{"title":"Shopping tours for cardiac patients","authors":"V. Reid , F. Molamphy , N. O'Sullivan","doi":"10.1016/S1362-3265(99)80043-1","DOIUrl":"10.1016/S1362-3265(99)80043-1","url":null,"abstract":"<div><p>A pilot study was carried out in Spring 1998 to evaluate the feasibility of providing a shopping tour as part of the Cardiac Rehabilitation Programme at St Vincent's University Hospital. The aim was to assist cardiac patients with the practical aspects of dietary change by demonstrating healthy low fat choices at the point of purchase. Patients participating in the Cardiac Rehabilitation Programme attended the shopping tour having already attended a nutrition education session. Spouses/partners were also invited to attend. This report outlines how the tour was developed and the positive response from patients recorded in the evaluation process.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 189-191"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80043-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81777814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diary of forthcoming events","authors":"","doi":"10.1016/S1362-3265(99)80050-9","DOIUrl":"https://doi.org/10.1016/S1362-3265(99)80050-9","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 222-223"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80050-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137254136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K.A. Willmer, A. Abraheem, K. Hackett, T. Simpson, J. Buckley, J.A.S. Davis
{"title":"Rehabilitation following myocardial infarction: Evaluation of both ‘fast-track’ and low level exercise on both physical and psychological parameters","authors":"K.A. Willmer, A. Abraheem, K. Hackett, T. Simpson, J. Buckley, J.A.S. Davis","doi":"10.1016/S1362-3265(99)80041-8","DOIUrl":"10.1016/S1362-3265(99)80041-8","url":null,"abstract":"<div><p>Following acute myocardial infarction (AMI), anxiety and depression usually occur early after discharge at a time of transition from highly supervised care to little support at home. In 1993 we initiated a ‘fast-track’ programme, starting full cardiac rehabilitation within 14 days of AMI. Retrospectively, we analysed and compared records of the first 100 patients to enter the fast-track programme with the last 100 patients to enter the standard programme (rehabilitation starting 4–6 weeks following AMI) with follow-up of 42 months. Satisfactory records for 90 standard and 93 fast-track patients aged 27–64 years were obtained. Over 90% of patients completed rehabilitation with high satisfaction levels. Ages of both groups were the same (median 51 vs 52 years). Standard rehabilitation commenced 26–176 (median 54) days after AMI and fast-track rehabilitation commenced at 6–38 (median 12) days. No deaths from ischaemic heart disease occurred in either group. Coronary angiography was undertaken in 29 standard and in 30 fast-track patients. Revascularization was undertaken in 19 standard and in 17 fast-track patients. Hospital activity analysis showed that 25 standard and 21 fast-track patients were readmitted under a cardiologist (excluding intervention admissions). Some patients had multiple cardiology readmissions, making 48 episodes in the standard group and 28 in the fast-track group. This observation concurs with our impression that more fast-track patients rehabilitate satisfactorily. This experience shows that patients appreciate and attend early rehabilitation, which appears safe. A randomized controlled trial is planned to assess whether early rehabilitation improves outcomes following AMI and reduces costs of unnecessary admissions.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 178-182"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80041-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78297404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children with familial hypercholesterolaemia","authors":"J. Foxton , P. Lee , J. Lynas","doi":"10.1016/S1362-3265(99)80047-9","DOIUrl":"10.1016/S1362-3265(99)80047-9","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 212-214"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80047-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85202696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac rehabilitation: The quest for quality","authors":"H.C. Stokes","doi":"10.1016/S1362-3265(99)80040-6","DOIUrl":"10.1016/S1362-3265(99)80040-6","url":null,"abstract":"<div><p>There has been a decade of rapid growth in cardiac rehabilitation services in the UK during the 1990s. The provision of these services has been shown to be diverse with a range of content and variable funding for staffing. Following the publication of national guidelines and audit standards, there is little evidence of their widespread implementation. Whilst attempts are being made to collect common audit data, and to evaluate the clinical and cost effectiveness of such services, data collection has focused more on the quantity rather than the quality of such services. In the light of current quality initiatives within the National Health Service, this article explores some factors relevant to both quality and evidence-based health care, and more specifically to cardiac rehabilitation services in the UK.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 171-177"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80040-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78130483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A survey of the provision of cardiac rehabilitation in the Republic of Ireland","authors":"S.-J. McDonnell, C. Toole, J. Gormley","doi":"10.1016/S1362-3265(99)80046-7","DOIUrl":"10.1016/S1362-3265(99)80046-7","url":null,"abstract":"<div><p>‘Cardiac rehabilitation (CR) should be an integral part of the long-term comprehensive care of all cardiac patients’ (WHO 1993). This study was undertaken to ascertain the current provision of CR to post-myocardial infarction patients in the Republic of Ireland (ROI). A mailed questionnaire was sent to the physiotherapist in charge in the 47 general hospitals in the ROI. A response rate of 100% was achieved. The results indicated that CR is currently provided in ten hospitals, that five hospitals have plans to set up a service within the next year and that 27 hospitals have an interest in developing a programme. There is a serious under provision of CR services in the ROI, where the estimated number of patients being rehabilitated annually is 821. Services provided in the already established programmes, however, appear to be of a high quality.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 4","pages":"Pages 205-211"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80046-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75289288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A middle-aged man presents with nephrotic syndrome and hyperlipidaemia","authors":"A. Cumming, A. McLeod, G. Warwick, R. Finnie","doi":"10.1016/S1362-3265(99)80009-1","DOIUrl":"https://doi.org/10.1016/S1362-3265(99)80009-1","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"58 1","pages":"153-158"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90297260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diary of forthcoming events","authors":"","doi":"10.1016/S1362-3265(99)80013-3","DOIUrl":"https://doi.org/10.1016/S1362-3265(99)80013-3","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"3 3","pages":"Pages 167-168"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1362-3265(99)80013-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91772495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of body mass index on peak aerobic capacity in post myocardial infarction patients","authors":"D. Brodie, X. Liu, P. Bundred","doi":"10.1016/S1362-3265(99)80006-6","DOIUrl":"https://doi.org/10.1016/S1362-3265(99)80006-6","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"25 2","pages":"135-139"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91492345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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