5% and 8.5% were due to acute myocardial infarction. Cardiovascular rehabilitation is used to optimize the physical, psychological and social functioning of the patient who suffered a myocardial infarction. The session includes 3 phases: the warm-up, the actual training and the recovery (relaxation) phase. The program is individualized, so it is necessary to correctly select the type, intensity, duration and frequency for maximum therapeutic effect. Exercise-based medical rehabilitation is a supplement to drug therapy and post-infarction interventional surgery, as it improves cardiopulmonary function, optimizes drug therapy, decreases risk factors, increases exercise tolerance, improves mental status, reduces the risk of repeated heart attack and cardiac mortality. There are fewer complications due to bed rest and increased performance as a result of improved hemodynamic and metabolic function. As part of a cardiac rehabilitation program, physical activity helps with psychological adaptation and contributes to a successful return to work.
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Martynov, A. I., G. N. Gorohovskaya, V. L. Yun, A. A. Barvinskiy, and M. M. Petina. "ADVANCED USE OF COENZYME Q10 IN PATIENTS WITH CARDIOVASCULAR DISEASES." Eurasian heart journal, no. 1 (March 30, 2013): 57–67. http://dx.doi.org/10.38109/2225-1685-2013-1-57-67.
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This report examines interest in compounds that normally prevent the toxic effects of ROS -antioxidants, namely reduced ubiquinone, which is only lipid soluble antioxidant synthesized in cells of animals and humans, and continuously recovered from oxidized form by enzyme systems of the body, to possibilities of the use of coenzyme Q10 in cardiovascular diseases, has a beneficial therapeutic effect on the body, resulting in improvement of the cardiovascular, immune system, significant improvement in rehabilitation period, a significant increase in body energy, the use of coenzyme Q10, including in pediatric cardiology and study its effectiveness in primary and secondary mitochondrial defects as a means of adjuvant therapy of diseases and pathological conditions, as vegetative dystonia, diabetic kardioneyropatiya, myocardial dystrophy, hypertension, metabolic syndrome, cardiomyopathy posthypoxic newborn, chronic pulmonary heart, hyperlipidemia, the recovery period after cardiac correction of congenital heart disease, minimally invasive correction of arrhythmias and pacemaker implantation, etc. reperfusion syndrome, ischemia, hypertension, heart disease, aging, childhood.
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Sarana, Andrey M., Tatyana A. Kamilova, Svetlana V. Lebedeva, Dmitry A. Vologzhanin, Alexander S. Golota, Stanislav V. Makarenko, and Svetlana V. Apalko. "Cardiac Rehabilitation." Physical and rehabilitation medicine, medical rehabilitation 3, no. 1 (April 28, 2021): 24–39. http://dx.doi.org/10.36425/rehab64287.
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Cardiac rehabilitation based on exercise therapy is a valuable treatment for patients with a broad spectrum of cardiovascular diseases. Current guidelines support its use in patients with stable chronic heart failure and coronary artery disease, after myocardial infarction, acute coronary syndrome, coronary artery bypass grafting, coronary stent placement, and valve surgery. Its use in these conditions is supported by a robust body of research demonstrating improved clinical outcomes. The significant clinical improvement obtained through the regular training in patients with cardiovascular diseases is the result of a complex interplay of different effects: 1) improved cardiopulmonary efficiency and pulmonary functional capacity; 2) amelioration of myocardial perfusion by reducing endothelial dysfunction and by inducing new vessel formation; 3) improved myocardial contractility; 4) counteract the muscle wasting and cachexia; 5) reduction of the systemic inflammation; 6) attenuation of the sympathoexcitation, a typical feature of CHF, even in the persistence of cardiac dysfunction. Despite this evidence, cardiac rehabilitation referral and attendance remains low and interventions to increase its use need to be developed.
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Chan, Cecilia Lai-Wan, Chong-Wen Wang, Rainbow Tin-Hung Ho, Andy Hau-Yan Ho, Eric Tat-Chi Ziea, Vivian Chi-Woon Taam Wong, and Siu-Man Ng. "A Systematic Review of the Effectiveness of Qigong Exercise in Cardiac Rehabilitation." American Journal of Chinese Medicine 40, no. 02 (January 2012): 255–67. http://dx.doi.org/10.1142/s0192415x12500206.
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The objective of this study was to assess evidence for the efficacy and effectiveness of Chinese qigong exercise in rehabilitative programs among cardiac patients. Thirteen databases were searched through to November 2010, and all controlled clinical trials on Chinese qigong exercise among patients with chronic heart diseases were included. For each included study, data was extracted and validity was assessed. Study quality was evaluated and summarized using both the Jadad Scale and the criteria for levels of evidence. Seven randomized controlled trials (RCTs) and one non-randomized controlled clinical trial (CCT) published between 1988 and 2007 met the inclusion criteria. In total, these studies covered 540 patients with various chronic heart diseases including atrial fibrillation, coronary artery disease, myocardial infarct, valve replacement, and ischemic heart disease. Outcome measures emerged in these studies included subjective outcomes such as symptoms and quality of life; and objective outcomes such as blood pressure, ECG findings, and exercise capacity, physical activity, balance, co-ordination, heart rate, and oxygen uptake. Overall, these studies suggest that Chinese qigong exercise seems to be an optimal option for patients with chronic heart diseases who were unable to engage in other forms of physical activity; however, its efficacy and effectiveness in cardiac rehabilitation programs should be further tested.
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Vladimirskiy, V. E., and Yu M. Bobylev. "Rehabilitation of patients with chronic heart failure: opportunities and unresolved issues." Perm Medical Journal 38, no. 4 (August 15, 2021): 85–103. http://dx.doi.org/10.17816/pmj38485-103.
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The review is devoted to the problem of rehabilitation of patients with chronic heart failure (CHF). About 7 % of the population of our country have confirmed CHF. This fact is a reason for serious concern since this pathology is the main cause of death of patients from cardiovascular diseases. Until the end of the 20th century, the presence of symptomatic CHF in a patient was a contraindication for physical rehabilitation. However, over the past 10-15 years, rehabilitation care for this category of patients has been recommended by many medical communities. This review provides data on the mechanisms of the effect of physical activity on patients with CHF. Much attention is paid to clinical studies and meta-analyzes, which assess the clinical effectiveness of cardiac rehabilitation (CR) in patients with CHF. It has been shown that the effectiveness of this aid differs in different groups of CHF patients. Attention is paid to the description of the CR methodology among patients with CHF. Alternative opinions of the authors on the effectiveness of different types of training regimes are presented, methods for assessing the intensity of physical exercises are described. The review provides data on different models of organizing the delivery of rehabilitation care to CHF patients.
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Mehani, Sherin H. M. "Novel molecular biomarkers’ response to a cardiac rehabilitation programme in patients with ischaemic heart diseases." European Journal of Physiotherapy 20, no. 4 (April 20, 2018): 235–43. http://dx.doi.org/10.1080/21679169.2018.1464597.
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Schwaab, Bernhard. "Kardiologische Rehabilitation." Die Rehabilitation 61, no. 06 (December 2022): 395–407. http://dx.doi.org/10.1055/a-1746-4855.
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AbstractA scientific guideline has been developed to update and harmonize exercise based cardiac rehabilitation (CR) in German speaking countries of Europe. It addresses all aspects of CR including indications, contents and delivery. Four meta-analyses were performed to evaluate the prognostic effect of CR after acute coronary syndrome (ACS), after coronary bypass grafting (CABG), in patients with systolic heart failure (HFrEF), and to define the effect of psychological interventions during CR. Other indications for CR were based on a predefined semi-structured literature search and recommendations were established by a formal consenting process. CR is associated with a significant reduction in all-cause mortality in patients after ACS and CABG, whereas HFrEF-patients benefit in terms of exercise capacity and health-related quality of life. Patients with other cardiovascular diseases such as heart valve surgery or intervention, adults with congenital heart disease and peripheral arterial disease also benefit from CR-participation, but the scientific evidence is less clear. There is increasing evidence that the beneficial effect of CR strongly depends on “treatment intensity” including medical supervision, modulation of cardiovascular risk factors, information and education, and a minimum of individually adapted exercise volume. Additional psychologic interventions (PI) should be performed on the basis of individual needs. There was a trend towards reduction of depressive symptoms for “distress management” and “lifestyle changes” for PI. Patient education is able to increase patients` knowledge and motivation as well as behavior changes regarding physical activity, dietary habits and smoking cessation. Diversity-sensitive structures should be established to interact with the needs of special patient groups and gender issues. This guideline reinforces the substantial benefit of CR in specific cardiac indications, and it points out the minimal therapeutic needs in CR-delivery.
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POP, Dana, Alexandra DĂDÂRLAT-POP, Gabriel CISMARU, and Dumitru ZDRENGHEA. "The control of cardiovascular risk factors – an essential component of the rehabilitation of patients with ischemic heart disease. What are the current targets?" Balneo Research Journal, Vol.11, No1 (February 20, 2020): 20–23. http://dx.doi.org/10.12680/balneo.2020.310.
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Cardiovascular diseases continue to cause the highest mortality in Europe, among both men and women. Ischemic heart disease is responsible for most of these deaths. An important role in decreasing mortality and improving the prognosis of patients diagnosed with this disorder is played by cardiovascular rehabilitation programs. The short hospitalization period of patients with acute coronary syndromes who undergo revascularization procedures (in-hospital rehabilitation) becomes extremely useful to determine the cardiovascular risk factors underlying the development of these diseases and to implement lifestyle changing measures. Patients with ischemic heart disease included in rehabilitation programs will not only have the advantage of an increased exercise capacity, but they will also be monitored by qualified medical personnel for the evolution of cardiovascular risk factors. We aim to summarize the objectives to be targeted regarding these risk factors in the presence of a patient with ischemic heart disease included in cardiovascular rehabilitation programs. Key words: cardiovascular risk factors, cardiovascular rehabilitation,
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Mediano, Mauro Felippe Felix, Fernanda de Souza Nogueira Sardinha Mendes, Vivian Liane Mattos Pinto, Gilberto Marcelo Sperandio da Silva, Paula Simplício da Silva, Fernanda Martins Carneiro, Luiz Henrique Conde Sangenis, et al. "Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study." Revista da Sociedade Brasileira de Medicina Tropical 49, no. 3 (June 2016): 319–28. http://dx.doi.org/10.1590/0037-8682-0083-2016.
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Makarova, Irina N., S. M. Starikov, and D. D. Bolotov. "The program of physical rehabilitation for patients with coronary heart disease and hypertensive disease." Clinical Medicine (Russian Journal) 94, no. 1 (February 19, 2016): 36–38. http://dx.doi.org/10.18821/0023-2149-2016-94-1-36-38.
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The authors demonstrate the importance of individual criteria for the choice of dosed physical load for the patients with cardiological problems during hospitalization. The analysis of the functional state and hemodynamic parameters included 68 patients with various cardiovascular diseases before and after performance of the special program ofphysical rehabilitation. The results suggest high efficiency of the proposed treatment and good prospects for further studies in this field.
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Simonelli, Carla, Michele Vitacca, Nicolino Ambrosino, Simonetta Scalvini, Francesca Rivadossi, Manuela Saleri, Aubin G. Fokom, Ilaria Speltoni, Riccardo Ghirardi, and Mara Paneroni. "Therapist Driven Rehabilitation Protocol for Patients with Chronic Heart and Lung Diseases: A Real-Life Study." International Journal of Environmental Research and Public Health 17, no. 3 (February 5, 2020): 1016. http://dx.doi.org/10.3390/ijerph17031016.
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Therapist driven protocols may help to tailor rehabilitation programs to individual patients. We aimed to test the feasibility, safety, and clinical usefulness of a therapist driven protocol for rehabilitation including exercise training of patients with heart or lung diseases. An internal audit elaborated the Cardio-Respiratory Exercise Maugeri Algorithm (CREMA) based on: (a) standardized baseline assessments, (b) decision-making pathways, and (c) frequency/intensity/time/type (FITT) of prescription for each exercise. Outpatients (n = 620) with chronic heart disease (CHD), recent myocardial revascularization (REVASC), chronic airway (Obstructive), and restrictive lung (Restrictive) diseases underwent exercise training according to CREMA during 4 years. Peripheral muscle strengthening was the most prescribed exercise (83.6%), while arm endurance training was the least frequently (0.75%). Exercise prescription varied widely among the disease groups (interval training 19–47%, balance 35–49%, lower limb muscle training 6–15%). After training, REVASC patients were the best improvers in the 6 min walking distance (+48.7 (56.1) m), maximal inspiratory pressure (+9.6 (15.4) cmH2O), and daily steps (+1087.2 (3297.1) n/day). Quadriceps and biceps strength, maximal expiratory pressure, and balance improved in all groups, without significant differences. Minor side effects were observed in 11.2% of the patients. The CREMA therapist driven protocol was feasible, safe, and useful for prescribing tailored training programs. Exercise prescriptions and training response differed among diseases.
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Vasiliauskas, Donatas, Lina Jasiukevišiene, Raimondas Kubilius, Ruta Arbašiauskaite, Dovile Dovidaitiene, and Loresa Kriaušiuniene. "The effectiveness of long-term rehabilitation in patients with cardiovascular diseases." Medicina 45, no. 9 (September 8, 2009): 673. http://dx.doi.org/10.3390/medicina45090087.
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Background. Screening results of EuroAspire III study have revealed the failure of effective correction of cardiovascular risk factors in all 22 participating EU countries. How long should cardiac rehabilitation programs last to impact motivation for lifestyle change? Aim and objectives. To compare the impact of long-term (6 months) rehabilitation versus short-term (4 weeks) rehabilitation on the reduction of risk factors and cardiac events, as well as on the use of cardioprotective drugs. Methods. Study contingent of 150 patients, suffering from functional class III-IV (NYHA) chronic heart failure caused by ischemic and hypertensive cardiomyopathy, was subjected to complex rehabilitation: exercise training, dietary corrections, and smoking cessation. The patients were divided into two groups: long-term rehabilitation group (n=80) and short-term rehabilitation group (n=70). Blood pressure, body mass index, dietary habits, dyslipidemia, sedentary lifestyle, smoking, chronic fatigue, and use of cardioprotective drugs were evaluated in all patients at the onset of study, after 4 weeks, and 6 months. Cardiovascular events were estimated throughout the whole 6-month period. Results. In the long-term rehabilitation group, there was a significant reduction (P<0.05) in systolic blood pressure (151±9.2 vs. 135±9.7 mm Hg), diastolic blood pressure (92.3±6.5 vs. 75.4±3.8 mm Hg,) body mass index (35.4±3.5 vs. 27.2±4.8 kg/m2), dyslipidemia (56.3 vs. 23.4%), sedentary lifestyle (31.3 vs. 4.7%), and smoking (10.0 vs. 0%). The impact of a short-term rehabilitation was not significant. Because of cardiac events, 13 patients (16.3%) in the long-term rehabilitation group and 26 (16.3%) in the short-term rehabilitation group failed to complete the 6-month study (P<0.05). The following change in drug use pattern was noted in the long-term rehabilitation group: nitrates, 74 vs. 65%; digitalis, 42 vs. 32%; antiarrhythmic agents, 15 vs. 10%; statins, 36 vs. 20% (P<0.05). During 6 months, in both groups, because of better physician monitoring, there was no decrease in the use of major cardioprotective drugs, such as antiaggregants, beta-blockers, and ACE inhibitors. Conclusions. Long-term (6 months) versus short-term (4 weeks) rehabilitation of cardiovascular patients significantly reduces manifestation of major cardiovascular risk factors, the rate of cardiac events, chronic fatigue and improves the use of cardioprotective drugs.
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Fabrin, Saulo, Nayara Soares, Simone Cecílio Hallak Regalo, Jacqueline Rodrigues de Freitas Vianna, and Eloisa Maria Gatti Regueiro. "Evolution of patients with heart disease after cardiopulmonary rehabilitation program: case report." Fisioterapia em Movimento 30, no. 1 (March 2017): 169–76. http://dx.doi.org/10.1590/1980-5918.030.001.ao18.
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Abstract Introduction: Recovery and maintenance of patients suffering from heart and respiratory diseases using the cardiopulmonary rehabilitation program (CPRP) help maintain their functionality and improve the activities of daily living (ADLs) carried out according to their functional limitations. Objective: To investigate the efficacy of a CPRP in a patient with cardiopulmonary disease, following a 5-month training program. Methods: A 66-year-old female patient, body weight 78 kg, height 1.55 m, diagnosed with acute myocardial infarction and bronchial asthma underwent a six-minute walk test (6MWT) to measure exercise tolerance; the Wells Bench was used to measure the flexibility of the posterior chain and lower limbs (LL), and a hand-held dynamometer (HHD) was used to measure upper limb strength (ULS).Vital sign measurements include blood pressure (BP), heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2) as well as dyspnea and LL fatigue (modified Borg scale) at rest, during and after 5-month CPRP. Results: An increase of 145 meters during the cardiopulmonary rehabilitation program i.e. 30% of walk distance (WD) in the 6MWT (pre = 345, post = 490m). There was an increase of 32% in flexibility (pre = 13, post = 19cm); in right upper limb (pre = 26, post = 60 kgf) and left lower limb strength (pre = 28, post = 72kgf), there was an increase of 57% and 61%, respectively. Conclusion: The CPRP proved to be effective in increasing exercise capacity, upper limb strength and flexibility of the posterior chain and lower limbs.
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Li, Changling, and Aijie He. "Influence of Diversity Nursing on Patients’ Rehabilitation in Cardiology Treatment." Journal of Healthcare Engineering 2021 (December 7, 2021): 1–15. http://dx.doi.org/10.1155/2021/5606660.
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With the improvement of living standards, people have more and more physical health problems. Among them, high-risk cardiovascular diseases such as hypertension, diabetes, and coronary heart disease are the most prominent. The number of cardiology patients is increasing year by year. Effectively improving the treatment of cardiology patients and speeding up the recovery of cardiology patients have become a social problem. This article aims to explore the impact of diverse nursing care on patients in cardiology treatment. This article first gives a detailed introduction to the treatment of diverse nursing and cardiology diseases, then takes 300 cardiology patients in our hospital as experimental subjects, and conducts a controlled experiment of nursing intervention, which is categorized into an experimental group of 150 cases (including 35 cases of hypertension, 46 cases of diabetes, 28 cases of coronary heart disease, 24 cases of angina pectoris, and 17 cases of multiple complications) and a control group of 150 cases (including 30 cases of hypertension, 47 cases of diabetes, 39 cases of coronary heart disease, 21 cases of angina pectoris, and 13 cases of multiple complications). The experimental results showed the following: the general information of the two groups of patients was not statistically different ( P > 0.05 ); after the nursing intervention, the blood glucose levels of the two groups of patients decreased, but the experimental group decreased more significantly and the blood glucose control effect was more obvious; after the intervention, in the experimental group that implemented diversified nursing interventions, the patient’s condition management effect was better and their scores were between 8 and 10; the mental state self-evaluation of the two groups of patients was significantly different from the domestic reference value ( P < 0.05 ), and there is a very significant statistical difference between the two groups after nursing intervention ( P < 0.01 ); after nursing intervention, compared with the control group, the quality of life of the experimental group improved more significantly and the highest score reached about 70; the overall satisfaction of the experimental group with nursing work reached 92%, while the satisfaction of the control group with nursing work was only 44.67%. Studies have shown that diversified care has a positive impact on the rehabilitation of patients in cardiology treatment.
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Ivanova, O. А., and S. G. Kuklin. "THE RATE OF CARDIAC RHYTHM RECOVERY POST EXERTION IN PHYSICAL REHABILITATION OF CARDIOLOGICAL PATIENTS." Cardiovascular Therapy and Prevention 17, no. 2 (April 20, 2018): 95–100. http://dx.doi.org/10.15829/1728-8800-2018-2-95-100.
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Taken the rising mortality and morbidity of the population due to cardiovascular diseases (CVD), rehabilitation of cardiovascular patients remains actual. Regular exercises are the leading components of cardiorehabilitation, that is evidently beneficial. Taken this, the question raises on the adequacy and efficacy of training regimens. Utilization of the parameter representing the velocity of heart rate decline by every minute of recovery phase after the exertion, is quite informative. The borderline set for heart rate, with increasing cardiovascular risk if below. Dynamics of such parameter during the programs of physical rehabilitation might be a marker of the events efficacy. Recently, there is a deficiency of information on the normal parameters of heart rate recovery rate in CVD patients. Hence a question raises, on the unification of approaches in evaluation of recovery period and data collection on the influence of long term exercises on CVD prognosis.
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Kovalchuk, P. N., and L. S. Kovalchuk. "OZONE THERAPY IN REHABILITATION TREATMENT OF PATIENTS WITH ISCHEMIC DISEASE." Health and Ecology Issues, no. 1 (March 28, 2012): 146–50. http://dx.doi.org/10.51523/2708-6011.2012-9-1-29.
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The clinical efficacy of rehabilitation treatment under the impact of ozone therapy has been studied in patients with ischemic heart disease. 155 patients with exertional angina of I and II functional classes were examined in a health resort. Of them, 105 patients underwent ozone therapy on the ozonator made by firm «Medozone» (Moscow) with ozone concentration 2,5-3 mg/l. The results of the research testify to the high clinical efficacy of the method at the expense of the activation of oxygen supply mechanism and rising of the functional reserves of cardiovascular system. The method of parenteral introduction of ozone oxygen mixture extends opportunities of the management of stenocardia patients with high risk for complication development and availability of concomitant diseases.
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Irsay, Laszlo, Rodica Ana Ungur, Ileana Monica Borda, Irina Tica, Mădălina Gabriela Iliescu, Alina Deniza Ciubean, Theodor Popa, et al. "Safety of Electrotherapy Treatment in Patients with Knee Osteoarthritis and Cardiac Diseases." Life 12, no. 11 (October 24, 2022): 1690. http://dx.doi.org/10.3390/life12111690.
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OBJECTIVE: To assess the safety of electrotherapy applied in the knee area in patients with known atrial arrhythmias or ischemic heart disease, as it is not known whether this treatment induces or aggravates arrhythmias during or immediately after therapy. MATERIAL AND METHODS: The analytical and transversal study involved 46 patients with degenerative knee osteoarthritis (OA), with or without cardiac diseases, from the Clinical Rehabilitation Hospital inpatient center, Cluj-Napoca, Romania. All patients underwent a 10-day physical therapy program for knee OA (electrotherapy, massage and kinesiotherapy). Heart rate and the total number of ventricular and supraventricular extrasystoles were evaluated before and after treatment, by 24 h Holter ECG monitoring. RESULTS: There was no significant increase in heart rate or in the number of ventricular or supraventricular extrasystoles before or after electrotherapy treatment, regardless of the positive or negative history of arrhythmia or ischemic heart disease (all p > 0.05). Mean values during day 1 were: 35.15 (95% CI [9.60–60.75]) for ventricular ones extrasystoles and 91.7 (95% CI [51.69–131.7]) for supraventricular ones, which during day 2 were 38.09 (95% CI [3.68–72.50]), 110.48 (95% CI [48.59–172.36]), respectively. CONCLUSION: One of the most important things to consider when dealing with an OA patient is that they are most likely older than 65 years, which increases the chance of having a cardiac disease. This raises the need for viable interventions regarding the management of this disease in patients that probably have multiple comorbidities, and where pharmacological and surgical management are not possible, limited or have multiple side effects. Electrotherapy used for treating knee OA did not cause a significant increase in heart rate or number of ventricular and supraventricular extrasystoles in this category of patients.
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Nnomzo’o, Alice, Pavel V. Pavlov, Ekaterina S. Garbaruk, Oksana C. Gorkina, and Olga S. Olina. "The auditory function of infants with congenital heart diseases." Pediatrician (St. Petersburg) 8, no. 3 (May 15, 2017): 81–87. http://dx.doi.org/10.17816/ped8381-87.
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Congenital heart disease (CHD) is 1/3 of all congenital malformations and one of the main causes of infant mortality. Hearing loss may be part of syndromes associated with CHD, or the hearing pathology can be a consequence of the various stages of rehabilitation of underlying pathology. Currently, there isn’t any data on the systematic study of hearing impairment in children with congenital cardiac pathologies. Three hundred and six patients aged 2 days to 8.5 months were examined: 96 patients were included in the main group with CHD, and 300 children without CHD made up a comparison group. All children underwent newborn hearing screening. Infants with suspected hearing pathology were tested with a comprehensive audiological examination. In the CHD group hearing impairment was detected in 29% of children, including sensorineural hearing loss (SNHL) in 12%. And in the comparison group, 3.6% of infants had a hearing loss, SNHL was defined in 1%. Analysis of the data revealed the most significant risk factors for hearing impairments in children with CHD and it had showed the difference in the structure of the risk factors between the both groups. In the study group was registered a case of auditory neuropathy spectrum disorders. This case illustrated the importance of conducting hearing screening by means of click-evoked auditory brainstem responses and not only of registration of otoacoustic emissions. One child with CHD was found to have delayed SNHL, which requires long-term monitoring of hearing in children with cardiopathology.
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Olteanu, Gabriel, Maria-Alexandra Pană, Vitto Nitti, Victor Cojocaru, Ștefan-Sebastian Busnatu, and Adrian Tulin. "THE ROLE OF TECHNOLOGY IN PERFORMING PHYSICAL ACTIVITY IN REHABILITATION PROGRAMS FOR PATIENTS WITH CARDIOVASCULAR DISEASES." Technology and Innovation in Life Sciences 1, no. 1 (May 22, 2022): 12–18. http://dx.doi.org/10.56051/tils.v1i1.8.
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This research aimed to investigate the results of a kinetotherapy program carried out through a virtual assistant and monitored by wearables. The study includes a group of 10 patients with recomendation to enroll in a cardiovascular rehabilitation program. The investigation was carried out at the clinical Emergency Hospital ‘Bagdasar-Arseni’ between October 2020 and June 2021. The patient enrollment process was dificult in the current epidemiological context. Patients were initially evaluated using the cardiopulmonary effort test to determine if they have contraindications for effort and monitored throughout the ambulatory inhospital physiotherapy sessions (EKG, blood pressure, heart frequency, oxygen saturation). At the end of the recovery sessions another cardiopulmonary test was performed to see the evolution of patient effort. Rehabilitation sessions included physical exercises using digital games / „serious-games” and progressive resistance exercises. Vital parameters (blood pressure, ventricular alura, oxygen saturation), weight excess, effort tolerance level have improved. On the first day of kinetotherapy, the mean systolic blood pressure was 138 mmHg and the mean diastolic pressure of 83 mmHg compared to the last day the patients attended the recovery session when the mean systolic blood pressure dropped to 120 mmHg, and the diastolic mean dropped to 73 mmHg. As for heart rate, an improvement in rest values was observed, that demonstrates an increase in tolerance to effort and a reduction in deconditioning. The data obtained from active participation in physiotherapy programs show a considerable improvement in the effort capacity, functional independence and quality of life of patients.
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Elad, Boaz, Manhal Habib, and Oren Caspi. "Cardio-Oncology Rehabilitation—Present and Future Perspectives." Life 12, no. 7 (July 7, 2022): 1006. http://dx.doi.org/10.3390/life12071006.
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Recent advances in cancer therapy have led to increased survival rates for cancer patients, but also allowed cardiovascular complications to become increasingly evident, with more than 40% of cancer deaths now being attributed to cardiovascular diseases. Cardiotoxicity is the most concerning cardiovascular complication, one caused mainly due to anti-cancer drugs. Among the harmful mechanisms of these drugs are DNA damage, endothelial dysfunction, and oxidative stress. Cancer patients can suffer reduced cardiorespiratory fitness as a secondary effect of anti-cancer therapies, tumor burden, and deconditioning. In the general population, regular exercise can reduce the risk of cardiovascular morbidity, mortality, and cancer. Exercise-induced modifications of gene expression result in improvements of cardiovascular parameters and an increased general fitness, influencing telomere shortening, oxidative stress, vascular function, and DNA repair mechanisms. In cancer patients, exercise training is generally safe and well-tolerated; it is associated with a 10–15% improvement in cardiorespiratory fitness and can potentially counteract the adverse effects of anti-cancer therapy. It is well known that exercise programs can benefit patients with heart disease and cancer, but little research has been conducted with cardio-oncology patients. To date, there are a limited number of effective protective treatments for preventing or reversing cardiotoxicity caused by cancer therapy. Cardiac rehabilitation has the potential to mitigate cardiotoxicity based on the benefits already proven in populations suffering from either cancer or heart diseases. Additionally, the fact that cardiotoxic harm mechanisms coincide with similar mechanisms positively affected by cardiac rehabilitation makes cardiac rehabilitation an even more plausible option for cardio-oncology patients. Due to unstable functional capacity and fluctuating immunocompetence, these patients require specially tailored exercise programs designed collaboratively by cardiologists and oncologists. As the digital era is here, with the digital world and the medical world continuously intertwining, a remote, home-based cardio-oncology rehabilitation program may be a solution for this population.
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Mostepan, T. V., O. G. Shekera, V. V. Horachuk, and M. M. Dolzhenko. "Heart disease as a permanent problem." Health of Society 10, no. 2 (August 20, 2021): 68–75. http://dx.doi.org/10.22141/2306-2436.10.2.2021.238583.
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Background. Chronic noncommunicable diseases remain actual for a long time due to their impact on life expectancy and health of the world's population. Heart diseases as representatives of chronic non-infectious diseases are extremely actual. They remain the leading cause of disability and premature death for humankind. The purpose of the study: to analyze the incidence and mortality of the population from heart diseases in certain developed countries of the world, European countries, in particular in Ukraine, the risk factors that cause them, and to determine possible directions of preventive and rehabilitation strategies to improve the epidemic situation in Ukraine. Materials and methods. Data from meta-analyzes and systematic reviews from academic databases; data from state and health care statistics; methods: bibliosemantic, comparative, medical and statistical analysis, generalization. Results. It was found that the number of years lived by mankind with disabilities increased by 4.5 % over 10 years due to heart diseases. It is shown that the level of morbidity and mortality is significantly higher in the countries of Central and Eastern Europe, in particular, in Ukraine, in comparison with Sweden, Great Britain, Canada, the USA and Western European countries. It was revealed that the highest levels of mortality caused by risk factors for the population of all these countries and regions are associated with High Blood Pressure, nutrition, High Blood Cholesterol, however, in terms of values, they significantly prevail in the countries of Eastern Europe, in particular, in Ukraine, with an increase over 2009 – 2019 due to High Blood Pressure – from 494.88 to 536.51 per 100 thousand people, nutrition – from 397.29 to 430.66 per 100 thousand people, High Blood Cholesterol – from 345.98 to 373.13 per 100 thousand people. The population and personal strategies for the prevention of heart diseases and rehabilitation of patients depending on the clinical condition in Ukraine have been substantiated. Conclusions. The impact of heart diseases on the population health is constantly increasing. It confirms the permanence of the problem and requires constant attention and effective measures from the governments of countries and health systems.
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Zeballos, Cecilia, Diego Iglesias, Ivana Paz, Julieta Bustamante, Enrique González Naya, Gustavo Castiello, and Ignacio Davolos. "Current Status of Cardiac Rehabilitation in Argentina." Revista Argentina de Cardiologia 89, no. 1 (February 2021): 37–41. http://dx.doi.org/10.7775/rac.v89.i1.19819.
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Background: Cardiac rehabilitation is a well-known strategy for secondary prevention in several heart diseases and includes a set of strategies based on education of a healthy lifestyle, management of cardiovascular risk factors, psychosocial counseling, and prescription of supervised physical exercise. Several clinical trials, systematic reviews and meta-analyses have documented its efficacy and safety. Nevertheless, cardiac rehabilitation remains underused. There is information available describing the current status of cardiac rehabilitation and the characteristics of centers in some European countries and North America. There are pooled data from South America in 2014, along with reports from Brazil, Colombia, and Uruguay, but there are few data from our country. Therefore, the aim of this study was to determine the current status of cardiac rehabilitation programs in Argentina. Methods: We conducted a descriptive study using a virtual questionnaire to evaluate the structure and characteristics of rehabilitation programs in our country and the potential barriers to achieve efficient rehabilitation. Results: Seventy-two centers responded. The main results show a high concentration of centers in urban areas (69.23% in AMBA), predominance of private centers (66.67%), inclusion of patients with the so-called classic cardiovascular diseases (coronary artery disease, heart failure, postoperative heart valve surgery, peripheral vascular disease, and after cardiac transplantation and device implantation), and a majority of centers with an exercise-centered strategy. The main difficulty for the inclusion of patients in the centers was poor referral of candidates. Conclusions: The data from this survey allow for a diagnosis of the situation and can be the starting point for developing improvement strategies to implement quality standards and future accreditation programs for the centers.
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Paorod, Phavinee, Weerapong Chidnok, and Jarun Sayasathid. "Effect of Home-Based Cardiac Rehabilitation Program on Exercise Capacity in Open Heart Surgery Patients at Naresuan University Hospital." Songklanagarind Medical Journal 35, no. 4 (December 28, 2017): 285. http://dx.doi.org/10.31584/smj.2017.35.4.744.
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Objective: To investigate the effects of home-based cardiac rehabilitation program on exercise capacity using the six-minute walk test (6-MWT) in open heart surgery patients, Naresuan University Hospital.Material and Method: In a quasi-experimental study design, seventy patients who were diagnosed with heart diseases and received open heart surgery at Cardiac Center, Naresuan University Hospital were enrolled and collected data from October 2015 - September 2016 (n=70). The patients completed 8-12 weeks home-based cardiac rehabilitation program. The patients were performed the 6-MWT before hospital discharge, the first and second follow up time point. Data were expressed as average mean and chi-square test were used to determine the relationships among outcome parameters.Results: There was a significant within-group in 6-MWT distance after completed home-based cardiac rehabilitation program (377.0±69.0 meters) compared to before hospital discharge (209.0±62.0 meters) and the first follow up time point (4-8 weeks) (306.0±88.0 meters) (p-value<0.050).Conclusion: The 8-12 weeks home-based cardiac rehabilitation program exhibited significant positive effects on exercise capacity in open heart surgery patients, Naresuan University Hospital.
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Dinesen, Birthe, Helle Spindler, Jens Refsgaard, and Malene Hollingdal. "Future Patient: Telerehabilitation of Patients With Heart Failure Empower Patients." Iproceedings 8, no. 1 (August 23, 2022): e41491. http://dx.doi.org/10.2196/41491.
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Background Heart failure is one of the most common cardiovascular diseases that causes mortality, and patients’ participation in rehabilitation programs is often low. During the COVID-19 pandemic, the Future Patient Telerehabilitation Program developed for patients with heart failure offered a new approach. The aim of the Future Patient program has been to increase the quality of life and educate patients to monitor any worsening of their symptoms. Patients used self-tracking devices for monitoring their physical activity, blood pressure, sleep, respiration, and pulse, with their data transmitted to a shared web platform (called the Heart Portal), which could be accessed by patients, their relatives, and health care professionals across sectors. Objective The aim of this paper is to determine whether the Future Patient Telerehabilitation Program has increased the quality of life of patients with heart failure and to empower them to manage their own disease. Methods A randomized controlled trial (n=140) was conducted. Data from the intervention group (n=70, 50%) on patient-reported outcomes were collected and analyzed using the Kansas City Cardiomyopathy Questionnaire and Spiegel Sleep Questionnaire. Semistructured interviews with 12 patients (n=6, 50% men and n=6, 50% women) were conducted and analyzed. Results The patients participating in the Future Patient program experienced a significant increase in clinical and social well-being as well as in quality of life. The patients participating in the program articulated their experiences in terms of the following themes: a sense of security and an increased sense of empowerment in managing their disease using the Heart Portal. The Heart Portal proved to be a valuable tool for remote monitoring and better communication with health care professionals across sectors. Conclusions Telerehabilitation of patients with heart failure can improve their quality of life and empower them to manage their own disease remotely.
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Zubko, Aleksandr V., Tamara P. Sabgayda, Elena V. Zemlyanova, Angilina G. Filatova, Tea T. Kakuchaya, Vyacheslav G. Zaporozhchenko, and Vladimir A. Polesskii. "Social portrait of patients of the cardio-rehabilitation unit of a large cardio-surgical center." Health Care of the Russian Federation 64, no. 3 (July 1, 2020): 124–31. http://dx.doi.org/10.46563/0044-197x-2020-64-3-124-131.
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Background. The social portrait of patients often helps to define preventive measures for specific diseases in patients of different social and age groups. Need in cardio-surgery is substantiated not only by inborn but also by acquired diseases of heart, in most cases - ischaemic heart disease. The development of cardiovascular diseases is affected by multiple factors including lifestyle. Objective. To analyze the social and behavioral characteristics of cardio-surgical patients. Materials and methods. The authors analyzed the results of a survey of 93 patients in the rehabilitation unit of V.I. Burakovsky Research Institute of Cardiosurgery in 2019. The adapted questionnaire for identifying factors affecting population health was used. The respondents were divided into 3 age groups: 12 patients were under 40 years (mean age of 30.1, 75.0% men); 50 patients - 40-65 years (mean age of 56.4, 76.0% men); 30 patients - 65+ years (mean age of 70.3, 50.0% men). To analyze differences Chi-square and Fisher exact tests were applied. Results. Educational level is increasing with age. Financial well-being was estimated as poverty by one-third of respondents in all groups. 5.4% are dissatisfied with their family relations. The feeling of loneliness is often experienced by 4.3% of respondents. About one-half of respondents mentioned they do not care about their health and 18.5% of the don’t know their diseases to be treated using cardio-surgery. More than half of respondents are uneasy about their future uncertainty. Discussion. The respondent’s’ social status differs in age groups. The social and behavioral characteristics of patients of the cardio-rehabilitation unit allow them to create an integrated social portrait. Conclusions. Patients of cardio-rehabilitation units are characterized by higher educational levels and employment, better financial conditions. Among them, there were few lonely persons, but many sedentary ones. Such patients are characterized by a non-responsible attitude to their health, higher frequency of smoking, overweight, and obesity. Age-specific differences are related to physical fitness but nor to attitude to health neither to self-protective behavior.
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D’Andrea, Antonello, Simona Sperlongano, Mario Pacileo, Elio Venturini, Gabriella Iannuzzo, Marco Gentile, Rossella Sperlongano, et al. "New Ultrasound Technologies for Ischemic Heart Disease Assessment and Monitoring in Cardiac Rehabilitation." Journal of Clinical Medicine 9, no. 10 (September 28, 2020): 3131. http://dx.doi.org/10.3390/jcm9103131.
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Owing to its ease of application, noninvasive nature, and safety, echocardiography is an essential imaging modality to assess cardiac function in patients affected by ischemic heart disease (IHD). Over the past few decades, we have witnessed a continuous series of evolutions in the ultrasound field that have led to the introduction of innovative echocardiographic modalities which allowed to better understand the morphofunctional abnormalities occurring in cardiovascular diseases. This article offers an overview of some of the newest echocardiographic modalities and their promising application in IHD diagnosis, risk stratification, management, and monitoring after cardiac rehabilitation.
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Kolesnikov, A. N., A. V. Dubovaya, and Yu V. Udovitchenko. "PARTICIPATION OF VITAMIN D IN PATHOGENESIS OF CARDIOVASCULAR DISEASES." Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 63, no. 5 (November 20, 2018): 43–50. http://dx.doi.org/10.21508/1027-4065-2018-63-5-43-50.
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The article presents data of experimental and clinical studies devoted to the influence of vitamin D on the origin and progression of the cardiovascular diseases: arterial hypertension, atherosclerosis, coronary heart disease, cardiac rhythm disturbances. The results of the studies indicate that a pronounced deficiency of vitamin D is highly correlated with sudden cardiac death, cardiovascular catastrophes, and overall mortality. The decrease in vitamin D is followed by an increase in total cholesterol, low-density lipoproteins and triglycerides, an increase in the heart rate and the level of systolic blood pressure. The Meta-analyzes of randomized controlled trials demonstrated that the addition of vitamin D to treatment and rehabilitation measures of the patients with cardiovascular disease helps to reduce overall mortality.
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Lazarenko, Nina Nikolaevna, A. B. Sekirin, V. F. Prikuls, S. N. Smirnova, M. V. Supova, O. V. Trunova, E. I. Ostrovskiy, M. Yu Gerasimenko, and A. A. Soldatov. "EFFECTIVENESS OF VISUAL COLOR IMPULSE THERAPY IN REHABILITATION OF PATIENTS WITH CARDIOVASCULAR DISEASES WITH ASTENO-DEPRESSIVE SYNDROME." Russian Journal of Physiotherapy, Balneology and Rehabilitation 16, no. 6 (December 15, 2017): 295–99. http://dx.doi.org/10.18821/1681-3456-2017-16-6-295-299.
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It is known that neurotic disorders can be independent risk factors for the development of complications in patients with cardiovascular diseases. This requires the creation of new rehabilitation programs that include not only medicines but also physiotherapy. To this end, an analysis was made of the effect of complex treatment, including visual color impulse therapy, on the psychoemotional state of 80 patients with cardiovascular diseases, hypertensive disease and coronary heart disease, who also have asthenic-depressive symptoms. In this case, patients in two control groups received standard drug therapy, and in the two main groups received additional color pulse therapy from the «Mellon» apparatus. Dynamics of the psychoemotional state of patients was studied with the help of a test that determines the quantitative changes in the state of health, activity and mood, as well as the stress index that characterizes the regulation of the heart rhythm under stress. Prior to the start of treatment, functional disintegration of regulatory mechanisms was characteristic for all patients, which was accompanied by psychoemotional disorders that indirectly reflected the state of highly organized nervous processes in the cerebral cortex, which altered the values of SI stress index indicators and the «well-being, activity, mood» test. The regression statistical analysis was used in this work. As a result, the indications and contraindications to the use of this method of treatment were determined. After the course of complex treatment, including drug and visual color impulse therapy, positive dynamics in the patients’ state was revealed, which indicates an increase in the functional capabilities of their body, and also, given the good tolerability of visual color impulse therapy, the feasibility of including this method in complex treatment at any stage of rehabilitation.
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Teng, Yusong, Haomiao Yu, Peng Chen, and Yichen Bao. "HIGH-INTENSITY TRAINING ON PULSE AND DICROTIC WAVEFORM IN CHRONIC DISEASES." Revista Brasileira de Medicina do Esporte 27, no. 7 (July 2021): 732–35. http://dx.doi.org/10.1590/1517-8692202127072021_0371.
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ABSTRACT Introduction: The formation and propagation of pulse waves are mainly accomplished by coordinating the heart and the vascular system. The contraction and relaxation of the heart are the sources of pulse waves. The aorta vibrates regularly as the heart contracts. This vibration propagates forward along the elastic blood vessel to form a pulse wave. The pulse wave contains very rich physiological and pathological information about the cardiovascular system. If there is a problem with the heart's structure, it can cause abnormal pulse waveforms. Objective: This article analyzes pulse waveform changes and blood flow during high-intensity interval training. It combines the test results to guide the exercise rehabilitation treatment of patients with chronic diseases. Methods: Pulse waves were collected from subjects under different exercise loads and the characteristics of pulse wave parameters under intermittent exercise were studied. Results: An athlete's pulse wave response is different in the case of high-intensity intermittent exercise. There are differences in the cardiovascular response of patients with different body weights. Conclusion: High-intensity interval training can improve the cardiovascular function of patients with chronic diseases and affect their pulse waveform. Level of evidence II; Therapeutic studies - investigation of treatment results.
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Kolodenko, Olena, Vladimir Kolodenko, and Konstantin Babov. "INTEGRAL EVALUATION OF EFFECTIVENESS OF THE RENEWAL TREATMENT OF PATIENTS WITH ISCHEMIC HEART DISEASE AFTER MYOCARDIUM SURGICAL REVASCULARIZATION." EUREKA: Health Sciences 5 (September 29, 2017): 11–16. http://dx.doi.org/10.21303/2504-5679.2017.00414.
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Cardiovascular diseases are the one of main causes of lethality in all developed countries. In the structure of this group of diseases ischemic heart disease (IHD) occupies the leading place. In the last decade methods of myocardium surgical revascularization that allow to remodel the myocardium essentially and to increase its functional features significantly are developed. Alongside with it, myocardium surgical revascularization doesn’t eliminate main causes of atherosclerotic diseases. Ineffective rehabilitation, including insufficient management of main factors of the cardiovascular risk may essentially decrease results of this operation. The aim of the study was to elaborate the integral evaluation of the effectiveness of the renewal treatment of patients with IHD after myocardium surgical revascularization. For this aim we offer to use metabolic (leptin, НОМА index, atherogenicity index) and clinical-functional indices (body mass index, physical working ability and ejection fraction (EF) of the left ventricle, anxiety and depression level) before and after the renewal treatment and the result – integral index (I), calculated by the formula: , where М(1+2+n) – metabolic (leptin, НОМА index, atherogenicity index) indices, F(1+2+n) – functional and anthropometric ones (BMI, physical working ability, and EF of the left ventricle). The use of the integral index before the renewal treatment allows to elaborate the effective rehabilitation program, and after – to study the effectiveness of elaborated complexes and to decrease risks of IHD progression.
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Vozniy, O. V., and V. М. Romanyuk. "The use of biomarkers in planning orthopedic rehabilitation of patients with diseases of periodontal tissues." Experimental and Clinical Dentistry 06-07, no. 1-2 (December 31, 2019): 26–30. http://dx.doi.org/10.35339/ecd.2019.1-2.26-30.
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According to WHO, up to 75% of the population in different regions of the world are affected by the partial absence of teeth. Clinical observations show that in most cases, the cause of adentias is generalized periodontitis. According to researchers, from 5 to 20% of the population suffers from severe periodontitis, and from the mild to moderate periodontitis, the majority of adults. Moreover, periodontitis is associated with other serious conditions such as coronary heart disease, head and neck carcinoma, and chronic obstructive pulmonary disease. The aim of our study was to establish prognostically significant molecular biochemical criteria in the planning of implantological and orthopedic treatment of patients with periodontal tissue disorders and defects in the dentition. 40 patients were selected for the study. Among them, 10 healthy patients comprised the control group and 30 major patients with periodontal tissue disorders. Among them are 10 patients with grade I, 10 patients with grade II, 10 patients with grade III parodontitis and dentition defects. Determination of the level of biological markers of the oral fluid is a promising diagnostic method, does not require special training from a dentist, is a minimally invasive technique, and will allow to evaluate the current state of prosthetic bed tissues, which will allow rational planning of the type of orthopedic rehabilitation of dental patients.
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Liu, Chia-Feng, and W. H. Wilson Tang. "Gut microbiota in sarcopenia and heart failure." Journal of Cardiovascular Aging 2, no. 3 (2022): 35. http://dx.doi.org/10.20517/jca.2022.07.
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Sarcopenia is common in aging and in patients with heart failure (HF) who may experience worse outcomes. Patients with muscle wasting are more likely to experience falls and can have serious complications when undergoing cardiac procedures. While intensive nutritional support and exercise rehabilitation can help reverse some of these changes, they are often under-prescribed in a timely manner, and we have limited insights into who would benefit. Mechanistic links between gut microbial metabolites (GMM) have been identified and may contribute to adverse clinical outcomes in patients with cardio-renal diseases and aging. This review will examine the emerging evidence for the influence of the gut microbiome-derived metabolites and notable signaling pathways involved in both sarcopenia and HF, especially those linked to dietary intake and mitochondrial metabolism. This provides a unique opportunity to gain mechanistic and clinical insights into developing novel therapeutic strategies that target these GMM pathways or through tailored nutritional modulation to prevent progressive muscle wasting in elderly patients with heart failure.
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Babachenko, I. V., E. V. Sharipova, L. A. Alekseeva, S. N. Chuprova, T. V. Bessonova, and Yu E. Konstantinova. "The role of cardioenzymes in the diagnostics of infectious heart diseases." Journal Infectology 12, no. 5 (January 21, 2021): 107–13. http://dx.doi.org/10.22625/2072-6732-2020-12-5-107-113.
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Purpose: to evaluate the importance of increasing cardioenzymes in the diagnosis of infectious heart lesions.Object and methods: Under observation were 71 children aged 3 to 17 years (average age – 6.6 ± 0.4 years) who received treatment at the clinic of Pediatric Research and Clinical Center for Infectious Diseases. All children in the acute period of illness and 49 patients with follow-up history were identified with levels of creatine phosphokinase (CPK), MВ fractions of creatine phosphokinase (CPK-MВ), lactate dehydrogenase (LDH), C-reactive protein (CRP), aspartate aminotransferase (AST). Follow-up observation and examination of patients was performed after 1 month and after 1 year. All children were examined for a wide range of pathogens of acute respiratory viral infections, active herpes virus infections (EBV, CMV, HHV-6 type), B19 parvovirus, Chlamydophila pneumoniae, Mycoplasma pneumonia, enteroviruses and bacterial respiratory pathogens. All examined patients underwent electrocardiography and echocardiography.The results of the study. In the examined patients with an increased level of “cardioenzymes” (CPK-MВ, LDH, AST) against the background of acute respiratory infection (ARI), a wide range of diseases was established with damage to both the upper respiratory tract and lower (bronchitis, bronchiolitis, pneumonia), and also other infectious nosologies, including respiratory syndrome (infectious mononucleosis, enterovirus and parvovirus infection). The etiological structure was dominated by a group of herpesvirus (53%) and bacterial infections (25%), as well as their combinations. An analysis of the dynamics of the main biochemical and hematological parameters characterizing the severity of the systemic inflammation syndrome (leukocytes, SRE, CRP, CPK), as well as reflecting myocardial injuries and used in cardiology practice (CPK- MВ, LDH, AST), revealed a long-term (within 1 year observations) the preservation of a moderately elevated level of CPK-MВ, unlike other indicators that returned to normal within 1 month. An increase in CPK-MВ was recorded in 79% of patients with drip infections, while the average level of CPK-MВ in the total sample exceeded the normal values by 1.8-2.4 times.Conclusion. It was found that elevated levels of CPK-MВ and LDH can be used as criteria for the formation of dynamic observation groups and early rehabilitation.
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Fallon, Noeleen, Mary Quirke, Caroline Edgeworth, Rose O'Mahony, Nora Flynn, Patricia McGeary, Vincent Maher, Victoria Jones, and Gabrielle McKee. "Evaluation of the effectiveness of a phase three specialised heart failure cardiac rehabilitation programme on cardiovascular risk factor profile." British Journal of Cardiac Nursing 16, no. 8 (August 2, 2021): 1–10. http://dx.doi.org/10.12968/bjca.2021.0053.
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Background/Aims Cardiac rehabilitation has long been seen as effective for many cardiovascular diseases and, more recently, as having a positive impact on patients with heart failure. To evaluative the effectiveness of a phase three specialised heart failure cardiac rehabilitation programme on patients' cardiovascular risk factor profile. Methods This retrospective, longitudinal study examined profile factors of patients, pre- and post-cardiac rehabilitation programme. Patients with New York Heart Association class I–III, of any origin, were recruited through a specialised heart failure service to a 10-week exercise and education programme. Outcome variables included anxiety, depression, quality of life (Minnesota), 6-minute walking test result, blood pressure, weight, waist circumference, body mass index, Duke Activity Status Index and self-care, and were analysed with the Statistical Package for the Social Sciences using repeated measures t-test. Results 100 patients were eligible and 85 patients completed the programmes. Mean age was 66 years, 80% male, 59% were New York Heart Association class I and 73% had ejection fraction of ≤40%. There was a significant improvement in 6-minute walking test, systolic blood pressure, quality of life and anxiety post programme. Conclusions In-hospital and out of hospital cardiac care has developed significantly, especially in acute symptom control. More recently, emphasis has been put on the long-term control of other risk factors. This study contributes to the literature indicating that attendance at a hospital-based phase three cardiac rehabilitation programme providing supervised, tailored exercise, with intensive education and psychological support, is effective in reducing risk factors and improving quality of life in patients with lower grades of heart failure.
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Filimonov, Sergey N., Raisa V. Gordeeva, Olga V. Kuzmenko, Natalya V. Povarnitsina, Elena A. Semenova, and Tatyana D. Logunova. "Physical rehabilitation of patients with occupational diseases of the knee joints and industrial injuries." Hygiene and sanitation 101, no. 7 (July 31, 2022): 749–53. http://dx.doi.org/10.47470/0016-9900-2022-101-7-749-753.
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Introduction. The results of the use of therapeutic exercises in the form of Nordic walking in the patients with industrial injuries and occupational diseases of the knee joints are submitted. Studies have shown that Nordic walking helps to restore the range of motion in the affected joints, reduces the severity of pain syndrome, and has a positive effect on the cardiovascular and respiratory systems. Materials and methods. During the rehabilitation of the patients with industrial injuries and occupational diseases of the knee joints, therapeutic exercises were prescribed in the form of Nordic walking in the conditions of terrenkur against the background of high aeronization of the air environment. A control group of the patients with a similar pathology underwent rehabilitation using training devices for Continuous Passive Motion (CPM)-therapy in the hall for therapeutic exercises of the rehabilitation center. Upon admission and before discharge from the center, the volume of movements in the knee joints was examined, muscle strength, respiratory rate and heart rate, arterial blood pressure level were determined, pulse oximetry was performed, and the adaptive response was evaluated according to L.Kh. Garkavi. Results. The use of therapeutic exercises in the form of Nordic walking in the open air in the patients with industrial injuries and occupational diseases of the knee joints showed similar results with rehabilitation in closed halls, which makes it possible to use this technique instead of indoor activities. Limitations. The study did not include patients with other occupational pathology, as well as those who did not give informed consent to this study. Conclusions. The method of therapeutic exercises in the form of Nordic walking in the open air has shown similar effectiveness with the CPM-method in closed halls, which allows it to be preferred in rehabilitation programs for the patients with industrial injuries and occupational diseases of the knee joints in the conditions of the COVID-19 pandemic.
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Bąk, Ewelina, and Grażyna Procner. "Health behaviors of patients with ischemic heart disease undergoing early cardiac rehabilitation in the age range of 45-60 years." Journal of Education, Health and Sport 12, no. 9 (September 22, 2022): 922–32. http://dx.doi.org/10.12775/jehs.2022.12.09.106.
Full textAbstract:
Introduction and purpose of the work: Along with the development of civilization, civilization diseases appear, which take the form of the highest death rates, mainly in the field of cardiovascular diseases. It is largely related to the accumulation of negative consequences of improper health habits, as well as reduced physical activity. The aim of the study was to present the impact of health behaviors on the example of patients with ischemic heart disease treated with the CABG method, undergoing early cardiac rehabilitation at the "Równica" Health Resort in Ustroń, at the 2nd Cardiac Rehabilitation Department.
Materials and methods: The study was conducted among 81 patients, after coronary artery bypass surgery (CABG), rehabilitated at the 2nd Department of Early Cardiac Rehabilitation at the "Równica" Health Resort in Ustroń. The research was conducted from 10.2021 to 02.2022. The Health Behavior Inventory (IZZ) according to Juszczyński and an own questionnaire were used for the research.
Research results: According to the data analysis, Proper Eating Habits scored the highest, followed by Preventive Behavior and Positive Mental Attitude, and the lowest - Health Practices.
Conclusions: Based on the analysis of the conducted research, it can be concluded that people with ischemic heart disease do not care for their health properly. Women and the elderly, as well as physically active people, fare better in this respect.
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Larina, V. N., F. D. Akhmatova, S. E. Arakelov, A. E. Mokhov, I. M. Doronina, and N. N. Denisova. "Modern strategies for cardiac rehabilitation after myocardial infarction and percutaneous coronary intervention." Kardiologiia 60, no. 3 (May 3, 2020): 111–18. http://dx.doi.org/10.18087/cardio.2020.3.n546.
Full textAbstract:
Modern cardiac rehabilitation represents a structured, multicomponent program, which includes physical activity, education of the patient, modification of the health behavior, and psychological and social support. In EU countries, only 44.8% of patients with ischemic heart disease receive a recommendation to participate in any form of rehabilitation, and only 36.5% of all patients presently have an access to any rehabilitation program. Systematic analysis of programs for prevention of cardiovascular diseases and for rehabilitation in patients with myocardial infarction (MI) and percutaneous coronary intervention showed that complex programs can still reduce all-cause and cardiovascular mortality and frequency of recurrent MI and stroke. These programs include key components of cardiac rehabilitation, reduction of six or more risk factors, and effective control by drug therapy.
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Grudzińska, Aleksandra, Paulina Dudzińska, Małgorzata Milanowska, Dominika Jarosz, and Hanna Tsitko. "Sexual activity in terms of cardiac rehabilitation after cardiovascular incidents." Journal of Education, Health and Sport 13, no. 3 (January 20, 2023): 98–104. http://dx.doi.org/10.12775/jehs.2023.13.03.014.
Full textAbstract:
Cardiovascular diseases (CVD) are still the leading cause of death. Environmental factors such as smoking, low physical activity and poor diet have the greatest impact on the incidence of the disease. For patients after a cardiovascular incident, cardiac rehabilitation is the key to recovery. One possible path of rehabilitation is sexual activity (SA). Sexual activities are similar to mild/moderate physical activity during a short period. Most patients are recommended to involve in sexual activity after prior comprehensive evaluation of physical condition. Before involving in sexual activity the general condition of the patient needs to be checked. A useful method for this is a stress testing. The patients with stable cardiac symptoms and good functional capacity are at a low risk of recurrent cardiovascular events, and others require treatment or improvement of heart function. The most efficient way to provide SA is a sexual counseling. Evidence suggests that relatively few cardiac patients receive sexual counseling, which can result in negative outcomes ranging from psychological, physical, and quality of life. Sexual problems and concerns are prevalent, including patient and partner fear of causing another heart attack. It is because people still believe that sexual activity is too risky and they cease all of it. Sexual counseling is needed across health care settings to ensure that patients receive information to safely resume SA.
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Elzesser, A. S., R. V. Kadyrov, and T. V. Kapustina. "Psychological Profile of Patients with Myocardial Infarction: from Risk Group to Rehabilitation." Bulletin of Kemerovo State University 24, no. 1 (April 13, 2022): 113–20. http://dx.doi.org/10.21603/2078-8975-2022-24-1-113-120.
Full textAbstract:
High morbidity and mortality make cardiovascular diseases socially significant. The Health Development Strategy of the Russian Federation though 2025 states the importance of diagnosis, treatment, and prevention of cardiovascular diseases. This research featured the psychological profile of patients with myocardial infarction at different stages: 1) risk of myocardial infarction, 2) soon after myocardial infarction, 3) after rehabilitation. The study involved 159 patients aged 38–47, including those at risk (43), those soon after a heart attack (39), those after rehabilitation (37), and a conditionally healthy control group (40). The psychological characteristics were assessed using a number of psychodiagnostic methods and included cognitive, emotional, and behavioral components of personality. The obtained data were processed using the nonparametric Mann-Whitney U-test (significance level=0.05) and calculated with STATISTICA 10.0. The research revealed active early maladaptive schemes. At all stages, the patients experienced a contradictory combination of the need for approval and intransigence in relation to other people's mistakes, high anxiety and irritability, non-constructive strategies for coping with stress, and a low level of reflexivity. These factors were interconnected, caused destructive behavior, and increased the psycho-emotional stress. The research also covered the attitude to the past, present, and future at different stages of disease development. The trends revealed the effect of psychological profile on behavioral factors that could increase the risk of primary and recurrent myocardial infarction. The results can help specialists to improve the existing psychological support programs for cardiovascular patients, develop preventive measures for risk groups, and identify targets for psychotherapeutic work with these two categories.
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Sakamoto, Yui, Yosuke Morimoto, Masatoshi Hanada, Yudai Yano, Terumitsu Sawai, Takashi Miura, Kiyoyuki Eishi, and Ryo Kozu. "Determining Factors for Independent Walking in Patients Undergoing Cardiovascular Surgery: Differences between Coronary Artery Bypass Grafting, Heart Valve Surgery, and Aortic Surgery." Healthcare 9, no. 11 (October 30, 2021): 1475. http://dx.doi.org/10.3390/healthcare9111475.
Full textAbstract:
Physical deconditioning often occurs during the acute phase after cardiovascular surgery, and unassisted walking is required to achieve independence, to manage cardiac diseases, and to prevent recurrences. This study aims to investigate the characteristics of independent walking after cardiovascular surgery. We conducted a retrospective cohort study in patients who underwent cardiovascular surgeries (total of 567 patients): 153 in the coronary artery bypass grafting (CABG) group, 312 in the heart valve surgery group, and 102 in the aortic surgery group. We evaluated the effect of each surgery group on the cardiac rehabilitation (CR) progression. The factors associated with independent walking were age, renal diseases, intensive care unit (ICU) length of stay, and post-operative respiratory complications in the CABG group. In the heart valve surgery group, the factors were New York Heart Association functional classification, renal and respiratory diseases, ICU length of stay, duration of mechanical ventilatory support, and post-operative cardiovascular and respiratory complications. In the aortic surgery group, these were ICU length of stay and acute kidney injury. The CR progression in patients who underwent aortic surgery was significantly longer than those who underwent CABG and heart valve surgery (p < 0.001). New intervention strategies are needed for patients with prolonged ICU stays.
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Umara, Annisaa Fitrah. "The Model Theory Approach “Care, Core, Cure” for Patients with Cardiovascular Disease." International Journal of Nursing and Health Services (IJNHS) 1, no. 2 (January 4, 2019): 120–28. http://dx.doi.org/10.35654/ijnhs.v1i2.53.
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The impact of cardiovascular disease was felt by individuals and global. By individual approach, prevention and supervision are needed to reduce the burden. Nurses have an essential role in giving holistic standards of nursing practice. The purpose of this study is to provide an overview of the case management of patients with cardiovascular disease by using the theoretical approach "care, core, and cure" model theory. The method used is a case study of 30 patients with Cardiovascular Diseases in Harapan Kita Jakarta National Heart Center. Inform consent was obtained, the initial name and code were assigned to all participant. The results are nine acute coronary syndrome patient, four heart failure patient, ten heart surgery patient, and seven arrhythmia patient. The majority of patients were male, an average age more than 41 years old. Most risk factors are caused by hypertension and smoking. In the acute phase, the "care" and "cure" aspects were more prominent than the "core" aspect. In the non-acute phase, patients need rehabilitation and health education, so the more prominent aspects are "care" and "core" than "cure." The aspect "care" provides an overview of risk factors that result in cardiovascular disease. The "core" aspect shows the needed of education and the "cure" aspects indicating the necessity for medical therapy in patients with cardiovascular disease. In the "Care" aspect, independence nursing intervention can be identified and easily evaluated. In the “Core” aspect, the nurse can recognize the patient's needs during the treatment and provided nursing care plans as needed. In the “Cure” aspect, can be increased coordination among health care providers. Nurse need to develop the model of nursing theory approach in providing nursing care for patients with Cardiovascular Diseases, especially patients who have the opportunity to undergo rehabilitation.
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Aquilani, Roberto, Giuseppe D’Antona, Paola Baiardi, Arianna Gambino, Paolo Iadarola, Simona Viglio, Evasio Pasini, Manuela Verri, Annalisa Barbieri, and Federica Boschi. "Essential Amino Acids and Exercise Tolerance in Elderly Muscle-Depleted Subjects with Chronic Diseases: A Rehabilitation without Rehabilitation?" BioMed Research International 2014 (2014): 1–8. http://dx.doi.org/10.1155/2014/341603.
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Exercise intolerance remains problematic in subjects with chronic heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD). Recent studies show that supplemented essential amino acids (EAAs) may exert beneficial effects on CHF/COPD physical capacity. The results from 3 investigations (2 conducted on CHF and 1 on COPD subjects) served as the basis for this paper. The 3 studies consistently showed that elderly CHF and COPD improved exercise intolerance after 1–3 months of EAA supplementation (8 g/d). In CHF exercise capacity increased 18.7% to 23% (watts; bicycle test), and 12% to 22% (meters) in 6 min walking test. Moreover, patients reduced their resting plasma lactate levels (by 25%) and improved tissue insulin sensitivity by 16% (HOMA index). COPD subjects enjoyed similar benefits as CHF ones. They increased physical autonomy by 78.6% steps/day and decreased resting plasma lactate concentrations by 23%. EAA mechanisms explaining improved exercise intolerance could be increases in muscle aerobic metabolism, mass and function, and improvement of tissue insulin sensitivity (the latter only for the CHF population). These mechanisms could be accounted for by EAA’s intrinsic physiological activity which increases myofibrils and mitochondria genesis in skeletal muscle and myocardium and glucose control. Supplemented EAAs can improve the physical autonomy of subjects with CHF/COPD.
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Dovgalyuk, Yuri V., Yulia V. Chistyakova, Irina E. Mishina, Anna A. Zolotareva, Nadezhda V. Vasilyeva, Elizaveta V. Okeanskaya, and Elizaveta V. Reprintseva. "Comparative Characteristics of Elderly and Middle-Aged Patients with Myocardial Infarction at the Third Stage of Cardiac Rehabilitation." Bulletin of Rehabilitation Medicine 21, no. 3 (June 30, 2022): 108–20. http://dx.doi.org/10.38025/2078-1962-2022-21-3-108-120.
Full textAbstract:
The need for adaptation of existing cardiac rehabilitation programs for elderly myocardial infarction patients is dictated both by the progressive aging of the Russian population and by the higher prevalence of cardiovascular diseases among them, including coronary heart disease in the form of a previous myocardial infarction. The necessary condition for successful realization of the set task is to take into account the identified features of myocardial infarction patients of older age group, who are admitted for cardiac rehabilitation. Aim. To give a comparative characteristic of patients with myocardial infarction of older and middle age groups admitting to the third stage of cardiac rehabilitation in the Ivanovo State Medical Academy clinic (ISMA). Material and methods. 85 patients with myocardial infarction were examined, they were admitted from primary vascular centers for a three-week course of cardiac rehabilitation at the ISMA clinic. According to the WHO age periodization, 2 groups were identified: 40 middle-aged patients (Group 1); 45 elderly patients (Group 2). An individual cardiac rehabilitation program was developed for each patient, which included daily controlled physical training, dosed walking, staircase walking at individually calculated pace, correction of the revealed cardiovascular risk factors, information support, adequate drug therapy, correction of psychological disorders if needed. Clinical features of the disease course, tolerance to physical activity were analyzed in both groups. Results. The characteristic features of MI patients of the older age group in comparison with the middle-aged patients admitted to the third stage of cardiac rehabilitation in the ISMA clinic are: dominance of non-working pensioners; high polymorbidity; higher frequency of development of repeated MI without ST-segment elevation on ECG; predominance of complicated formation of left ventricular aneurysms and heart rhythm disturbances forms of MI; low frequency coronary revascularization in the acute period of the course of the disease; prevalence of persons with signs of diastolic heart failure with preserved or slightly reduced left ventricular ejection fraction; lower exercise tolerance. After completion of cardiac rehabilitation course in patients of older age group the increase in 6MWT distance covered was 18%, while in middle-aged group it was only 8.3%. The implementation of the three–week rehabilitation program led to an increase in the number of patients with 1 FC of coronary heart disease due to a decrease in the number of patients with 3 and 4 FC of coronary heart disease in the middle-aged group and 4 FC of coronary heart disease in the elderly. Conclusion. The identified features specify the necessity to include methods of concomitant pathology correction, individual approach to the choice of physical activity programs based on a thorough clinical assessment, including risk stratification of post-rehabilitation complications and rehospitalizations in the cardiac rehabilitation program. A three-week program of the third stage of cardiac rehabilitation of MI patients increases exercise tolerance to a greater extent in elderly patients compared with middle-aged patients.
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Stoevesandt, Dietrich, Andreas Weber, Andreas Wienke, Steffi Bethge, Viktoria Heinze, Simone Kowoll, and Axel Schlitt. "Interactive patient education via an audience response system in cardiac rehabilitation." SAGE Open Medicine 8 (January 2020): 205031212094211. http://dx.doi.org/10.1177/2050312120942118.
Full textAbstract:
Objectives: Patient education and compliance play an important role in the success of rehabilitation in cardiovascular diseases. The aim of this study is to analyze whether interactive learning methods, in this study, the audience response system with a “clicker,” can improve the learning success of patients during and after their rehabilitation process. Methods: In a randomized, prospective cohort study, a total of 260 patients were randomized to either an interactive training group using Athens audience response system or to a control group without the use of audience response system during the educational sessions. Patients were taught and tested on four different topics concerning their primary disease: heart failure, arterial hypertension, prevention of cardiovascular diseases, and coronary heart disease. After each session, the patients had to answer questions on the previously taught topics via questionnaires. These questions were asked again at the day of discharge, as well as 3 and 12 months after discharge. Additional information on the patients’ health, plus their mental status, was gathered with the help of further questionnaires (HADS and SF-12). Results: A total of 260 patients (201 men and 59 women) were recruited. The patients were on average 61.1 ± 11 years old. A significant short-term effect on the patients’ knowledge about their disease was found immediately after the educational sessions in the intervention group. However, there was no long-term effect in either the intervention or control group. Although there was no statistical significance found in any of the observations, a positive short-term effect on learning capacity as well as positive trends in mental and physical health after discharge could be found in patients after the use of audience response system during their rehabilitation. Conclusion: This study provides interesting and new data on the use of an interactive learning method for patients to gain knowledge about their primary disease and eventually improve their physical and mental health status in a long-term perspective. By implementing different and new ways of teaching and interaction during the hospitalization, not only patients, but also medical staff and caregivers could benefit.
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Krivonogov, Vladislav A., Irina P. Yastrebtseva, Svetlana L. Arkhipova, and Lidiya Yu Deryabkina. "Factors affecting exercise tolerance in cardiac patients at the third phase of rehabilitation." Physical and rehabilitation medicine, medical rehabilitation 2, no. 2 (July 7, 2020): 118–25. http://dx.doi.org/10.36425/rehab33779.
Full textAbstract:
Background. Cardiovascular diseases and their complications are the top cause of death and disability; the newly developed rehabilitation methods for these conditions have to be evaluated in terms of tolerability.
Objective. To examine the factors affecting better exercise tolerance in cardiac patients at the third phase of rehabilitation.
Methods. The study performed at IvGMA clinic involved 34 patients undergoing the 3rd phase of rehabilitation with a diagnosis of coronary heart disease: 5 (14%) with acute Q myocardial infarction with ST segment elevation, 3 (9%) without ST segment elevation, 3 (9%) non-Q wave myocardial infarction, 23 (68%) unstable angina pectoris. The age of patients was 4976 years (average 59.47 6.08 years), of which 23 were men and 11 women. Each patient underwent a complete clinical and functional examination to assess the anthropometric data, functional indicators of the respiratory and cardiovascular systems, mental functions, and posturography. The rehab course lasted 15 days and included exercise therapy, gym machine training according to an individually designed program, and dosed walking.
Results. Based on the results of exercise tolerance tests, we formed two case groups: patients of group 1 (n = 14) showed an improvement in the functional class of chronic heart failure according to 6-minute walking test; patients of group 2 (n = 20) showed only insignificant dynamics. Comparison of clinical and functional indicators between the 2 groups revealed that patients of group 1 had more pronounced anxiety and depressive symptoms, and a better preserved function of the respiratory system. A correlation analysis of the total sample of patients detected a correlation relationship between exercise tolerance and functions of the respiratory and cardiovascular systems, anthropometric data, and stabilogram indicators.
Conclusions. A better exercise tolerance in patients with heart problems was associated with better baseline functions of the respiratory and cardiovascular systems, a lower body mass index, and the optimal dose of statins taken. The exercise tolerance increased in parallel with improvement of stabilogram indicators, which suggests a positive effect of targeted individual training of the equilibrium function to improve the functional result of the cardiac rehabilitation process.