Journal of Cardiopulmonary Rehabilitation and Prevention最新文献_第9页

Assessing the Readability and Quality of Cardiac Rehabilitation Program Websites in Michigan. 密歇根州心脏康复项目网站的可读性和质量评估。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-08-29 DOI: 10.1097/HCR.0000000000000817

Alexandra I Mansour, Whitney Fu, Max Fliegner, James W Stewart, Steven J Keteyian, Michael P Thompson

引用次数: 0

Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair: A SYSTEMATIC REVIEW AND META-ANALYSIS. 胸主动脉修复后心脏康复后最大工作负荷和收缩压的改善：系统综述和代谢分析。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-05-24 DOI: 10.1097/HCR.0000000000000798

Niek Koenders, Henrita van Zetten, Michelle Smulders, Martin L Verra, Roland R J van Kimmenade, Thomas van Brakel, Thijs M H Eijsvogels, Tim Smith

{"title":"Improved Maximal Workload and Systolic Blood Pressure After Cardiac Rehabilitation Following Thoracic Aortic Repair: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Niek Koenders, Henrita van Zetten, Michelle Smulders, Martin L Verra, Roland R J van Kimmenade, Thomas van Brakel, Thijs M H Eijsvogels, Tim Smith","doi":"10.1097/HCR.0000000000000798","DOIUrl":"10.1097/HCR.0000000000000798","url":null,"abstract":"Purpose: It is of clinical importance to gain more knowledge about the risks and benefits of exercise in patients recovering from thoracic aortic repair. Therefore, the aim of this review was to perform a meta-analysis on changes in cardiorespiratory fitness, blood pressure, and the incidence of adverse events during cardiac rehabilitation (CR) in patients recovering from thoracic aortic repair.Review methods: We performed a systematic review and random-effects meta-analysis of outcomes before versus after outpatient CR in patients recovering from thoracic aortic repair. The study protocol was registered (PROSPERO CRD42022301204) and published. MEDLINE, EMBASE, and CINAHL were systematically searched for eligible studies. Overall certainty of evidence was scored with Grading of Recommendations Assessment, Development, and Evaluation (GRADE).Summary: We included five studies with data from in total 241 patients. Data from one study could not be used in our meta-analysis because they were provided in a different unit of measure. Four studies with data of 146 patients were included in the meta-analysis. The mean maximal workload increased with 28.7 W (95% CI: 21.8-35.6 W, n = 146, low certainty of evidence). The mean systolic blood pressure during exercise testing increased with 25.4 mm Hg (95% CI: 16.6-34.3, n = 133, low certainty of evidence). No exercise-induced adverse events were reported. These outcomes indicate that CR seems beneficial and safe to improve exercise tolerance in patients recovering from thoracic aortic repair, although outcomes were based on data from a small, heterogeneous group of patients.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9512275","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

Pulmonary Rehabilitation for Post-COVID-19. COVID-19后肺部康复。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-08-04 DOI: 10.1097/HCR.0000000000000813

Jafar Aljazeeri, Rayyan Almusally, Yijin Wert, Mostafa Abdelhalim, Cathleen Klinger, Navitha Ramesh, Taj Rahman

{"title":"Pulmonary Rehabilitation for Post-COVID-19.","authors":"Jafar Aljazeeri, Rayyan Almusally, Yijin Wert, Mostafa Abdelhalim, Cathleen Klinger, Navitha Ramesh, Taj Rahman","doi":"10.1097/HCR.0000000000000813","DOIUrl":"10.1097/HCR.0000000000000813","url":null,"abstract":"Purpose: Patients with COVID-19 often report persistent respiratory symptoms. Limited data exist on how to mitigate long-term sequelae of exercise intolerance and dyspnea. We aimed to study the role of pulmonary rehabilitation (PR) in patients with post-COVID-19.Methods: This was an observational study. Consecutive patients with post-COVID-19, admitted to three separate outpatient PR programs, were enrolled. The program consisted of 8-12 wk of PR sessions (3 times/wk). Data were gathered at the initial visit and discharge. The primary outcome was the change in the 6-min walk test (6MWT) distance. Secondary outcomes included the Shortness of Breath Questionnaire (SOBQ), modified Borg dyspnea scale, Patient Health Questionnaire-9 (PHQ-9), and Lung Information Needs Questionnaire (LINQ).Results: A total of 56 patients completed the PR program (age 62.8 ± 14.7 yr, 57% were men). At baseline, the mean 6MWT was 313.3 ± 193.8 m. On average, the 6MWT improved by 84.3 m after PR ( P < .0001). Apart from the modified Borg dyspnea scale, there was improvement across secondary outcomes: SOBQ (-16.9 points), PHQ-9 (-2.6 points), and LINQ (-4.2 points); all P < .05.Conclusion: Pulmonary rehabilitation showed a promising positive effect on patients with with post-COVID-19. It improved exercise capacity, perception of dyspnea, depressive symptoms, and patient knowledge needed to manage their lung disease. Pulmonary rehabilitation should be considered for post-COVID-19 patients.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10290531","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

Main Mechanisms of Remote Monitoring Programs for Cardiac Rehabilitation and Secondary Prevention: A SYSTEMATIC REVIEW. 心脏康复和二级预防远程监测项目的主要机制：系统综述。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 DOI: 10.1097/HCR.0000000000000802

Alexander M Clark, Bailey J Sousa, Chantal F Ski, Julie Redfern, Lis Neubeck, Saleema Allana, Annette Peart, Danielle MacDougall, David R Thompson

{"title":"Main Mechanisms of Remote Monitoring Programs for Cardiac Rehabilitation and Secondary Prevention: A SYSTEMATIC REVIEW.","authors":"Alexander M Clark, Bailey J Sousa, Chantal F Ski, Julie Redfern, Lis Neubeck, Saleema Allana, Annette Peart, Danielle MacDougall, David R Thompson","doi":"10.1097/HCR.0000000000000802","DOIUrl":"10.1097/HCR.0000000000000802","url":null,"abstract":"Purpose: The objective of this report was to identify the main mechanisms of home-based remote monitoring programs for cardiac rehabilitation (RM CR) and examine how these mechanisms vary by context.Methods: This was a systematic review using realist synthesis. To be included, articles had to be published in English between 2010 and November 2020 and contain specific data related to mechanisms of effect of programs. MEDLINE All (1946-) via Ovid, Embase (1974-) via Ovid, APA PsycINFO (1806-), CINAHL via EBSCO, Scopus databases, and gray literature were searched.Results: From 13 747 citations, 91 focused on cardiac conditions, with 23 reports including patients in CR. Effective RM CR programs more successfully adapted to different patient home settings and broader lives, incorporated individualized patient health data, and had content designed specifically for patients in cardiac rehabilitation. Relatively minor but common technical issues could significantly reduce perceived benefits. Patients and families were highly receptive to the programs and viewed themselves as fortunate to receive such services. The RM CR programs could be improved via incorporating more connectivity to other patients. No clear negative effects on perceived utility or outcomes occurred by patient age, ethnicity, or sex. Overall, the programs were seen to best suit highly motivated patients and consolidated rather than harmed existing relationships with health care professionals and teams.Conclusions: Remote monitoring CR programs are perceived by patients to be beneficial and attractive. Future RM CR programs should consider adaptability to different home settings, incorporate individualized health data, and contain content specific to patient needs.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61562800","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

Hemodynamic Tolerance of New Resistance Training Methods in Patients With Heart Failure and Coronary Artery Disease: A RANDOMIZED CROSSOVER STUDY. 心力衰竭和冠心病患者新阻力训练方法的血液动力学耐受性：一项随机交叉研究。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-04-12 DOI: 10.1097/HCR.0000000000000794

Alexis Gillet, Michel Lamotte, Kevin Forton, Ana Roussoulières, Céline Dewachter, Jason Bouziotis, Gaël Deboeck, Philippe van de Borne

{"title":"Hemodynamic Tolerance of New Resistance Training Methods in Patients With Heart Failure and Coronary Artery Disease: A RANDOMIZED CROSSOVER STUDY.","authors":"Alexis Gillet, Michel Lamotte, Kevin Forton, Ana Roussoulières, Céline Dewachter, Jason Bouziotis, Gaël Deboeck, Philippe van de Borne","doi":"10.1097/HCR.0000000000000794","DOIUrl":"10.1097/HCR.0000000000000794","url":null,"abstract":"Purpose: The purpose of this study was to determine and compare the effectiveness of three different resistance training (RT) methods for cardiac rehabilitation.Methods: Individuals with heart failure with reduced ejection fraction (HFrEF, n = 23) or coronary artery disease (CAD, n = 22) and healthy controls (CTRL, n = 29) participated in this randomized crossover trial of RT exercises at 70% of the one-maximal repetition on a leg extension machine. Peak heart rate (HR) and blood pressure (BP) were measured noninvasively. The three RT methods were five sets of increasing repetitions from three to seven (RISE), of decreasing repetitions from seven to three (DROP), and three sets of nine repetitions (USUAL). Interset rest intervals were 15 sec for RISE and DROP and 60 sec for USUAL.Results: Peak HR differed on average by <4 bpm between methods in the HFrEF and CAD groups ( P < .02). Rises in systolic BP (SBP) in the HFrEF group were comparable across methods. In the CAD group, mean SBP at peak exercise increased more in RISE and DROP than in USUAL ( P < .001), but the increase was ≤10 mm Hg. In the CTRL group, SBP was higher for DROP than for USUAL (152 ± 22 vs 144 ± 24 mm Hg, respectively; P < .01). Peak cardiac output and perceived exertion did not differ between methods.Conclusions: The RISE, DROP, and USUAL RT methods induced a similar perception of effort and similar increases in peak HR and BP. The RISE and DROP methods appear more efficient as they allow a comparable training volume in a shorter time than the USUAL method.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284060","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

Benefits of Cardiac Rehabilitation in Cardio-Renal Patients With Heart Failure With Reduced Ejection Fraction. 心脏康复对射血分数降低的心肾功能衰竭患者的益处。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-03-10 DOI: 10.1097/HCR.0000000000000781

Ahmad Mroué, Stéphane Roueff, Isabella Vanorio-Vega, Hélène Lazareth, Oksana Kovalska, Adrien Flahault, Philippe Tuppin, Eric Thervet, Marie-Christine Iliou

{"title":"Benefits of Cardiac Rehabilitation in Cardio-Renal Patients With Heart Failure With Reduced Ejection Fraction.","authors":"Ahmad Mroué, Stéphane Roueff, Isabella Vanorio-Vega, Hélène Lazareth, Oksana Kovalska, Adrien Flahault, Philippe Tuppin, Eric Thervet, Marie-Christine Iliou","doi":"10.1097/HCR.0000000000000781","DOIUrl":"10.1097/HCR.0000000000000781","url":null,"abstract":"Purpose: Chronic kidney disease (CKD) is common in heart failure (HF). Chronic kidney disease often worsens the prognosis and impairs the management of patients with HF. Chronic kidney disease is frequently accompanied by sarcopenia, which limits the benefits of cardiac rehabilitation (CR). The aim of this study was to evaluate the impact of CR on cardiorespiratory fitness in HF patients with reduced ejection fraction (HFrEF) according to the CKD stage.Methods: We conducted a retrospective study including 567 consecutive patients with HFrEF, who underwent a 4-wk CR program, and who were evaluated by cardiorespiratory exercise test before and after the program. Patients were stratified according to their estimated glomerular filtration rate (eGFR). We performed multivariate analysis looking for factors associated with an improvement of 10% in peak oxygen uptake (V˙ o2peak ).Results: Thirty-eight percent of patients had eGFR <60 mL/min/1.73m². With decreasing eGFR, we observed deterioration in V˙ o2peak , first ventilatory threshold (VT1) and workload and an increase in brain natriuretic peptide levels at baseline. After CR, there was an improvement in V˙ O2peak (15.3 vs 17.8 mL/kg/min, P < .001), VT1 (10.5 vs 12.4 mL/kg/min, P < .001), workload (77 vs 94 W, P < .001), and brain natriuretic peptide (688 vs 488 pg/mL, P < .001). These improvements were statistically significant for all stages of CKD. In a multivariate analysis predicting factors associated with V˙ o2peak improvement, renal function did not interfere with results.Conclusions: Cardiac rehabilitation is beneficial in patients with HFrEF with CKD regardless of CKD stage. The presence of CKD should not prevent the prescription of CR in patients with HFrEF.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9077530","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

Proportional Internal Work-a New Parameter of Exercise Testing in Study of Health in Pomerania (SHIP). 比例内功——波美拉尼亚健康研究中运动测试的一个新参数（SHIP）。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-05-15 DOI: 10.1097/HCR.0000000000000795

Till Ittermann, Ralf Ewert, Dirk Habedank, Sabine Kaczmarek, Stephan B Felix, Marcus Dörr, Beate Stubbe, Martin Bahls

{"title":"Proportional Internal Work-a New Parameter of Exercise Testing in Study of Health in Pomerania (SHIP).","authors":"Till Ittermann, Ralf Ewert, Dirk Habedank, Sabine Kaczmarek, Stephan B Felix, Marcus Dörr, Beate Stubbe, Martin Bahls","doi":"10.1097/HCR.0000000000000795","DOIUrl":"10.1097/HCR.0000000000000795","url":null,"abstract":"Purpose: Cardiopulmonary exercise testing usually requires a maximal exhaustive effort by the patient and is time consuming. The purpose of this study was to assess whether the cost to initiate exercise termed \"proportional internal work\" (PIW) was related to cardiovascular disease (CVD) risk factors, ventilatory parameters, and mortality.Methods: We used data from population-based Study of Health in Pomerania. A total of 2829 (49.5% female) study participants with a median age of 52 (42-62) yr were included. Standardized questionnaires were used to assess CV risk factors. The cardiopulmonary exercise testing was performed using a modified Jones protocol. Regression models adjusted for sex and age were used to relate PIW with CVD risk factors and ventilatory parameters. The PIW was calculated by the following formula: (Oxygen uptake at rest - Oxygen uptake without load)/V˙ o2peak ) × 100. Cox regression analysis was used to relate PIW and all-cause mortality.Results: We identified a nonlinear association between PIW and percent predicted V˙ o2peak . Women had a 2.96 (95% CI, 2.61-3.32) greater PIW than men. With each year of age and every point in body mass index, the PWI increased by 0.04 (95% CI, 0.03-0.05) and 0.16 (95% CI, 0.12-0.20), respectively. After adjustment for age, sex, smoking, and body mass index, a 1-point greater PIW was associated with a 5% higher risk to die (HR = 1.05; 95% CI, 1.01-1.07).Conclusions: The PIW is a new cardiopulmonary exercise testing parameter related to CVD risk and all-cause mortality. Future studies should assess the prognostic relevance of PIW for CVD prevention.","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9832940","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

Time of Day Effects on Exercising in Cardiac Rehabilitation. 心脏康复中锻炼的时间效应。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 Epub Date: 2023-10-11 DOI: 10.1097/HCR.0000000000000815

Elizabeth Molle, Lisa Lee, Janice Rzecka, Michele Pallas

引用次数: 0

Missing the Target: HOW OFTEN IS EXERCISE INTENSITY APPROPRIATELY PRESCRIBED IN CARDIAC REHABILITATION? 错过目标：在心脏康复中，有多少次适当地规定了运动强度？

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 DOI: 10.1097/HCR.0000000000000830

Matthew P Harber

引用次数: 0

From the Editor. 来自编辑器。

IF 3.8 3区医学

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2023-11-01 DOI: 10.1097/HCR.0000000000000833

Lenny Kaminsky

引用次数: 0