Journal of Cardiopulmonary Rehabilitation and Prevention最新文献_第3页

When the Treatment Needs a Home: The Application of Exercise Interventions in Long COVID. 当治疗需要一个家：运动干预在长期COVID中的应用。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-07-01 Epub Date: 2025-06-26 DOI: 10.1097/HCR.0000000000000981

Katherine E Menson, Diann E Gaalema

引用次数: 0

Barriers to Cardiac Rehabilitation Participation Faced by Patients of Lower Socioeconomic Status. 低社会经济地位患者参与心脏康复的障碍。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-06-10 DOI: 10.1097/HCR.0000000000000967

Brian R Katz, Sherrie Khadanga, Blair Yant, Robin K Collier, Deborah Denkmann, Lisa Kromer, Patrick D Savage, Philip A Ades, Diann E Gaalema

{"title":"Barriers to Cardiac Rehabilitation Participation Faced by Patients of Lower Socioeconomic Status.","authors":"Brian R Katz, Sherrie Khadanga, Blair Yant, Robin K Collier, Deborah Denkmann, Lisa Kromer, Patrick D Savage, Philip A Ades, Diann E Gaalema","doi":"10.1097/HCR.0000000000000967","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000967","url":null,"abstract":"Purpose: Individuals with lower socioeconomic status (SES) are less likely to engage in cardiac rehabilitation (CR) following a major cardiac event. Identifying barriers to attending CR is crucial for facilitating recovery for this vulnerable population.Methods: Data are from a randomized controlled trial on improving CR attendance for individuals with lower SES (N = 192; 35% female). Of these, 103 (40% female) were randomly assigned to a case management arm and included in the present analysis. Participants were recruited at or shortly after hospitalization for a CR-qualifying cardiac event and were asked about 1) their primary post-discharge concern (Concerns Assessment) and 2) eight potential barriers to CR attendance/secondary prevention (Barriers Assessment; medical, transportation, employment, financial, housing, psychosocial, childcare, legal). Concerns were sorted into these categories, and the frequency of each was calculated and ranked.Results: Sixty-eight participants (66%) completed the Concerns Assessment, and 96 (93%) completed the Barriers Assessment. Health-related issues were the most common primary post-hospitalization concern (57%), followed by no concerns (16%). Financial (70%), employment (48%), and transportation (47%) issues were the three most cited barriers.Conclusions: Participants most often rated their health as their primary concern at hospitalization, but non-medical needs were more often reported as barriers. The obstacles commonly identified in the present study are often not addressed during hospital admission. Hospitalization is a critical time for emergent treatment and is where support for on-going care should begin. Addressing these barriers before discharge is an important step toward improving secondary prevention.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317005","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}

引用次数: 0

Cardiac Rehabilitation for Patients With Ischemia and No Obstructive Coronary Arteries (INOCA) and Myocardial Infarction With No Obstructive Coronary Arteries (MINOCA): A Review. 缺血无阻塞性冠状动脉（INOCA）和心肌梗死无阻塞性冠状动脉（MINOCA）患者的心脏康复：综述

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-06-06 DOI: 10.1097/HCR.0000000000000964

Anaïs Hausvater, Harmony R Reynolds

{"title":"Cardiac Rehabilitation for Patients With Ischemia and No Obstructive Coronary Arteries (INOCA) and Myocardial Infarction With No Obstructive Coronary Arteries (MINOCA): A Review.","authors":"Anaïs Hausvater, Harmony R Reynolds","doi":"10.1097/HCR.0000000000000964","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000964","url":null,"abstract":"Purpose: Patients with ischemia with no obstructive coronary arteries (INOCA) and myocardial infarction with no obstructive coronary arteries (MINOCA) may benefit from cardiac rehabilitation. Episodes of INOCA can be caused by different mechanisms including coronary microvascular dysfunction and coronary artery spasm, while episodes of MINOCA can be caused by plaque disruption (rupture or erosion), coronary artery spasm, or coronary embolism. Both conditions affect women more than men.Review methods: The current review evaluates available evidence on exercise and cardiac rehabilitation in patients with INOCA and MINOCA.Summary: Small studies have shown that exercise training can result in improvements in endothelial function, myocardial perfusion, exercise capacity, and overall wellbeing and quality of life in patients with INOCA. Structured cardiac rehabilitation programs have also been shown to improve symptoms of angina, physical functioning, and quality of life for patients with INOCA. Studies of cardiac rehabilitation among patients with MINOCA have found that only one third participate in cardiac rehabilitation, but among those who do, observational studies and a randomized controlled trial demonstrate a lower risk of major adverse cardiovascular events (such as all-cause mortality and nonfatal myocardial infarction) with cardiac rehabilitation. However, given that INOCA and MINOCA are conditions that predominantly affect women and may be caused by non-atherosclerotic mechanisms, tailoring of traditional cardiac rehabilitation programs (eg, education components) may be desirable to meet the specific needs of these patients. Future studies should explore the effectiveness of tailored cardiac rehabilitation programs with novel delivery methods to optimize programs for patients with INOCA and MINOCA.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234232","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}

引用次数: 0

Arterial Stiffness and Physical Activity in Patients With Heart Failure With Reduced Ejection Fraction. 心力衰竭伴射血分数降低患者的动脉僵硬度和体力活动。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-06-03 DOI: 10.1097/HCR.0000000000000958

Aylin Tanriverdi Eyolcu, Buse Ozcan Kahraman, Ebru Ozpelit, Bihter Senturk, Bahri Akdeniz, Mehmet Birhan Yilmaz, Sema Savci

{"title":"Arterial Stiffness and Physical Activity in Patients With Heart Failure With Reduced Ejection Fraction.","authors":"Aylin Tanriverdi Eyolcu, Buse Ozcan Kahraman, Ebru Ozpelit, Bihter Senturk, Bahri Akdeniz, Mehmet Birhan Yilmaz, Sema Savci","doi":"10.1097/HCR.0000000000000958","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000958","url":null,"abstract":"Purpose: The link between arterial stiffness and physical activity remains unknown in patients with heart failure with reduced ejection fraction (HFrEF). This study aimed to assess the association between arterial stiffness and physical activity in patients with HFrEF.Methods: Seventy-six patients with HFrEF (mean age: 61.40 ± 8.56 years) were recruited in this cross-sectional study. Arterial stiffness was evaluated with carotid-femoral pulse wave velocity (cfPWV). Physical activity was objectively assessed with an accelerometer over 7 days. Physical activity intensity was classified based on the metabolic equivalents of task (MET) as light-intensity physical activity (LPA; 1.5-2.9 MET), moderate-intensity physical activity (MPA; 3.0-6.0 MET), and vigorous-intensity physical activity (VPA; >6.0 MET).Results: There was a significant correlation between cfPWV and the time spent per week in LPA (r = -0.478, P < .001), MPA (r = -0.547, P < .001), total physical activity (r = -0.579, P < .001), and step count (r = -0.489, P < .001). After adjusting for age, sex, body mass index, mean arterial pressure, and New York Heart Association functional class, the correlations remained significant. When patients were categorized into inactive, active, and highly active groups according to weekly moderate-to-vigorous intensity physical activity (sum of MPA and VPA), there was a significant difference in cfPWV between the groups (P < .001).Conclusions: This study indicates that LPA, MPA, total physical activity, and step count are independently associated with arterial stiffness in patients with HFrEF. Arterial stiffness is lower in patients who are active or highly active compared to those who are inactive.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208614","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}

引用次数: 0

Optimal Pulmonary Rehabilitation Program and Timing of Program Initiation for Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review and Network Meta-Analysis. 慢性阻塞性肺疾病患者的最佳肺康复计划和计划启动时间：系统综述和网络荟萃分析

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-06-02 DOI: 10.1097/HCR.0000000000000954

Tzu-Ang Chen, Sheng-Ting Mao, Tzu-Tao Chen, Yun-Kai Yeh, Kuan-Yuan Chen, Chien-Hua Tseng

{"title":"Optimal Pulmonary Rehabilitation Program and Timing of Program Initiation for Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review and Network Meta-Analysis.","authors":"Tzu-Ang Chen, Sheng-Ting Mao, Tzu-Tao Chen, Yun-Kai Yeh, Kuan-Yuan Chen, Chien-Hua Tseng","doi":"10.1097/HCR.0000000000000954","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000954","url":null,"abstract":"Purpose: Evidence for optimal timing of pulmonary rehabilitation initiation, especially during stable chronic obstructive pulmonary disease (COPD) or following its acute exacerbation (AE), is conflicting.Review methods: PubMed, EMBASE, and Cochrane CENTRAL were systematically searched before August 2022. The identified interventions were classified as single-component programs (endurance, resistance, and respiratory muscle training) and multi-component programs (combinations of these interventions). The revised risk-of-bias tool 2.0 was used to assess the risk of bias of the included studies. Network meta-analyses were performed separately for stable COPD and AECOPD using a random-effects model to calculate mean differences (MD). A total of 52 trials with 2,828 patients were included. For patients with stable COPD, multi-component programs combining endurance, resistance, and respiratory muscle training significantly improved the six-minute walk test (6MWT) distance (MD = 72.09: 95% CI, 48.16-96.02 meters) compared to usual care. In AECOPD, post-discharge initiation of rehabilitation with a combination of endurance and resistant training significantly reduced the readmission rate (OR = 0.44: 95% CI, 0.21-0.91); conversely, pre-discharge initiation with endurance training alone achieved the most significant improvements in both the readmission rate (OR = 0.09: 95% CI, 0.01-0.56) and 6MWT distance (MD = 167.69: 95% CI, 81.23-254.15 meters).Summary: The integration of endurance, resistance, and respiratory muscle training improved exercise capacity in patients with stable COPD. Prioritizing endurance training prior to discharge demonstrated the most favorable outcomes in both readmission rates and exercise capacity for patients with AECOPD, although further validation is needed.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208615","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}

引用次数: 0

Impact of Home-Based Cardiac Rehabilitation on Physical Function, Outcomes, and Costs. 家庭心脏康复对身体功能、结果和费用的影响。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1097/HCR.0000000000000931

Jonathan Myers, Karen Owoc, Holly Fonda, Khin Chan, Thant Zin Oo, Shriram Nallamshetty, Patricia Nguyen

{"title":"Impact of Home-Based Cardiac Rehabilitation on Physical Function, Outcomes, and Costs.","authors":"Jonathan Myers, Karen Owoc, Holly Fonda, Khin Chan, Thant Zin Oo, Shriram Nallamshetty, Patricia Nguyen","doi":"10.1097/HCR.0000000000000931","DOIUrl":"10.1097/HCR.0000000000000931","url":null,"abstract":"Purpose: Cardiac rehabilitation (CR) improves health outcomes in patients with cardiovascular disease (CVD), but referral, participation, and completion rates are low. Home-based CR (HBCR) is a proposed solution, but studies on its efficacy are limited. We report our experience from a Veterans Affairs HBCR program on physical function, costs, and outcomes overlapping with the coronavirus disease-2019 (COVID-19) pandemic.Methods: A 12-week HBCR program included case-managed individualized exercise and risk management. Six functional tests were conducted remotely, safety was monitored, and quality of life and costs were quantified. A composite outcome (death, myocardial infarction, stroke, and cardiac-related hospitalization) was compared between 70 HBCR participants, 131 patients referred to Community Care, and 71 patients undergoing usual care (no CR) over a mean follow-up of 2.5 ± 0.90 years.Results: Among HBCR participants, there were significant improvements in right and left leg balance (145 and 56%, respectively, P < .001), 30-second chair stand (47%, P < .001), 2-minute step performance (41%, P < .001), right and left 30-second arm curl (31 and 30%, respectively, P < .001), 50-foot walk test (20%, P = .002), 8-foot up and go test (28%, P < .001), and steps/day (82%, P < .001). Composite events were lower among patients in the HBCR group versus those referred to Community Care ( P = .002). Health care costs were significantly lower among patients in the HBCR group compared to those in Community Care ($2101 vs $3289/subject, P < .001).Conclusions: A HBCR program that included a broad spectrum of patients with CVD and multiple co-morbidities, performed largely during the COVID-19 pandemic, resulted in significant functional and outcome benefits and reduced costs.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"200-206"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752855","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}

引用次数: 0

Combined Physical Exercise in Pulmonary Rehabilitation Does Not Alter Endothelial Function and Vascular Structure in Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial. 肺康复中的联合体育锻炼不会改变慢性阻塞性肺病患者的内皮功能和血管结构：随机临床试验

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1097/HCR.0000000000000940

Talmir Nolasco, Renata Figueiredo, Priscila Zanella, Francini Porcher, Ricardo Gass, Melina Hauck, Marli Knorst

{"title":"Combined Physical Exercise in Pulmonary Rehabilitation Does Not Alter Endothelial Function and Vascular Structure in Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial.","authors":"Talmir Nolasco, Renata Figueiredo, Priscila Zanella, Francini Porcher, Ricardo Gass, Melina Hauck, Marli Knorst","doi":"10.1097/HCR.0000000000000940","DOIUrl":"10.1097/HCR.0000000000000940","url":null,"abstract":"Purpose: The aim of this study was to analyze the effect of exercise on endothelial function and other cardiovascular risk factors in patients with chronic obstructive pulmonary disease (COPD).Methods: Forty patients were randomized to an 8-week pulmonary rehabilitation (PR) program or usual care. Symptoms, exercise capacity, and quality of life were measured at baseline and after intervention or observation. Flow-mediated brachial artery dilation (FMD), ankle-brachial index, intermittent claudication questionnaire, cardiovascular risk score, blood pressure, daily steps count, glucose, lipids, and C-reactive protein were evaluated before and after intervention.Results: Participants had a mean age of 64.2 ± 6.7 years in the PR group and 62.2 ± 8.0 years in the usual care group. The forced expiratory volume in the first second was 45.5 ± 15.4% predicted in the PR group and 48.1 ± 24.3% predicted in the usual care group. Attending PR was associated with reduced symptoms, improved exercise capacity and quality of life in patients with COPD ( P < .005 for all). Endothelial function did not improve after PR (FMD% at baseline 9.38 ± 4.40 vs 9.67 ± 6.56 post PR; P = .87), and there was no difference between the 2 groups ( P = .61). However, exercise reduced C-reactive protein, triglycerides, and glucose and improved cardiovascular risk score, systemic blood pressure, and ankle-brachial index ( P < .005 for all).Conclusions: Pulmonary rehabilitation elicited improvement in symptoms, exercise capacity, quality of life, and parameters related to cardiorespiratory fitness. The endothelial function measured by FMD did not change with exercise. However, other cardiovascular risk factors such as blood markers, systemic blood pressure, and lower limb blood flow improved after PR.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"215-223"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752799","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}

引用次数: 0

Attitudes to and Attendance at Cardiac Rehabilitation After Spontaneous Coronary Artery Dissection. 自发性冠状动脉夹层术后心脏康复的态度和出席率。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1097/HCR.0000000000000944

Barbara M Murphy, Michelle C Rogerson, Siiri E Iismaa, Stephanie Hesselson, Michael R Le Grande, Robert M Graham, Alun C Jackson

{"title":"Attitudes to and Attendance at Cardiac Rehabilitation After Spontaneous Coronary Artery Dissection.","authors":"Barbara M Murphy, Michelle C Rogerson, Siiri E Iismaa, Stephanie Hesselson, Michael R Le Grande, Robert M Graham, Alun C Jackson","doi":"10.1097/HCR.0000000000000944","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000944","url":null,"abstract":"Purpose: Cardiac rehabilitation (CR) is standard care for patients after a heart event, including acute myocardial infarction. However, the uptake and relevance of traditional CR after acute myocardial infarction due to spontaneous coronary artery dissection (SCAD) has not been extensively investigated. The present study investigated attitudes toward CR, identified the rate and correlates of CR attendance, and examined the reasons for CR non-attendance after SCAD.Methods: Online focus groups (n = 30) explored attitudes toward and experiences of CR of survivors of SCAD, with data analyzed thematically according to recommended guidelines. An online survey (n = 310) then investigated rates of CR attendance and reasons for non-attendance. Correlates of CR attendance were identified using bivariate and multivariable analyses.Results: Thematic analysis revealed 5 themes in the perceptions of CR of survivors of SCAD: (1) lack of relevance of CR educational content; (2) lack of identification with typical CR attendees; (3) lack of CR health professional knowledge and skills; (4) preference for SCAD-specific CR; and (5) benefits of CR. The survey demonstrated a CR attendance rate of 63% (73% among those referred). The correlates of CR attendance were mid-level education and self-reported lifetime anxiety. Among attendees, the correlates of attending fewer sessions were having a more recent SCAD, not having lifetime anxiety, and not knowing other survivors of SCAD. Reported reasons for non-attendance mirrored qualitative themes identified.Conclusion: While the survey demonstrated high CR attendance, perceptions that CR was unnecessary and irrelevant after SCAD were evident, often based on health professional advice. The findings add to the growing literature highlighting a need for appropriate support for survivors of SCAD.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":"45 3","pages":"181-191"},"PeriodicalIF":3.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005521","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}

引用次数: 0

Volume of Aerobic Exercise to Optimize Outcomes in Cardiac Rehabilitation: An Official Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation. 有氧运动量优化心脏康复的结果：美国心血管和肺康复协会的官方声明。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-05-01 Epub Date: 2025-03-03 DOI: 10.1097/HCR.0000000000000941

Patrick D Savage, Theresa M Beckie, Leonard A Kaminsky, Carl J Lavie, Cemal Ozemek

引用次数: 0

Depression Increases the Risk of Dropout From Home-Based Cardiac Rehabilitation. 抑郁症增加了家庭心脏康复退出的风险。

IF 3.3 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1097/HCR.0000000000000946

Julia Browne, Elizabeth Medbury, Jeannie Ursillo, Wen-Chih Wu

引用次数: 0