Heart and Mind最新文献_第2页

Psychological stress in postural orthostatic tachycardia syndrome: A pilot pre-COVID survey 体位性正位性心动过速综合征的心理压力：COVID 前试点调查

Heart and Mind Pub Date : 2023-10-01 DOI: 10.4103/hm.hm-d-23-00051

Karl Firth, D. Daukantaitė, V. Hamrefors, Richard Sutton, A. Fedorowski

{"title":"Psychological stress in postural orthostatic tachycardia syndrome: A pilot pre-COVID survey","authors":"Karl Firth, D. Daukantaitė, V. Hamrefors, Richard Sutton, A. Fedorowski","doi":"10.4103/hm.hm-d-23-00051","DOIUrl":"https://doi.org/10.4103/hm.hm-d-23-00051","url":null,"abstract":"Background/Aims: Postural orthostatic tachycardia syndrome (POTS) is a chronic condition in which patients show a marked increase in heart rate on standing, but also suffer from a range of additional symptoms, which may include fatigue and difficulty in concentration. This study's aim was to investigate the role of psychological stress, resilience, and lifestyle as possible contributing factors in POTS onset and symptomatology. Methods: Sixty patients diagnosed with POTS at a tertiary investigation center were contacted by mail. A 64-item, online survey was developed in five sections to explore stressful events at symptom onset, present lifestyle factors, and perceptions of stress and resilience. A link was provided for the online survey to those who accepted study participation. Results: Twenty-four POTS patients completed the survey. The average age at onset of symptoms was 20 years and 4 months, with patients waiting an average of 9 years and 5 months for a POTS diagnosis. Respondents reported 54 stressful events in the 12 months leading up to the onset of their symptoms, an average of 2.48 (standard deviation [SD] = 3.24) events per person. However, the modal response was zero events. Patients with POTS had a statistically significant higher score for perceived stress (M = 19.38, SD = 8.88, P < 0.01) than the general population of Sweden (M = 13.96, SD = 5.63). However, there was no correlation between perceptions of stress and symptom severity measured by the orthostatic hypotension questionnaire. Conclusions: Swedish POTS patients have higher levels of perceived stress, similar to other disease states like chronic pain. However, no correlation between perceptions of stress and symptom severity was found. While some respondents reported many stressful events in the lead up to symptom onset, their role is unclear. Further study is required.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"25 1","pages":"246 - 254"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Noncompaction Cardiomyopathy and Embolic Events: A Mini-Review 非压实性心肌病和栓塞事件:一个小型综述

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_52_22

George Bazoukis, Cheuk-To Chung, StamatisS Papadatos, Gary Tse

{"title":"Noncompaction Cardiomyopathy and Embolic Events: A Mini-Review","authors":"George Bazoukis, Cheuk-To Chung, StamatisS Papadatos, Gary Tse","doi":"10.4103/hm.hm_52_22","DOIUrl":"https://doi.org/10.4103/hm.hm_52_22","url":null,"abstract":"Left ventricular noncompaction cardiomyopathy (LVNC) is characterized by prominent ventricular trabeculations and deep intertrabecular recesses. Patients with LVNC have an increased risk of embolic events. The presence of symptoms at the time of diagnosis can be a risk marker for stroke/embolic events. Left ventricular ejection fraction (LVEF), as measured by transthoracic echocardiography and left atrial diameter, has been found to be a significant predictor of systemic embolism in LVNC patients. Furthermore, CHADS2 (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus and stroke or transient ischemic attack) and CHA2DS2-VASc (congestive heart failure, hypertension, age ≥75 years, diabetes, stroke, vascular disease, age 65–74 years and sex category [female]) scores were significantly higher in patients with stroke or embolism. Although the difference was not statistically significant, pediatric patients with LVNC combined with other congenital heart defects had more thromboembolic events compared to patients with isolated LVNC. On the other hand, stroke/transient ischemic attacks did not differ significantly between patients with isolated apical LVNC and mid-basal noncompaction. Furthermore, no differences in the prevalence of stroke between the quantiles of the maximal ratio of noncompacted to compacted myocardium have been revealed. Additionally, current data show no association between N-terminal pro-B-type natriuretic peptide levels and stroke/embolic events. Current evidence suggests anticoagulation treatment in LVNC patients with prior embolic events, atrial fibrillation, presence of left ventricular (LV) thrombus, and/or LV dysfunction. In patients with LVNC without a clear indication for anticoagulation, anticoagulant therapy may be considered in patients with CHADS2 score ≥2. More data are needed to identify patients at higher risk of embolic events who will be benefited from anticoagulation treatment.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The therapeutic role of exercise training in heart failure patients: A narrative review 运动训练在心力衰竭患者中的治疗作用:一个叙述性的回顾

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_23_22

A. Laina, S. Soulaidopoulos, I. Doundoulakis, P. Arsenos, A. Kordalis, P. Xydis, A. Xintarakou, C. Kalantzis, C. Chrysohoou, P. Dilaveris, S. Archontakis, H. Sotiropoulos, S. Sideris, Lila Gatzouli, K. Tsioufis, K. Gatzoulis

{"title":"The therapeutic role of exercise training in heart failure patients: A narrative review","authors":"A. Laina, S. Soulaidopoulos, I. Doundoulakis, P. Arsenos, A. Kordalis, P. Xydis, A. Xintarakou, C. Kalantzis, C. Chrysohoou, P. Dilaveris, S. Archontakis, H. Sotiropoulos, S. Sideris, Lila Gatzouli, K. Tsioufis, K. Gatzoulis","doi":"10.4103/hm.hm_23_22","DOIUrl":"https://doi.org/10.4103/hm.hm_23_22","url":null,"abstract":"Cardiac rehabilitation (CR) is a complex intervention that improves functional capacity and quality of life in patients with heart failure (HF). Besides exercise training (ET), CR includes aggressive risk factor management, education about medication adherence, stress management, and psychological support. Current guidelines strongly recommend CR as an integral part of chronic and stable HF patient care. However, CR programs are underused for multiple reasons, namely, low physician referral and patient adherence, high cost, and lack of awareness. In this review, we present existing evidence of the beneficial effects of ET and CR in HF with reduced and preserved ejection fraction, the underlying pathophysiologic mechanisms by which exercise might alleviate symptoms, and the different types of exercise that can be used in HF. Current guidelines supporting the use of CR, reasons for its underutilization, and home-based CR as an alternative or adjunct to traditional center-based programs are also described.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"7 1","pages":"25 - 33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46827149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maladaptive versus adaptative cardiovascular phenotype in response to exercise training: Expert opinion of the evidence 运动训练对适应性心血管表型的不良反应:证据的专家意见

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00005

F. Sanchis-Gomar, C. Pérez-Quilis, Thijs H Eijsvogels, F. L. Guía-Galipienso, J. Christle, MarcoV Perez, C. Lavie

引用次数: 1

A case report of renal dysgenesis with isolated aortic dissection type B: Can it be a chance association? 肾发育不良合并孤立性B型主动脉夹层1例:可能是偶然关联吗?

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-22-00003

S. Rawat, Anshuman Darbari, Pardeep Kumar, Ajay Kumar

引用次数: 0

Impact of cardiac rehabilitation on psychological factors, cardiorespiratory fitness, and survival: A narrative review 心脏康复对心理因素、心肺功能和生存率的影响：叙述性综述

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_58_22

Nadia Abelhad, Sergey Kachur, Alexandra Sanchez, C. Lavie, R. Milani

引用次数: 0

Addressing clinician burnout: A unifying systems medicine model with meditation as a heart-mind intervention 解决临床医生的职业倦怠:一个统一的系统医学模型与冥想作为一种心灵干预

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00013

RobertH Schneider, Fred Travis, Tony Nader

引用次数: 0

An integrated perspective for understanding the psychosocial impact of acute cardiovascular events: A scoping review 理解急性心血管事件的社会心理影响的综合视角:范围综述

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00029

AlunC Jackson, MichelleC Rogerson, BarbaraM Murphy

{"title":"An integrated perspective for understanding the psychosocial impact of acute cardiovascular events: A scoping review","authors":"AlunC Jackson, MichelleC Rogerson, BarbaraM Murphy","doi":"10.4103/hm.hm-d-23-00029","DOIUrl":"https://doi.org/10.4103/hm.hm-d-23-00029","url":null,"abstract":"The psychosocial impact of acute cardiovascular disease (CVD) events, including cardiac and stroke events, is gaining increasing recognition, with recommendations regarding an integrated cardiovascular approach coming from organizations such as the European Society of Cardiology Council on Stroke. This study aims to document the similarities and differences between heart disease and stroke in the prevalence, predictors and consequences of, and treatments for, anxiety and depression. This scoping review provides an overview of the evidence of similarity and difference in the mental health impacts of cardiac events and strokes. It found that research into postevent anxiety and depression is generally more advanced in the cardiac area than in the stroke area, with research related to poststroke anxiety prevalence, predictors, and treatment being particularly sparse. Despite these limitations, the review reveals enough similarities in the psychosocial impacts of cardiac and stroke events to warrant investigation of the potential for integrated psychosocial services for CVD patients, paying particular attention to collaborative care models of intervention.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A free-floating internal carotid artery thrombus and acute ischemic stroke: A case report for a rare condition with therapeutic challenges 自由漂浮的颈内动脉血栓和急性缺血性中风:一个罕见的治疗挑战的病例报告

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00017

Saima Nazish, Rizwana Shahid, Kawther Hadhiah, Aisha Alatrash

引用次数: 0

Risk of mortality associated with preexisting chronic diseases and prior year diagnosis of a mental disorder in survivors of a first myocardial infarction or stroke: A cohort study 首次心肌梗死或中风幸存者中与既往存在的慢性疾病和上一年精神障碍诊断相关的死亡风险:一项队列研究

Heart and Mind Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00022

Gerard Ngueta, Claudia Blais, Guillaume Foldes-Busque, Denis Hamel, Paul Poirier

{"title":"Risk of mortality associated with preexisting chronic diseases and prior year diagnosis of a mental disorder in survivors of a first myocardial infarction or stroke: A cohort study","authors":"Gerard Ngueta, Claudia Blais, Guillaume Foldes-Busque, Denis Hamel, Paul Poirier","doi":"10.4103/hm.hm-d-23-00022","DOIUrl":"https://doi.org/10.4103/hm.hm-d-23-00022","url":null,"abstract":"Background: Chronic medical diseases and recurrent mental disorders are common and may lead to a negative prognosis in adults with cardiovascular diseases (CVDs). The impact of these overlapping morbidities is likely to be further increased in the critical years following a first acute CVD event such as a stroke or myocardial infarction (MI). Objectives: The objective of this study was to examine associations of preexisting chronic diseases and recent mental disorders with mortality in survivors of a first MI or stroke. Methods: Data from the 48,526 patients (59% men) aged ≥40 years with a first MI or stroke were extracted from the Quebec Integrated Chronic Disease Surveillance System. Cox regression models were used to assess the effect of preexisting cancer, renal disease, diabetes, chronic obstructive pulmonary disease (COPD), and recent mental disorders on the risk of recurrent fatal CVD events and all-cause mortality following the index MI or stroke. Results: An increased risk of CVD mortality was observed at 1, 3, and 4.5 years in women and men with coexisting mental disorders and at 4.5 years in those with chronic, preexisting renal disease. Inversely, cancer and COPD were associated with a lowered risk of CVD mortality during the study period. An increased risk of all-cause mortality at all time points was observed in adults with any of the assessed conditions. Conclusions: Adults with coexisting mental disorders are at increased risk of CVD mortality and all-cause mortality in the years following a first MI or stroke. This increased vulnerability is separate from the extra mortality attributable to preexisting chronic diseases.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0