Coronary Health Care最新文献_第3页

Older and more complicated heart failure patients: an increasing challenge to the health care system! 老年和更复杂的心力衰竭患者:对医疗保健系统的挑战越来越大!

Coronary Health Care Pub Date : 2001-08-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0115

S. Stewart, J.J.V. McMurray

引用次数: 1

The British Association for Nursing in Cardiac Care 英国心脏护理协会

Coronary Health Care Pub Date : 2001-08-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0134

J. Riley (President, BANCC)

引用次数: 0

Risk factor management after short-term versus long-term cardiac rehabilitation program 短期与长期心脏康复计划后的风险因素管理

Coronary Health Care Pub Date : 2001-08-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0127

P. Boulay , D. Prud'homme

{"title":"Risk factor management after short-term versus long-term cardiac rehabilitation program","authors":"P. Boulay , D. Prud'homme","doi":"10.1054/chec.2001.0127","DOIUrl":"10.1054/chec.2001.0127","url":null,"abstract":"<div><p>The purpose of this study was to determine the efficacy of a short-term cardiac rehabilitation program (ST-CRP) and a long-term cardiac rehabilitation program (LT-CRP) in patients who had an acute myocardial infarction regarding coronary artery disease (CAD) risk factor management 1 year post-event. For this purpose, 74 patients participated in either a short-term (3 months) cardiac rehabilitation program (ST-CRP; <em>n</em> = 37) or a long-term (12 months) cardiac rehabilitation program (LT-CRP; <em>n</em> = 37). Both interventions were effective for management of CAD risk factors by improving lipoprotein-lipid profile, exercise capacity and smoking cessation. However, no significant reduction was observed in body weight and body fat distribution index at 1 year post-event in both intervention groups. Furthermore, improvements in CAD risk factors, such as lipoprotein-lipid profile and smoking habits were significantly greater in the LT-CRP group. Also, significantly more patients attained the recommended target values of ≤2.5 mmol/L for plasma low-density lipoprotein levels (46% vs 22%; <em>P</em> < 0.01) and a ratio of ≤4 for total plasma cholesterol/high density lipoprotein (46% vs 19%; <em>P</em> < 0.01) of the Canadian Working group on hypercholesterolemia. Both intervention program produced beneficial effects regarding CAD risk factor management, nonetheless, long-term participation in a cardiac rehabilitation program had a greater impact on the CAD risk factor profile of patients at 1 year post-event.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79775781","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}

引用次数: 16

Increasing attendance at a cardiac rehabilitation programme: an intervention study using the Theory of Planned Behaviour 增加心脏康复计划的出勤率:使用计划行为理论的干预研究

Coronary Health Care Pub Date : 2001-08-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0131

S.J. Wyer (Clinical Psychologist) , L. Earll (Head of Health Psychology Department & Cardiac Rehabilitation Team Member) , S. Joseph (Senior Lecturer) , J. Harrison (Cardiac Rehabilitation Sister) , M. Giles (Research Manager) , M. Johnston (Professor in Psychology)

{"title":"Increasing attendance at a cardiac rehabilitation programme: an intervention study using the Theory of Planned Behaviour","authors":"S.J. Wyer (Clinical Psychologist) , L. Earll (Head of Health Psychology Department & Cardiac Rehabilitation Team Member) , S. Joseph (Senior Lecturer) , J. Harrison (Cardiac Rehabilitation Sister) , M. Giles (Research Manager) , M. Johnston (Professor in Psychology)","doi":"10.1054/chec.2001.0131","DOIUrl":"10.1054/chec.2001.0131","url":null,"abstract":"<div><p>Now that cardiac rehabilitation (CR) has been shown to be an efficient and effective use of resources, resulting in reduced mortality and morbidity, it is essential that as many people as possible are given the opportunity to benefit from it. But, despite proven benefits, uptake of services can be low. The aim of this research was to develop and implement a psychological intervention to influence patients' beliefs about recovery and cardiac rehabilitation, in order to increase their attendance rates at a CR programme. The intervention was based on the Theory of Planned Behaviour and took the form of two letters given to patients post myocardial infarction (<em>n</em> = 87). Using a randomized control trial design, attendance rates for those patients who received the intervention letters were compared with patients in a control group who received nominal letters. Attendance rates for the experimental group were significantly higher than those in the control group (<em>P</em> <0.0025). This study shows that an intervention in the form of two letters given to patients can increase the number of people who attend a cardiac rehabilitation programme.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 3","pages":"Pages 154-159"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86895042","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}

引用次数: 72

Effects of blood pressure, blood cholesterol and smoking on the functional capacity of post myocardial infarction patients in the early stages of cardiac rehabilitation 血压、血胆固醇和吸烟对心肌梗死后患者心脏康复早期功能的影响

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0123

D.A. Brodie , X. Liu , P.E. Bundred

{"title":"Effects of blood pressure, blood cholesterol and smoking on the functional capacity of post myocardial infarction patients in the early stages of cardiac rehabilitation","authors":"D.A. Brodie , X. Liu , P.E. Bundred","doi":"10.1054/chec.2001.0123","DOIUrl":"10.1054/chec.2001.0123","url":null,"abstract":"<div><p>The purpose of the study was to examine the contribution of blood pressure, blood cholesterol and smoking on the functional capacity of post myocardial infarction patients (PMIP) during exercise. Forty six male non-blockade recent PMIP were measured for systolic blood pressure (SBP) and blood cholesterol (BC), and were also asked about personal smoking status. The subjects all performed a graded exercise test (modified Bruce protocol) on a motorized treadmill, during which time ratings of perceived exertion and blood pressure were measured every 3 min, oxygen uptake (VO<sub>2</sub>) and heart rate (HR) were measured every 30s and a 12-lead electrocardiogram was recorded continuously. Metabolic equivalents (METs) were derived from VO<sub>2</sub>and the patients’ risk factors for coronary heart disease were obtained using the coronary risk-disc and expressed as Dundee Rank (DR). The results produced a multiple regression of SBP, BC and smoking with exercise time of <em>r</em> = 0.76 and with METs of <em>r</em> = 0.73 which were very similar to the values using DR alone. A DR value of 71 and above was equivalent to a MET value of 7.5 which is often used as the criterion for considering a patient to be at ‘low risk’ during cardiac rehabilitation. This means that the Dundee Risk-Disc may have a place in assisting the health professional to establish which patients should be capable of achieving the 7.5 MET threshold. This could be useful in giving special attention to those patients who are underperforming. The poor correlation between RPE and VO<sub>2</sub>recognises individual differences and demonstrates the need for each patient to establish their own RPE/work relationship.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 2","pages":"Pages 61-66"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86031630","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}

引用次数: 0

DIARY OF FORTHCOMING EVENTS 2001 即将举行的活动日记2001

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0125

引用次数: 0

Homocysteine: a novel risk factor in vascular disease 同型半胱氨酸:血管疾病的一个新的危险因素

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0121

J. Auer, R. Berent, B. Eber

{"title":"Homocysteine: a novel risk factor in vascular disease","authors":"J. Auer, R. Berent, B. Eber","doi":"10.1054/chec.2001.0121","DOIUrl":"10.1054/chec.2001.0121","url":null,"abstract":"<div><p>Homocysteine is a sulphydryl-containing aminoacid derived from the metabolic demethylation of methionine. Moderately raised concentrations of total homocysteine (tHcy) have been correlated with an increased risk of atherothrombotic vascular events. The prevalence of hyperhomocysteinaemia has been estimated to be about 5% in the general population, and 13–47% among patients with symptomatic atherosclerotic vascular disease. Nutritional deficiencies in the vitamin cofactors (folate, vitamin B12, and vitamin B6) required for homocysteine metabolism may promote hyperhomocysteinaemia. Clinical and experimental studies suggest that high homocysteine concentrations may cause the atherogenic and thrombotic tendencies of homocystinuric and hyperhomocysteinaemic patients. Experimental evidence suggests that the atherogenic propensity associated with hyperhomocysteinaemia results from endothelial dysfunction and injury followed by platelet activation and thrombus formation. The treatment of hyperhomocysteinaemia varies with the underlying cause; however, vitamin supplementation (with folic acid, pyridoxine [vitamin B<sub>6</sub>], and vitamin B<sub>12</sub>) is generally effective in reducing homocysteine concentrations. Before advocating widespread screening of patients with atherosclerotic vascular disease, we must have a clearer understanding of the clinical efficacy of potential therapeutic interventions. Prospective, randomized clinical trials, however, will be necessary to determine the effect of vitamin supplementation on cardiovascular morbidity and mortality.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 2","pages":"Pages 89-99"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76041673","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}

引用次数: 5

A woman is anxious about Deep Venous Thrombosis (DVT) on a long-haul flight 一位女士在长途飞行中担心深静脉血栓(DVT)

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0120

M.K. Cook , S. Sanders , M. Bagshaw , R.M. Finnie

引用次数: 1

Early discharge of patients with acute myocardial infarction has no adverse psychological consequences 急性心肌梗死患者早期出院无不良心理后果

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2001.0118

M.J. van der Vlugt , S.S. Pedersen , E. Boersma , R.A.M. Erdman , C.M. Leenders , G.A.M. Pop , M.J. Veerhoek , M.L. Simoons , J.W. Deckers

{"title":"Early discharge of patients with acute myocardial infarction has no adverse psychological consequences","authors":"M.J. van der Vlugt , S.S. Pedersen , E. Boersma , R.A.M. Erdman , C.M. Leenders , G.A.M. Pop , M.J. Veerhoek , M.L. Simoons , J.W. Deckers","doi":"10.1054/chec.2001.0118","DOIUrl":"10.1054/chec.2001.0118","url":null,"abstract":"<div><p>Objective: To investigate whether 1) early hospital discharge results in adverse psychological outcome assessed at three months, and 2) whether patients with a complicated versus an uncomplicated clinical course have different psychological profiles. Methods: The Heart Patients Psychological Questionnaire was administered to 645 consecutive myocardial infarction patients on the fifth day of hospitalization and at three months. Baseline demographic and clinical variables were sampled from medical records. Patients were divided into four groups according to study phase (registration versus validation) and clinical course (complicated versus uncomplicated). Results: No differences in psychological outcome were found at three months between patients discharged early and those who remained in hospital for the conventional period. No relation was found between clinical course and psychological profile. Correcting for baseline differences, registration phase patients with a complicated course scored lower on feelings of being disabled at three months than patients with an uncomplicated course. Conclusion: 1) Early discharge had no adverse psychological consequences for patients with myocardial infarction; 2) Psychological profiles of uncomplicated patients and complicated patients were comparable.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 2","pages":"Pages 73-79"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78583990","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}

引用次数: 4

Cardiac Rehabilitation: what more evidence do we need? 心脏康复:我们还需要什么证据?

Coronary Health Care Pub Date : 2001-05-01 Epub Date: 2002-05-25 DOI: 10.1054/chec.2000.0114

Rod Taylor

引用次数: 1