{"title":"Post-traumatic stress disorder as a sequel of acute myocardial infarction: an overlooked cause of psychosocial disability","authors":"R.L. Owen , S. Koutsakis , P.D. Bennett","doi":"10.1054/chec.2000.0104","DOIUrl":"10.1054/chec.2000.0104","url":null,"abstract":"Abstract In this paper we describe the phenomenon of post-traumatic stress disorder (PTSD) as it is currently recognized. We examine some of the social influences that influence how the disorder is regarded. Although usually seen as something that is inflicted upon individuals from outside, we argue that the disastrous event might equally be an internal occurrence such as acute myocardial infarction (AMI). Summarizing the clinical evidence for PTSD following AMI, we note that post-traumatic stress symptoms are relatively common, but that most sufferers’ problems resolve. For a significant minority, however, symptoms appear prolonged and significant, and with this latter group in mind, we argue that adjustments should be made in current rehabilitation practices to include screening for those at risk. The end point must be to facilitate effective intervention for those with chronic problems, rather than to advocate general mobilization of resources in a problem that, for many, is time limited.","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91421977","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":"10.1054/chec.2001.0117","DOIUrl":"https://doi.org/10.1054/chec.2001.0117","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"Pages 58-59"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2001.0117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137437294","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}
M. Thow , P. Isoud , M. White , I. Robertson , E. Keith , G. Armstrong
{"title":"Uptake and adherence of women post myocardial infarction to phase III cardiac rehabilitation: are things changing?","authors":"M. Thow , P. Isoud , M. White , I. Robertson , E. Keith , G. Armstrong","doi":"10.1054/chec.2000.0099","DOIUrl":"10.1054/chec.2000.0099","url":null,"abstract":"<div><p>Women are poorly represented in research literature in Cardiac Rehabilitation (CR). Furthermore, women appear not to accept CR and often drop out of programmes early. Three large cardiac rehabilitation programmes in the west of Scotland were involved in this study. The west of Scotland continues to have some of the highest incidence of coronary heart disease (CHD) in the UK. These centres provided information on referral and recruitment patterns of women into phase III CR post myocardial infarction (MI), comparing two consecutive years. Comparison of the two years’ uptake of women eligible for the phase III CR of the centres, shows an increase at one centre of 23.7% in uptake. The other two centres saw a reduction of 15.3% and 4.6% uptake. The findings suggest that many women continue not to accept phase III CR. Once women were enrolled in the programmes all centres saw more women completing the phase III CR, one centre improving by 19.3% and the others by 8.8% and 9.4%. If recruitment and adherence to CR phase III are to improve for women, different strategies including the CR programme structure, gender specific information, environment and implementing behavioural change are required to address ‘women specific’ issues.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 174-178"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76907200","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":"Recent research reports, reviews and articles relating to coronary heart disease","authors":"B. Linden","doi":"10.1054/chec.2000.0097","DOIUrl":"10.1054/chec.2000.0097","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 198-203"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107427951","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":"10.1054/chec.2000.0098","DOIUrl":"https://doi.org/10.1054/chec.2000.0098","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Page 223"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137400672","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":"The safety of two-hour versus four-hour bed rest after elective 6-French femoral cardiac catheterization","authors":"A. Roebuck , S. Jessop , R. Turner , J.L. Caplin","doi":"10.1054/chec.2000.0100","DOIUrl":"10.1054/chec.2000.0100","url":null,"abstract":"<div><p>The use of reduced cardiac catheter sizes together with increased nursing expertise in post-procedural care has resulted in cardiac catheterization becoming a day-case procedure.</p><p>This trial examined the frequency of local vascular complications (bruising, arterial bleeding, haematoma formation and pseudo-aneurysm formation) in 305 patients admitted to a tertiary cardiothoracic centre for diagnostic 6-French transfemoral angiography with bed rest of 2 h or 4 h. The frequency of local vascular complications was noted hourly for the first 4 h, then again at 24 h and at 1 month post discharge.</p><p>There was a trend towards fewer local vascular complications in the ‘two hour group’ compared to the ‘four hour group’. No patients developed a pseudo-aneurysm or required transfusion.</p><p>The odds ratio for presence of haematoma at 4 h when comparing the ‘two hour group’ against the ‘four hour group’ is 0.13 (95% CI 0.01 to 1.66; P = 0.12), after adjustment for baseline characteristics. The corresponding odds ratio for presence of bruising is 0.74 (0.26 to 2.09; P = 0.57). Therefore, this study shows no evidence against mobilizing patients 2 h after 6-French transfermoral coronary angiography.</p><p>The sample size of 300 gives a probability of 80% that the upper 95% confidence limit for the difference in event rates between the ‘two hour group’ and the ‘four hour’ group will not exceed 0.11.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 169-173"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91452443","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":"Familial hypercholesterolaemia","authors":"A. Wierzbicki","doi":"10.1054/chec.2000.0094","DOIUrl":"10.1054/chec.2000.0094","url":null,"abstract":"<div><p>Familial hypercholesterolaemia (FH) is a common (1 in 500) autosomal dominant group of syndromes associated with early onset coronary artery disease or sudden death in heterozygotes. Clinical signs are not universal but the family history is often a good indicator for initial screening. Prognosis without treatment is dependent on family history and the presence of other cardiovascular risk factors. Family screening is necessary but treatment of affected children is usually postponed until puberty. Treatment of adults is primarily with statins but removal of lipoproteins by apheresis is used in severe refractory cases or in patients with homozygous FH. FH is an easily diagnosed disorder with a reasonable prognosis after treatment and therefore cases should be identified and treated.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 192-197"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78379236","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":"Gender variability in mood, quality of life and coping following primary myocardial infarction","authors":"J. Bogg , E. Thornton , P. Bundred","doi":"10.1054/chec.2000.0095","DOIUrl":"10.1054/chec.2000.0095","url":null,"abstract":"<div><p>Primary myocardial infarction patients were recruited from one district general hospital. The sample consisted of 220 participants, aged between 37 and 64: 169 males (77%), mean age of 60 years (SD 9.9), and 51 females (23%), mean age of 61 years (SD 8.8). Questionnaires assessed mood, quality of life and coping at specific time points to 6 months post infarction. Differences in male and female adjustment were observed. Females were observed to experience significantly greater emotional difficulties, report poorer quality of life, and utilize coping strategies to a greater extent than males. Furthermore, the contribution of variables to reported quality of life at 6 months was variable and gender dependent. In support of previous limited research, emotional response, adjustment and coping following myocardial infarction was found to be gender variable. Cardiac rehabilitation needs to be aware of, and responsive to, such variations in patient factors.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 163-168"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76991789","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}
J.A. Wilson , K. Mackenzie , S. Hedley , R.M. Finnie
{"title":"A middle-aged woman decides to change her lifestyle","authors":"J.A. Wilson , K. Mackenzie , S. Hedley , R.M. Finnie","doi":"10.1054/chec.2000.0092","DOIUrl":"10.1054/chec.2000.0092","url":null,"abstract":"","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 187-191"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85486714","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}