Konstantinos C Koskinas, Matthias Wilhelm, Martin Halle, Alessandro Biffi, Elena Cavarretta, Constantinos H Davos, Ines Frederix, Marwa Hemmat Gaber, Dominique Hansen, Jennifer L Jones, Aneil Malhotra, Michael Papadakis
{"title":"The future of education in Preventive Cardiology: a statement of the European Association of Preventive Cardiology of the European Society of Cardiology.","authors":"Konstantinos C Koskinas, Matthias Wilhelm, Martin Halle, Alessandro Biffi, Elena Cavarretta, Constantinos H Davos, Ines Frederix, Marwa Hemmat Gaber, Dominique Hansen, Jennifer L Jones, Aneil Malhotra, Michael Papadakis","doi":"10.1093/eurjpc/zwae259","DOIUrl":"10.1093/eurjpc/zwae259","url":null,"abstract":"<p><p>In recent years, major advances in our understanding of risk factors implicated in the development of cardiovascular disease (CVD), in available tools for early detection of CVD, and in effective interventions to prevent subclinical or clinically manifest disease, have led to an increasing appreciation of prevention as a major pillar of cardiovascular (CV) medicine. Preventive Cardiology has evolved into a dynamic sub-speciality focused on the promotion of CV health through all stages of life, and on the management of individuals at risk of developing CVD or experiencing recurrent CV events, through interdisciplinary care in different settings. As the level of knowledge, specialized skills, experience, and committed attitudes related to CV prevention has exceeded core cardiology training, the European Association of Preventive Cardiology (EAPC) has placed major emphasis on continuous education and training of physicians and allied professionals involved in CV prevention, with the aim of setting standards for practice and improving quality of care. The EAPC recognizes the need for a comprehensive educational offer across different levels of training (from core cardiology to sub-speciality to expert training) as well as the need for interdisciplinary approaches that will promote synergies among allied professionals involved in CV prevention. This statement by the EAPC aims to highlight current gaps and unmet needs and to describe the framework to help standardize, structure, and deliver comprehensive, up-to-date, interactive, and high-quality education using a combination of traditional and novel educational tools. The document aims to form the basis for ongoing refinements of the EAPC educational offer, with the ultimate goal of ensuring that new evidence in the field will translate to better CV practice and improved outcomes for our patients.</p>","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1904-1911"},"PeriodicalIF":8.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuccia Morici, Marco Ambrosetti, Domenico Cianflone, Paolo Calabrò, Massimo Piepoli
{"title":"Closing the gap between WHO projections and actual need for cardiac rehabilitation in Europe.","authors":"Nuccia Morici, Marco Ambrosetti, Domenico Cianflone, Paolo Calabrò, Massimo Piepoli","doi":"10.1093/eurjpc/zwad277","DOIUrl":"10.1093/eurjpc/zwad277","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"e115-e116"},"PeriodicalIF":5.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10426978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ingunn E Kjesbu, Kirstine L Sibilitz, Janne Petersen, Vital J G Houben, Matthias Wilhelm, Carlos Pena-Gil, Marie Christine Iliou, Uwe Zeymer, Diego Ardissino, Arnoud W J Van't Hof, Astrid E van der Velde, Ed P de Kluiver, Eva Prescott
{"title":"Health-related quality of life in elderly cardiac patients undergoing cardiac rehabilitation and the association with exercise capacity: the EU-CaRE study.","authors":"Ingunn E Kjesbu, Kirstine L Sibilitz, Janne Petersen, Vital J G Houben, Matthias Wilhelm, Carlos Pena-Gil, Marie Christine Iliou, Uwe Zeymer, Diego Ardissino, Arnoud W J Van't Hof, Astrid E van der Velde, Ed P de Kluiver, Eva Prescott","doi":"10.1093/eurjpc/zwae195","DOIUrl":"10.1093/eurjpc/zwae195","url":null,"abstract":"<p><strong>Aims: </strong>The ability to be physically active is pivotal to the quality of life in elderly patients. This study aims to describe the association between exercise capacity and health-related quality of life (HRQoL), anxiety, and depression following an exercise-based cardiac rehabilitation (CR) programme in elderly cardiac patients.</p><p><strong>Methods and results: </strong>Patients aged ≥65 years with acute and chronic coronary syndrome or heart valve surgery were consecutively included from eight CR centres in seven European countries. Exercise capacity [VO2peak(mL/kg/min)] was assessed with a cardiopulmonary exercise test (97%) or a 6-min walk test. Outcome variables included HRQoL [36-item Short-Form Health Survey physical and mental component scores (PCS and MCS)], anxiety (Generalized Anxiety Disorder-7), and depression (Patient Health Questionnaire-9). Mixed models were used to address the association between baseline and the development in VO2peak, and outcome variables stratified on sex, and adjusted for baseline values, age, and CR centre. A total of 1633 patients were included (T0), 1523 (93%) completed end-of-CR assessment (T1), and 1457 (89%) were available for 1-year follow-up (T2). Women had higher percentage of predicted VO2peak but poorer scores in HRQoL, anxiety, and depression at all time points. All scores improved in both sexes at follow-up. We found significant associations between VO2peak at baseline as well as development in VO2peak and all outcome variables at T1 and T2 in men (all P < 0.001). In women, VO2peak was only associated with PCSs (P < 0.001).</p><p><strong>Conclusion: </strong>Improvements in exercise capacity were strongly associated with improvements in HRQoL and mental health, however, with stronger associations in men. The results highlight the importance of physical fitness for HRQol and mental health. The findings from this study might be useful to better target individual CR programmes.</p>","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1950-1957"},"PeriodicalIF":8.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iris A de Koning, Joyce M Heutinck, Tom Vromen, Esmée A Bakker, Martijn F H Maessen, Jurgen Smolders, Thijs M H Eijsvogels, Janneke P C Grutters, Robert-Jan M van Geuns, Hareld M C Kemps, Dick H J Thijssen
{"title":"Cardiac rehabilitation vs. percutaneous coronary intervention for stable angina pectoris: a retrospective study of effects on major adverse cardiovascular events and associated healthcare costs.","authors":"Iris A de Koning, Joyce M Heutinck, Tom Vromen, Esmée A Bakker, Martijn F H Maessen, Jurgen Smolders, Thijs M H Eijsvogels, Janneke P C Grutters, Robert-Jan M van Geuns, Hareld M C Kemps, Dick H J Thijssen","doi":"10.1093/eurjpc/zwae164","DOIUrl":"10.1093/eurjpc/zwae164","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1987-1990"},"PeriodicalIF":5.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sherry L Grace, Emil Hagström, Alexander S Harrison, Samara Phillips, Ann Bovin, Miho N Yokoyama, Josef Niebauer, Shigeru Makita, Fabbiha Raidah, Maria Back
{"title":"Cardiac rehabilitation registries around the globe: current status and future needs.","authors":"Sherry L Grace, Emil Hagström, Alexander S Harrison, Samara Phillips, Ann Bovin, Miho N Yokoyama, Josef Niebauer, Shigeru Makita, Fabbiha Raidah, Maria Back","doi":"10.1093/eurjpc/zwae182","DOIUrl":"10.1093/eurjpc/zwae182","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"e117-e121"},"PeriodicalIF":8.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacques Blacher, Valérie Olié, Amélie Gabet, Alexandre Cinaud, Philippe Tuppin, Marie-Christine Iliou, Clémence Grave
{"title":"Two-year prognosis and cardiovascular disease prevention after acute coronary syndrome: the role of cardiac rehabilitation-a French nationwide study.","authors":"Jacques Blacher, Valérie Olié, Amélie Gabet, Alexandre Cinaud, Philippe Tuppin, Marie-Christine Iliou, Clémence Grave","doi":"10.1093/eurjpc/zwae194","DOIUrl":"10.1093/eurjpc/zwae194","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the impact of cardiac rehabilitation (CR) on optimization of secondary prevention treatments for acute coronary syndrome (ACS), medication persistence, medical follow-up, rehospitalization, and all-cause mortality.</p><p><strong>Methods and results: </strong>The National Health Insurance database was used to identify all patients hospitalized for ACS in France in 2019 and those among them who received CR. Patients' characteristics and outcomes were described and compared between CR and non-CR patients. Poisson regression models were used to identify the impact of CR after adjusting for confounders. A Cox model was fitted to identify the variables related to mortality after adjustment for medication persistence and cardiologic follow-up. In 2019, 22% of 134 846 patients hospitalized for ACS in France received CR within 6 months of their discharge. After 1 year, only 60% of patients who did not receive CR were still taking BASI (combination of beta-blockers, antiplatelet agents, statins, and renin-angiotensin-aldosterone system inhibitors) drugs. This rate and the medical follow-up rate were higher in patients who received CR. Two years after the ACS event, patients who received CR had better medical follow-up and lower mortality risk, after adjusting for cofounding variables [adjusted hazard ratio all-cause mortality = 0.65 (0.61-0.69)]. After adjustment for the dispensing of cardiovascular drugs and cardiologic follow-up, the independent effect of CR was not as strong but remained significant [hazard ratio = 0.90 (95% confidence interval: 0.84-0.95)].</p><p><strong>Conclusion: </strong>Patients who received CR after hospitalization for ACS had a better prognosis. Optimization of efficient secondary prevention strategies, improved medication persistence, and enhanced cardiologic follow-up seemed to play a major role.</p>","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1939-1947"},"PeriodicalIF":8.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tone M Norekvål, Marte Bale, Haji Kedir Bedane, Torstein Hole, Charlotte B Ingul, John Munkhaugen
{"title":"Cardiac rehabilitation participation within 6 months of discharge in 37 136 myocardial infarction survivors: a nationwide registry study.","authors":"Tone M Norekvål, Marte Bale, Haji Kedir Bedane, Torstein Hole, Charlotte B Ingul, John Munkhaugen","doi":"10.1093/eurjpc/zwad350","DOIUrl":"10.1093/eurjpc/zwad350","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1977-1980"},"PeriodicalIF":5.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72014029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing patient education needs in cardiac rehabilitation: a commentary on the Information Needs in Cardiac Rehabilitation scale (short version) validation study.","authors":"Edward Callus","doi":"10.1093/eurjpc/zwae161","DOIUrl":"10.1093/eurjpc/zwae161","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1937-1938"},"PeriodicalIF":5.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EJPC @ a glance: focus issue on cardiac rehabilitation and education in preventive cardiology.","authors":"Panteleimon E Papakonstantinou, Victor Aboyans","doi":"10.1093/eurjpc/zwae324","DOIUrl":"https://doi.org/10.1093/eurjpc/zwae324","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":"31 16","pages":"1901-1903"},"PeriodicalIF":8.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gianluigi Guida, Andrea Attanasio, Giandomenico Disabato, Massimo Piepoli
{"title":"Exercise prescription in patients with cardiometabolic disease: new strategies when cardiopulmonary exercise test is unavailable.","authors":"Gianluigi Guida, Andrea Attanasio, Giandomenico Disabato, Massimo Piepoli","doi":"10.1093/eurjpc/zwae202","DOIUrl":"10.1093/eurjpc/zwae202","url":null,"abstract":"","PeriodicalId":12051,"journal":{"name":"European journal of preventive cardiology","volume":" ","pages":"1925-1926"},"PeriodicalIF":5.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}