Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

{"title":"Blood Pressure Responses to Different Exercise Models in Patients With Coronary Artery Disease.","authors":"Ting Teng, Chang-Hsun Chiang, Shu-Fang Hsiao, Meng-Yueh Chien, Che-Hsuan Lin","doi":"10.1097/HCR.0000000000001059","DOIUrl":"10.1097/HCR.0000000000001059","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"E40-E41"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678402","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":"Implementing Cardiac Rehabilitation as a First-Line Treatment for Stable Angina Pectoris: PERSPECTIVES OF CARDIOLOGISTS AND PATIENTS.","authors":"Eva W Verkerk, Esther Deuning-Smit, Noa Beernink, Angelique T E F Schlief, Joyce M Heutinck, Iris A de Koning, Hareld M C Kemps, Dick H J Thijssen, Rudolf B Kool","doi":"10.1097/HCR.0000000000001066","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001066","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiac rehabilitation (CR) is a promising treatment for patients with stable angina pectoris (SAP) and has been postulated as a safe and effective alternative to revascularization in low-risk patients. We assessed the barriers and facilitators for the implementation of CR for patients with SAP.</p><p><strong>Methods: </strong>We interviewed 12 clinicians (cardiologists and CR case managers) and 6 patients to assess perceived and expected barriers and facilitators in choosing CR as first-choice treatment for SAP in the Netherlands. The interviews were analyzed both inductively and deductively using the theoretical domains framework.</p><p><strong>Results: </strong>We found a total of 44 barriers and 28 facilitators across 8 themes. Clinicians reported the following key barriers: lack of evidence and clarity in guidelines; knowledge gaps about the outcomes, treatment indication, and content of CR; higher perceived effort to discuss CR compared with a revascularization; a lack of support from colleagues and authorities; suboptimal treatment decision-making conditions; beliefs that affect openness to CR; and the organization/funding of care. Clinicians indicated these facilitators: their belief in CR and motivation to provide the best and affordable care. Patients reported no major barriers. As facilitators, patients indicated openness to CR and trust in the clinician advice.</p><p><strong>Conclusion: </strong>Clinicians experience barriers to propose CR as an initial treatment strategy rather than revascularization in patients with SAP despite their motivation and belief in CR. Clinicians require more evidence, awareness of the existing evidence, clarity in guidelines, and support from their professional association.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764924","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":"A Scoping Review of the Effects of E-Cigarette Use on Cardiorespiratory Fitness and Lung Function in Young Adults.","authors":"Ximeng Zhao, Salvador Jaime, William Cooke, Taghrid Asfar, Wasim Maziak","doi":"10.1097/HCR.0000000000001068","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001068","url":null,"abstract":"<p><strong>Purpose: </strong>The surge in e-cigarette use among young people worldwide has become a major public health issue. However, its impact on outcomes important to young people, such as cardiorespiratory fitness, is still not fully understood. This review aims to determine the effects of e-cigarette use on cardiorespiratory fitness in young people.</p><p><strong>Review methods: </strong>A systematic search was conducted across PubMed and Embase to identify relevant studies. Original articles assessing the effects of e-cigarettes on cardiorespiratory fitness and lung function in young adults were considered. Data were extracted regarding the study design, participant characteristics, exposure conditions (eg, chronic or acute e-cigarette use), key findings, and study limitations. A narrative synthesis approach was used to present a descriptive summary of study characteristics, results, and limitations. Eighteen studies met the inclusion criteria. Chronic e-cigarette users demonstrated lower cardiorespiratory fitness compared with nonusers, while acute vaping currently shows no association with cardiorespiratory fitness, although conclusions are limited by the small number of available studies. Chronic vaping is associated with subtle small-airway and pulmonary physiological alterations, although evidence for long-term lung function impairment remains inconclusive, whereas acute vaping causes transient lung function changes.</p><p><strong>Summary: </strong>Future research should adopt prospective study designs, realistic vaping sessions, and validated abstinence periods in primarily e-cigarette users. Addressing these methodological gaps is critical for guiding public health efforts to mitigate potential risks associated with e-cigarette use among young people.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706497","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":"Postoperative Six-Minute Walk Distance Predicts Cardiovascular Mortality After Cardiac Surgery.","authors":"Ting Teng, Chang-Hsun Chiang, Shu-Fang Hsiao, Che-Hsuan Lin","doi":"10.1097/HCR.0000000000001069","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001069","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712332","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":"Head-to-Head Comparison of the Prognostic Value of Actual Versus Percent Predicted 6-Minute Walk Distance in Patients With Heart Failure.","authors":"Domenico Scrutinio, Pietro Guida, Andrea Passantino","doi":"10.1097/HCR.0000000000001064","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001064","url":null,"abstract":"<p><strong>Purpose: </strong>The 6-minute walk test is a powerful prognostic tool to predict mortality in heart failure (HF). We sought to assess whether the use of percent predicted 6-minute walk test distance (%6MWD) allows for enhancing the prognostic performance of the test versus actual 6MWD.</p><p><strong>Methods: </strong>We studied 1425 patients with HF. The primary outcome was all-cause mortality within 1 and 3 years. Predicted 6MWD were determined using the Enright, Duncan, and Morbach equations.</p><p><strong>Results: </strong>The area under the curve of actual and %6MWD in predicting mortality ranged from 0.713 to 0.737 at 1 year and from 0.646 to 0.692 at 3 years. In multivariable analyses, actual 6MWD and each %6MWD were independently associated with mortality risk both at 1 year and 3 years; the odds ratios ranged from 1.29 to 1.36 at 1 year and from 1.19 to 1.24 at 3 years. When added to the baseline risk model for 1-year mortality prediction, actual 6MWD and each %6MWD yielded a statistically significant, similar improvement in discriminative ability, the proportion of survivors reclassified as lower risk, and, except for %6MWDEnright, the proportion of patients with events reclassified as higher risk. Similar results were observed at 3 years.</p><p><strong>Conclusions: </strong>Our data indicate that %6MWD, regardless of the equation used to estimate predicted values, is independently associated with mortality risk in HF and provides incremental prognostic information over well-established predictors of death. Its prognostic performance, however, is not superior to that of actual 6MWD.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706622","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":"Barriers and Facilitators of Depression Treatment in Patients With Chronic Obstructive Pulmonary Disease.","authors":"Abebaw M Yohannes, Anand S Iyer, Richard C Shelton, J Michael Wells, R Chad Wade, Mark T Dransfield","doi":"10.1097/HCR.0000000000001062","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001062","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712322","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":"Post-Traumatic Stress Disorder Severity and Cardiac Rehabilitation Utilization Following Myocardial Infarction.","authors":"Pranav Sreekumar, Joanne Salas, Allan S Jaffe, Beth E Cohen, Kenneth E Freedland, Paula P Schnurr, Patrick J Lustman, Matthew Friedman, Jeffrey F Scherrer","doi":"10.1097/HCR.0000000000001045","DOIUrl":"10.1097/HCR.0000000000001045","url":null,"abstract":"<p><strong>Purpose: </strong>Post-traumatic stress disorder (PTSD) is associated with poor health behaviors and risk for cardiovascular disease, and PTSD may impair cardiovascular disease recovery. Whether PTSD severity is a barrier to cardiac rehabilitation (CR) use following a new myocardial infarction (MI) or revascularization (percutaneous coronary intervention or coronary artery bypass grafting) is uncertain.</p><p><strong>Methods: </strong>Eligible patients were identified from Veterans Health Administration historical medical record data. Patients (N = 5170) had 1 or more PTSD diagnoses and ≥1 PTSD Checklist score between October 1, 2011, and September 30, 2022. Modified Poisson models with robust error variance were computed before and after adjusting for covariates to measure the association between PTSD severity and any CR use in the 12 months after MI/revascularization. Among those who used CR, we determined if PTSD severity was linked to receiving 9 or more sessions.</p><p><strong>Results: </strong>The sample was an average 62.1 ± 11.0 years of age, 95% male, and 77% identified as White race. During the 12-month follow-up period, 8% of the sample had any CR, and among those who did, 66% had ≥9 visits. The severity of PTSD was not significantly associated with any CR use nor with receipt of 9 or more encounters.</p><p><strong>Conclusions: </strong>Participation in CR was low regardless of PTSD severity. Although it is encouraging that higher PTSD severity is not a barrier to CR participation, increasing engagement of veterans in CR after MI/revascularization will be important for reducing their risk of recurrent events and mortality.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706643","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":"Clinical Exercise Physiologists in Cardiac and Pulmonary Rehabilitation.","authors":"Laura A Richardson, Jill Nustad, Cemal Ozemek, Ash Walker, Robert Berry, Aaron W Harding, Patrick D Savage, Garett J Griffith, Mech E Frazier, Clinton A Brawner","doi":"10.1097/HCR.0000000000001055","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001055","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the prevalence of clinical exercise physiologists (CEPs), hiring criteria, and job tasks in early outpatient cardiac and pulmonary rehabilitation (CR/PR) programs in the United States.</p><p><strong>Methods: </strong>In this cross-sectional study, a survey was sent by the American Association of Cardiovascular and Pulmonary Rehabilitation to CR/PR program leaders. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Among 311 programs, 96% (n = 297) offered CR, 71% (n = 222) offered PR, and CEPs were the most frequently reported staff in both CR (86%; n = 256) and PR (83%; n = 185). Staff were exclusively CEPs in 10% (n = 30) of CR and 5% (n = 12) of PR. Hiring criteria for CEPs were a bachelor's degree in 92% (n = 240) and a master's in the remaining programs. Advanced Cardiac Life Support certification was required before or within 1 year of hire in 70% (n = 183) of programs. The American College of Sports Medicine Clinical Exercise Physiologist (ACSM-CEP) credential was required before or within 1 year of hire in 24% (n = 62) of programs. In 75% (n = 196) of programs, CEPs were responsible for the majority (≥23 of 29) of job tasks that are common to CR/PR.</p><p><strong>Conclusions: </strong>Clinical exercise physiologists serve integral roles in CR/PR programs in the United States with job responsibilities that allow them to work at the top of their scope of practice in many programs. Underutilization of CEPs at some institutions might be improved by better understanding the variability in academic preparation and the importance of the ACSM-CEP credential.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497677","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":"The Effect of Exercise on Quality of Life in Patients With Thoracic Aortic Disease Pre- and Post-Surgery: A SCOPING REVIEW.","authors":"Rasmus Stokholm Bækgaard, Sara Hedlund Møller, Christian Have Dall, S Peter Magnusson, Anna Axelsson Raja, Hanne Kruuse Rasmusen","doi":"10.1097/HCR.0000000000001048","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001048","url":null,"abstract":"<p><strong>Purpose: </strong>Thoracic aortic disease (TAD), including type A acute aortic dissection and Marfan Syndrome, requires lifelong management. Exercise may offer benefits, but the impact of exercise on quality of life (QoL), cardiovascular outcomes, and safety remains unclear. This scoping review synthesizes evidence on exercise effects in patients with TAD.</p><p><strong>Review methods: </strong>A comprehensive search was conducted in PubMed, Embase, and CINAHL for studies published up to June 30, 2025. Eligibility criteria included original studies evaluating exercise interventions in patients with TAD or related genetic conditions. Studies reporting outcomes on QoL and cardiovascular status or safety were included. Two reviewers independently screened titles and abstracts, followed by a full-text review; discrepancies were resolved by a third. Data extraction covered population, intervention, and outcomes related to QoL, cardiovascular health, and adverse events.</p><p><strong>Summary: </strong>Nine studies were included, comprising randomized controlled trials, cohort studies, and observational designs. Exercise interventions varied from moderate-intensity aerobic training, resistance training, and personalized rehabilitation programs. Most studies reported improved physical function and capacity, particularly in post-surgical patients with type A acute aortic dissection. Mental health outcomes showed mixed results; some studies reported significant reductions in anxiety and depression, while others found no significant changes in the mental component of QoL. No serious adverse events occurred, although systolic blood pressure responses varied greatly. Despite limited evidence, exercise may enhance physical performance in patients with TAD, although the impact on mental health remains uncertain. Future research should focus on optimizing intervention protocols, incorporating psychosocial support, and establishing evidence-based safety thresholds for exercise-induced blood pressure changes.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470769","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":"Fall Risk and Fear of Falling Among Older Adults in Cardiac Rehabilitation: ARTICULATING RISK FACTORS, PREVALENCE, PATIENT CHARACTERISTICS, AND OUTCOMES.","authors":"Mindy M Kibbey, Emily C Gathright, Carly M Goldstein, Julianne DeAngelis, Christopher Breault, Maria L Buckley, Jacqueline F Pierce, Wen-Chih Wu","doi":"10.1097/HCR.0000000000001053","DOIUrl":"10.1097/HCR.0000000000001053","url":null,"abstract":"<p><strong>Purpose: </strong>Fall risk is associated with restricted exercise and increased morbidity and mortality. Outcomes of patients with high fall risk in cardiac rehabilitation (CR) are not well documented. This study describes the prevalence of high fall risk in CR, associated patient characteristics, CR engagement, and outcomes.</p><p><strong>Methods: </strong>Electronic records were examined from CR patients aged ≥65 years. An 11-variable checklist identified high (≥2 risk factors) versus low fall risk. Groups were compared on demographic, medical, and psychosocial variables, CR sessions completed, and pre-post-CR functional capacity change per maximum effort exercise tolerance test (metabolic equivalent of task) or 6-Minute Walk Test distance.</p><p><strong>Results: </strong>The CR falls incident rate among 384 patients (70% male, mean age 74.2 ± 6.5) was 0.137/1000 visits. One quarter was identified as \"high fall risk.\" Ten percent reported fear of falling. The most common risk factors included visual difficulty (41%), balance disturbance (24%), and gait disturbance (23%). Patients with high fall risk were older (78.03 ± 6.78, P < .001), reported lower physical and mental health-related quality of life ( P ≤ .001), and attended slightly fewer CR sessions (23.80 ± 11.04 vs 26.47 ± 9.91; P = .18). There were no significant differences between groups in functional capacity (metabolic equivalent of task: P = .193; 6-Minute Walk Test: P = .141).</p><p><strong>Conclusions: </strong>Though patients with high fall risk share characteristics with known associations to lower CR referral (eg, older age and comorbidities), they are as likely to benefit from CR participation as patients with lower risk when supported by tailored exercise prescriptions and safety modifications.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387584","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}