{"title":"From the Editor.","authors":"Lenny Kaminsky","doi":"10.1097/HCR.0000000000000756","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000756","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Selected Abstracts From Recent Publications in Cardiopulmonary Disease Prevention and Rehabilitation.","authors":"Sanjay Kalra, Peter H Brubaker","doi":"10.1097/HCR.0000000000000758","DOIUrl":"10.1097/HCR.0000000000000758","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44583532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Myles W O'Brien, Madeline E Shivgulam, Jennifer L Petterson, Yanlin Wu, Jarrett A Johns, Ryan J Frayne, Derek S Kimmerly
{"title":"Substituting Stationary Time With Moderate-Intensity Activity May Improve Flow-Mediated Dilation.","authors":"Myles W O'Brien, Madeline E Shivgulam, Jennifer L Petterson, Yanlin Wu, Jarrett A Johns, Ryan J Frayne, Derek S Kimmerly","doi":"10.1097/HCR.0000000000000716","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000716","url":null,"abstract":"1. Guazzi M, Pontone G, Brambilla R, Agostoni P, Reina G. Alveolar-capillary membrane gas conductance: a novel prognostic indicator in chronic heart failure. Eur Heart J. 2002;23(6):467-476. 2. Olson LJ, Snyder EM, Beck KC, Johnson BD. Reduced rate of alveolar-capillary recruitment and fall of pulmonary diffusing capacity during exercise in patients with heart failure. J Card Fail. 2006;12(4):299-306. 3. Deis T, Balling L, Rossing K, Wolsk E, Perch M, Gustafsson F. Lung diffusion capacity in advanced heart failure: relation to central haemodynamics and outcome. ESC Heart Fail. 2019;6(2):379-387. 4. Hughes JM, Pride NB. Examination of the carbon monoxide diffusing capacity (DL(CO)) in relation to its KCO and VA components. Am J Respir Crit Care Med. 2012;186(2):132-139. 5. Miniati M, Monti S, Bottai M, et al. Prognostic value of alveolar volume in systolic heart failure: a prospective observational study. BMC Pulm Med. 2013;13(1):69. 6. Van Iterson EH, Smith JR, Olson TP. Alveolar air and O2 uptake during exercise in patients with heart failure. J Card Fail. 2018;24(10):695-705. 7. Van Iterson EH, Cho L, Tonelli A, Finet JE, Laffin LJ. All-cause mortality predicted by peak oxygen uptake differs depending on spirometry pattern in patients with heart failure and reduced ejection fraction. ESC Heart Fail. 2021;8(4):2731-2740. 8. Stanojevic S, Graham BL, Cooper BG, et al. Official ERS technical standards: Global Lung Function Initiative reference values for the carbon monoxide transfer factor for Caucasians. Eur Respir J. 2017;50(3):1700010. 9. Graham BL, Brusasco V, Burgos F, et al. 2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung. Eur Respir J. 2017;49(1):1600016. 10. Canada JM, Park TS, Ravindra K, et al. Comparison of cardiorespiratory fitness in Black or African American versus Caucasian patients with heart failure. J Cardiopulm Rehabil Prev. 2022;42(1):39-44.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kara Morton, Brittain Heindl, Stephen Clarkson, Vera Bittner
{"title":"Primordial Prevention of Atherosclerotic Cardiovascular Disease: A REVIEW OF THE LITERATURE.","authors":"Kara Morton, Brittain Heindl, Stephen Clarkson, Vera Bittner","doi":"10.1097/HCR.0000000000000748","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000748","url":null,"abstract":"<p><strong>Purpose: </strong>The primordial prevention of atherosclerotic cardiovascular disease (ASCVD) involves the prevention of the onset of its risk factors. This review explores the associations between early modifiable risk factors and the development of ASCVD in adulthood, as well as evidence-based interventions to prevent them.</p><p><strong>Review methods: </strong>A review was conducted on the basis of an in-depth literature search including longitudinal observational data, systematic reviews and meta-analyses published in 2012 or later, clinical trials, and additional manual searches of recent literature based on reference lists of other reviews and relevant guidelines.</p><p><strong>Summary: </strong>ASCVD is a disease that begins in childhood; hence, primordial prevention is an important target for improving cardiovascular morbidity and mortality later in life. Data from large-scale population studies have consistently identified the following modifiable risk factors for the development of ASCVD: smoking, overweight and obesity, high cholesterol, high blood pressure, hyperglycemia, poor diet, and physical inactivity. These risk factors originate during the prenatal, childhood, and adolescent stages of life. Various successful interventions to prevent the onset of each risk factor have been evaluated at the individual, community, and population levels. Implementation of a heart-healthy dietary pattern and regular exercise early in life are large components of many successful interventions.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew W Gardner, Polly S Montgomery, Ming Wang, Biyi Shen, Shangming Zhang, William A Pomilla
{"title":"Association Between Meeting Physical Activity Time-Intensity Guidelines With Ambulation, Quality of Life, and Inflammation in Claudication.","authors":"Andrew W Gardner, Polly S Montgomery, Ming Wang, Biyi Shen, Shangming Zhang, William A Pomilla","doi":"10.1097/HCR.0000000000000686","DOIUrl":"10.1097/HCR.0000000000000686","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this investigation was to determine if meeting the 2018 physical activity (PA) time-intensity guidelines was associated with better ambulatory function, health-related quality of life (HRQoL), vascular function, and inflammation than failing to meet the guidelines in patients with peripheral artery disease and claudication. Second, we determined the optimal number of total steps/d and steps taken at moderate cadence needed to meet the PA time-intensity guidelines.</p><p><strong>Methods: </strong>Five hundred seventy-two patients were assessed on daily ambulatory activity for 1 wk with a step activity monitor, and were grouped according to whether they achieved <150 min/wk of moderate-intensity PA (group 1 = do not meet guidelines; n = 397) or whether they were above this threshold (group 2 = meet guidelines; n = 175).</p><p><strong>Results: </strong>Treadmill peak walking time (mean ± SD) was higher ( P < .001) in group 2 (709 ± 359 sec) than in group 1 (427 ± 281 sec). The physical function HRQoL score was higher ( P < .001) in group 2 (61 ± 22%) than in group 1 (44 ± 21%). High-sensitivity C-reactive protein was lower ( P < .001) in group 2 (3.6 ± 4.5 mg/L) than in group 1 (5.9 ± 6.1 mg/L). Finally, ≥7675 total steps/d and ≥1660 steps/d at moderate cadence were optimal thresholds associated with meeting PA guidelines.</p><p><strong>Conclusions: </strong>Patients with claudication who meet the 2018 PA time-intensity guidelines for US adults had better ambulation, HRQoL, and vascular outcomes than those who failed to meet the PA guidelines. Patients with claudication best achieved the PA time-intensity guidelines by taking ≥7675 total steps/d, and ≥1660 steps/d at a moderate cadence.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42754360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Completion Rate of Hybrid Videoconferencing Pulmonary Telerehabilitation During the COVID-19 Pandemic.","authors":"Ipek Candemir, Pinar Ergun","doi":"10.1097/HCR.0000000000000727","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000727","url":null,"abstract":"are as ± SD or median (min:max) for normally/non-normally distributed the test to","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Birna Bjarnason-Wehrens, Bernhard Schwaab, Nils Reiss, Thomas Schmidt
{"title":"Resistance Training in Patients With Coronary Artery Disease, Heart Failure, and Valvular Heart Disease: A REVIEW WITH SPECIAL EMPHASIS ON OLD AGE, FRAILTY, AND PHYSICAL LIMITATIONS.","authors":"Birna Bjarnason-Wehrens, Bernhard Schwaab, Nils Reiss, Thomas Schmidt","doi":"10.1097/HCR.0000000000000730","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000730","url":null,"abstract":"<p><strong>Purpose: </strong>Current guidelines recommend individually adapted resistance training (RT) as a part of the exercise regime in patients with cardiovascular diseases. The aim of this review was to provide insights into current knowledge and understanding of how useful, feasible, safe, and effective RT is in patients with coronary artery disease (CAD), heart failure (HF), and valvular heart disease (VHD), with particular emphasis on the role of RT in elderly and/or frail patients.</p><p><strong>Review methods: </strong>A review based on an intensive literature search: systematic reviews and meta-analyses published in 2010 or later; recent studies not integrated into meta-analyses or systematic reviews; additional manual searches.</p><p><strong>Summary: </strong>The results highlight the evaluation of effects and safety of RT in patients with CAD and HF with reduced ejection fraction (HFrEF) in numerous meta-analyses. In contrast, few studies have focused on RT in patients with HF with preserved ejection fraction (HFpEF) or VHD. Furthermore, few studies have addressed the feasibility and impact of RT in elderly cardiac patients, and data on the efficacy and safety of RT in frail elderly patients are limited. The review results underscore the high prevalence of age-related sarcopenia, disease-related skeletal muscle deconditioning, physical limitations, and frailty in older patients with cardiovascular diseases (CVD). They underline the need for individually tailored exercise concepts, including RT, aimed at improving functional status, mobility, physical performance and muscle strength in older patients. Furthermore, the importance of the use of assessment tools to diagnose frailty, mobility/functional capacity, and physical performance in the elderly admitted to cardiac rehabilitation is emphasized.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40334918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthur S. Leon, MD, MS.","authors":"Larry F Hamm","doi":"10.1097/HCR.0000000000000737","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000737","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eve Dudley, Niruthikha Mahendran, Tom Howes, Nicole Freene
{"title":"Perspectives of Stroke and Cardiac Clinicians on Cardiac Rehabilitation Post-TIA or Mild Stroke.","authors":"Eve Dudley, Niruthikha Mahendran, Tom Howes, Nicole Freene","doi":"10.1097/HCR.0000000000000729","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000729","url":null,"abstract":"In this qualitative study, we identified challenges to CR program attendance among completers and noncompleters. Some of these challenges include barriers that have been previously reported such as transportation and scheduling issues.6-8 However, we also identified other more novel barriers that are less well known, including a perceived lack of interaction with CR staff and patients; a feeling of anxiety related to exercise participation; and a feeling of being overwhelmed by medical appointments and other responsibilities, all of which lead the patient to view CR participation at a relatively low priority level. These findings suggest the importance of patient education and psychosocial support to help identify and overcome potential barriers to CR participation. This study was limited by the small sample size and by differing data collection strategies for completers and noncompleters. However, we used a standardized interview guide. A minority of women and employed individuals participated in the study. This may have weakened our ability to collect information from these populations, which along with ethnic minorities and lower income and education attainment, have been shown to be significant disparities in CR utilization.9,10","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40334919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}