Heart and Mind最新文献_第9页

Patient perspective on telehealth during the COVID-19 pandemic at the cardiology outpatient clinic: Data from a qualitative study COVID-19大流行期间心脏病门诊患者对远程医疗的看法:来自定性研究的数据

Heart and Mind Pub Date : 2021-10-01 DOI: 10.4103/hm.hm_39_21

M. Habibović, C. Kraaij, S. Pauws, Jos G. Widdershoven

{"title":"Patient perspective on telehealth during the COVID-19 pandemic at the cardiology outpatient clinic: Data from a qualitative study","authors":"M. Habibović, C. Kraaij, S. Pauws, Jos G. Widdershoven","doi":"10.4103/hm.hm_39_21","DOIUrl":"https://doi.org/10.4103/hm.hm_39_21","url":null,"abstract":"Background: Within the field of cardiology, telehealth has been advocated by many as important benefits have been demonstrated regarding disease management and survival. Both patient- and physician-related barriers have hampered the uptake of telehealth in the clinical practice. The COVID-19 pandemic has pushed the upscaling of telehealth modalities. Objective: The current study will examine patients' preferences, needs, and recommendations regarding the use of telehealth at the cardiology outpatient clinic during the pandemic. Methods: Semi-structured focus groups were organized covering two themes: (1) patients' experiences with telehealth and (2) patients' needs and recommendations regarding the use of telehealth. Focus groups were held online using Microsoft Teams, and audio recordings were made. After transcribing the recordings, thematic analysis was applied to code the answers that were given. Results: A total of n = 19 patients were recruited; the mean age was 62.4 (7.7) and 10 (52.6%) were female. The majority of the patients (15/19) indicated to be positive regarding telehealth use mainly due to its time-saving character. Four patients were negative toward telehealth as they did not receive appropriate care in their perception due to telehealth use. Patients recommend using blended care where teleconsultation, and face-to-face appointments are provided in accordance with patients' preferences. Conclusions: This is the first study to examine, in-depth, cardiac patients' experiences, needs, and recommendations regarding telehealth use in the clinical practice. Learning from current experiences with the COVID-19 pandemic where upscaling of telehealth emerged will give us a foundation to further increase the uptake of telehealth in the clinical practice.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"5 1","pages":"132 - 137"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48020666","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

Strategy for discharges from the stress test laboratory for ambulatory patients with chest pain/dyspnea in COVID-19 times COVID-19时期胸痛/呼吸困难门诊患者压力测试实验室出院策略

Heart and Mind Pub Date : 2021-07-01 DOI: 10.4103/hm.hm_7_21

J. Peteiro, A. Bouzas-Mosquera, C. Barbeito-Caamaño, J. Vazquez-Rodriguez

引用次数: 2

Possible mechanisms of cardiovascular complications and troponin elevation in coronavirus disease: A narrative review 冠状病毒疾病心血管并发症和肌钙蛋白升高的可能机制：叙述性综述

Heart and Mind Pub Date : 2021-07-01 DOI: 10.4103/hm.hm_16_21

Saloni Malik, Manisha Naithani, A. Mirza, Anshuman Darbari, R. Saxena

{"title":"Possible mechanisms of cardiovascular complications and troponin elevation in coronavirus disease: A narrative review","authors":"Saloni Malik, Manisha Naithani, A. Mirza, Anshuman Darbari, R. Saxena","doi":"10.4103/hm.hm_16_21","DOIUrl":"https://doi.org/10.4103/hm.hm_16_21","url":null,"abstract":"More than 20 million human beings got infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and suffered from coronavirus disease 2019 (COVID-19) disease in the current global pandemic. This disease flow showed a heterogeneous spectrum due to various personalized underlying causes and immunogenetics makeup of an individual. Substantial evidence suggests that the severity of pneumonia, acute respiratory distress syndrome, multi-organ failures, and deaths in COVID-19 is attributable to cytokine storm. Thus, in a cytokine storm, the dysregulated immune system is triggered by superantigen of SARS-CoV-2 to release various cytokines with high speed and increased blood circulation concentrations, leading to diverse clinical manifestations of massive multi-organ destruction and death due to exuberant hyperinflammation at a local and systemic level. SARS-CoV-2 can also significantly affect the cardiovascular system of the infected persons through a systemic outburst of the cytokine storm. SARS-CoV-2 infection accompanies many cardiovascular complications that include myocardial infarction, myocarditis, microangiopathy, venous thromboembolism, and a cytokine storm burden resulting in heart failure. This narrative review attempts to gather all recent evidence by Internet-based literature search with relevant keywords related to coronavirus disease with main objective and focus on possible mechanisms of pathophysiology of troponin elevation and cardiovascular complications, with its diagnosis and recent guidelines for its management.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"5 1","pages":"65 - 72"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48141340","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: 1

Yogic intervention may be used as an alternative medicine in games and sports: An observation 瑜伽干预可以作为一种替代药物在游戏和运动:观察

Heart and Mind Pub Date : 2021-07-01 DOI: 10.4103/hm.hm_30_21

Muhammad Islam

引用次数: 1

Case study: Monitoring the effectiveness of aromatherapeutic breathing with heart rate variability biofeedback 案例研究：用心率变异性生物反馈监测芳香疗法呼吸的有效性

Heart and Mind Pub Date : 2021-07-01 DOI: 10.4103/hm.hm_22_21

A. Low, Stella Chan

引用次数: 0

Metastatic ovarian cancer presenting as takotsubo cardiomyopathy: A case report 转移性癌症表现为takotsubo心肌病一例报告

Heart and Mind Pub Date : 2021-04-01 DOI: 10.4103/hm.hm_29_21

Jamie Y. Ho, Timothy Ming Ng, Shuyun Cen, C. Sia, Po F Chan, T. Yeo

引用次数: 0

Acute heart failure due to invasive pneumococcal disease and purulent pericarditis: A case report 侵袭性肺炎球菌病并发化脓性心包炎致急性心力衰竭1例

Heart and Mind Pub Date : 2021-04-01 DOI: 10.4103/hm.hm_26_21

G. Tersalvi, M. Averaimo, Dario Winterton, F. Scopigni

引用次数: 0

Hypnotic communication in interventional electrophysiology procedures in the COVID-19 period 新冠肺炎期间介入电生理程序中的催眠交流

Heart and Mind Pub Date : 2021-04-01 DOI: 10.4103/hm.hm_28_21

M. Maines, Francesco Peruzza, C. Angheben, P. Moggio, D. Catanzariti, M. Greco

{"title":"Hypnotic communication in interventional electrophysiology procedures in the COVID-19 period","authors":"M. Maines, Francesco Peruzza, C. Angheben, P. Moggio, D. Catanzariti, M. Greco","doi":"10.4103/hm.hm_28_21","DOIUrl":"https://doi.org/10.4103/hm.hm_28_21","url":null,"abstract":"Background: Hypnotic communication is a validated technique for reducing procedural anxiety and pain. The aim of our work was to evaluate the additional utility of hypnotic communication during catheter ablation procedures in the COVID-19 period. Materials and Methods: Sixteen consecutive patients undergoing electrophysiological study and catheter ablation underwent: 8 to standard sedation procedure (Group B) and 8 to this with the addition of hypnotic communication (Group A). In these two groups, we measured and compared preprocedure and intraprocedure anxiety, compliance to the procedure, perceived pain, use of drugs, the procedural time perceived by the patient compared to real time in minutes, and radiological exposure, using validated scales. Results: Hypnotic communication resulted in a significant reduction in anxiety during the procedure (Group A: 1.1 ± 0.6 vs. Group B: 3.4 ± 2; P = 0.003); better procedural compliance (Group A: 4.8 ± 0.5 vs. Group B: 3.7 ± 0.8; P = 0.002) and showed a trend toward a reduction in procedural pain (Group A: 2.4 ± 2 vs. Group B: 4.3 ± 1.8; P = 0.08) compared to standard sedation. Midazolam was not used in Group A, while an average of 3 ± 1.3 mg was used in Group B. The use of local anesthetic and Fentanest was comparable. The real procedural durations (Group A: 167.5 ± 30.1 vs. Group B: 150 ± 27.8 min; P = not significant) and perceived (Group A: 78.8 ± 15.5 vs. Group B: 86.3 ± 29.9 min; P = not significant) and the difference between these was also comparable. The radiological exposure was 74.4 ± 65.5 s in Group A and 118 ± 119 s in Group B (P = not significant). There were no complications in the two groups. Conclusions: Hypnotic communication as an additional strategy during electrophysiological interventional procedures has made possible to eliminate the use of midazolam and reduce anxiety during the procedure, but above all, it has improved the patient's compliance with the procedure compared to traditional sedation approach.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"5 1","pages":"40 - 44"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46269745","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: 2

Association between behavioral flexibility and psychological distress in patients with cardiovascular disease: Data from the do cardiac health: Advanced new generation ecosystem study 心血管疾病患者的行为灵活性和心理困扰之间的关系：来自do心脏健康的数据：新一代高级生态系统研究

Heart and Mind Pub Date : 2021-04-01 DOI: 10.4103/hm.hm_15_21

M. Habibović, J. Widdershoven, M. Wetzels, J. Piera-Jiménez, W. Kop

{"title":"Association between behavioral flexibility and psychological distress in patients with cardiovascular disease: Data from the do cardiac health: Advanced new generation ecosystem study","authors":"M. Habibović, J. Widdershoven, M. Wetzels, J. Piera-Jiménez, W. Kop","doi":"10.4103/hm.hm_15_21","DOIUrl":"https://doi.org/10.4103/hm.hm_15_21","url":null,"abstract":"Objective: Being able to adapt to a changing environment has been associated with better mental and physical health. This adaptivity can be measured by behavioral flexibility assessment tools. However, the mental health consequences of behavioral flexibility have not been examined in patients with cardiovascular disease (CVD). The current study aims to examine if behavioral flexibility is associated with depression and anxiety in patients with CVD. Methods: A total of n = 387 patients with stable CVD were recruited as a part of the Do CHANGE study. At baseline, 3, and 6 months, data were collected. Depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder Scale-7) were assessed at all time points. Results: The mean age of the sample was 61.9 ± 10.23 years, with 274 (71%) being male. An inverse association between behavioral flexibility and depression at baseline, 3, and 6 months was observed. The associations remained significant after adjusting for relevant demographic and medical variables and baseline depression. No longitudinal association between behavioral flexibility and anxiety was found in the multivariate models. Conclusions: Behavioral flexibility is associated with depression in cardiac patients. Future studies should focus on examining the pathways of this association and offering patients with low flexibility levels additional care if needed.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"5 1","pages":"33 - 39"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48173735","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: 2

Emergency mitral valve replacement in dextrocardia with situs inversus totalis: Surgeon's dilemma of mirror image 右心逆位急诊二尖瓣置换术:外科医生的镜像困境

Heart and Mind Pub Date : 2021-01-01 DOI: 10.4103/hm.hm_4_21

Anshuman Darbari, Devender Singh, P. Patil, B. Kumar

引用次数: 0