Methodist DeBakey cardiovascular journal最新文献_第4页

A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health. 代价高昂的治疗：在健康的社会决定因素领域内了解和解决心血管疾病医疗保健中的财务毒性。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1466

Vijay Aaroha Kandula, Grace Li Smith, Ravi Rajaram, Nicolas L Palaskas, Anita Deswal, Khurram Nasir, Hyeon-Ju Ryoo Ali

{"title":"A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health.","authors":"Vijay Aaroha Kandula, Grace Li Smith, Ravi Rajaram, Nicolas L Palaskas, Anita Deswal, Khurram Nasir, Hyeon-Ju Ryoo Ali","doi":"10.14797/mdcvj.1466","DOIUrl":"https://doi.org/10.14797/mdcvj.1466","url":null,"abstract":"Cardiovascular disease (CVD) represents a significant financial burden on patients and families, compounded by both direct and indirect healthcare costs. The increasing prevalence of CVD, coupled with the rising costs of treatment, exacerbates financial toxicity-defined as the economic strain and associated physical, emotional, and behavioral consequences on patients. This review explores the scope of financial toxicity in CVD care, detailing its prevalence, associated risk factors, and the complex interplay with social determinants of health such as income, insurance status, and comorbidities. Drawing from models in oncology, we highlight key interventions aimed at mitigating financial toxicity, including patient counseling, financial navigation, and enhanced patient-physician cost discussions. By adopting these approaches, healthcare providers can better support patients with CVD in managing both their health and financial well-being, potentially improving clinical outcomes. Future research is needed to develop standardized assessment tools for financial toxicity in CVD and implement system-wide mitigation strategies.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inhaling Poor Health: The Impact of Air Pollution on Cardiovascular Kidney Metabolic Syndrome. 吸入有害健康：空气污染对心血管肾脏代谢综合征的影响。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1487

Haitham Khraishah, Sanjay Rajagopalan

{"title":"Inhaling Poor Health: The Impact of Air Pollution on Cardiovascular Kidney Metabolic Syndrome.","authors":"Haitham Khraishah, Sanjay Rajagopalan","doi":"10.14797/mdcvj.1487","DOIUrl":"https://doi.org/10.14797/mdcvj.1487","url":null,"abstract":"Air pollution, mostly from fossil fuel sources, is the leading environmental cause of global morbidity and mortality and is intricately linked to climate change. There is emerging evidence indicating that air pollution imposes most of its risk through proximate cardiovascular kidney and metabolic (CKM) etiologies. Indeed, there is compelling evidence linking air pollution to the genesis of insulin resistance, type 2 diabetes, hypertension, and other risk factors. Air pollution frequently coexists with factors such as noise, with levels and risks influenced substantially by additional factors such as social determinants and natural and built environment features. Persistent disparities regarding the impact and new sources of air pollution, such as wildfires attributable to climate change, have renewed the urgency to better understand root sources, characterize their health effects, and disseminate this information for personal protection and policy impacts. In this review, we summarize evidence associating air pollution with cardiovascular health, the impact of air pollution on CKM health, and how interactions with other exposures and personal characteristics may modify these associations. Finally, we discuss new integrated approaches to capture risk from air pollution in the context of an exposomic framework.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"47-58"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Myocardial Infarction with Normal Coronary Arteries. 冠状动脉正常的心肌梗塞。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1495

Albert E Raizner

引用次数: 0

Zip Code Health Disparities: Mapping Cardiovascular Inequities at the Neighborhood Level. 邮编健康差异：绘制邻里一级的心血管不平等图。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1457

Safi U Khan

引用次数: 0

Lady Lazarus: An Insight into the Suicidality of Sylvia Plath. 拉撒路夫人：西尔维娅-普拉斯自杀事件的启示》（Lady Lazarus: An Insight into the Suicidality of Sylvia Plath）。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1481

Justin C Cordova, James B Young

引用次数: 0

Harnessing Wearables and Digital Technologies to Decode the Cardiovascular Exposome. 利用可穿戴设备和数字技术解码心血管暴露体。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1459

Geyner A Gaona, Ali Asghar Kassamali, Nino Isakadze, Seth S Martin

{"title":"Harnessing Wearables and Digital Technologies to Decode the Cardiovascular Exposome.","authors":"Geyner A Gaona, Ali Asghar Kassamali, Nino Isakadze, Seth S Martin","doi":"10.14797/mdcvj.1459","DOIUrl":"https://doi.org/10.14797/mdcvj.1459","url":null,"abstract":"The cardiovascular exposome encompasses the array of external and internal factors affecting cardiovascular health throughout life, inviting comprehensive monitoring and analysis to enhance prevention, diagnosis, and treatment strategies. Wearable and digital technologies have emerged as promising tools in this domain, offering longitudinal, real-time data on physiological parameters such as heart rate, heart rhythm, physical activity, and sleep patterns. This review explores the advancements in wearable sensor technology, the methodologies for data collection and analysis, and the integration of these technologies into clinical practice and research. Primary findings indicate significant improvements in device accuracy and functionality, facilitated by enhanced sensor technology, artificial intelligence, and data connectivity. These advancements enable precise monitoring, early detection of cardiovascular anomalies, and personalized healthcare interventions. Ultimately, wearables and digital health technologies have the potential to facilitate a deeper understanding of cardiovascular disease and behavior and bridge gaps in traditional healthcare models to help usher in more efficient, personalized, patient-centered care.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"59-70"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Big Data, Big Insights: Leveraging Data Analytics to Unravel Cardiovascular Exposome Complexities. 大数据，大洞察：利用数据分析揭示心血管暴露体的复杂性。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1467

Ramzi Ibrahim, Hoang Nhat Pham, Khurram Nasir, Omar Hahad, Ashutosh Sabharwal, Sadeer Al-Kindi

{"title":"Big Data, Big Insights: Leveraging Data Analytics to Unravel Cardiovascular Exposome Complexities.","authors":"Ramzi Ibrahim, Hoang Nhat Pham, Khurram Nasir, Omar Hahad, Ashutosh Sabharwal, Sadeer Al-Kindi","doi":"10.14797/mdcvj.1467","DOIUrl":"https://doi.org/10.14797/mdcvj.1467","url":null,"abstract":"The exposome encompasses the full range of environmental exposures throughout a person's lifetime and plays an important role in cardiovascular health. Interactions with the social, natural, and built components of the exposome significantly impact cardiovascular disease prevalence and mortality. Robust data analytics, including machine learning and geospatial analysis, have advanced our understanding of how these factors converge to influence cardiovascular disease risk. The integration of multiomics platforms and advanced computational approaches enhances our ability to characterize the exposome, leading to targeted public health interventions and innovative risk reduction strategies aimed at improving cardiovascular health globally. These multiomics platforms that integrate factors such as genomics, epigenomics, clinical data, social factors, environmental factors, and wearable technology will characterize the exposome in greater detail concerning cardiovascular health. In this review, we aimed to elucidate the components of the exposome and discuss recent literature regarding their relationship to cardiovascular health.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"111-123"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating the Polysocial Risk Score: Enhancing Comprehensive Healthcare Delivery. 整合多社会风险评分：加强综合医疗保健服务。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1479

Ryan Chang, Zahir Amin, Nuh Habibullah Cheema, Samuel Yousefzai, Karam Gardezi, Aayush Shah, Zulqarnain Javed

{"title":"Integrating the Polysocial Risk Score: Enhancing Comprehensive Healthcare Delivery.","authors":"Ryan Chang, Zahir Amin, Nuh Habibullah Cheema, Samuel Yousefzai, Karam Gardezi, Aayush Shah, Zulqarnain Javed","doi":"10.14797/mdcvj.1479","DOIUrl":"https://doi.org/10.14797/mdcvj.1479","url":null,"abstract":"Social determinants of health (SDOH) are known to determine a significant portion of a person's health, influencing downstream outcomes and widespread disparities. Screening for SDOH in clinical practice can improve efficacy of medical care, highlighting the potential for polysocial risk scores (PsRS) to help evaluate a patient's risk of developing atherosclerotic cardiovascular disease and other conditions. This review highlights existing research about the efficacy of PsRS in practical risk assessment, current gaps in the literature, and opportunities to refine the design and implementation of PsRS in real-world clinical settings. PsRS present unique opportunities to improve traditional risk prediction models for heart disease and other conditions, particularly if they examine both individual and area-level SDOH. Future studies should assess novel methods for extracting SDOH data from patients' medical records as well as PsRS implementation strategies that promote efficiency and patient confidentiality in real-world clinical settings.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Green Streets, Healthy Hearts: Exploring the Roles of Urban Nature and Walkability in Cardiovascular Health. 绿色街道，健康心脏：探索城市自然和步行能力在心血管健康中的作用。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1455

Nwabunie Nwana, Zulqarnain Javed, Stephen L Jones, Chanam Lee, Jay E Maddock, Sadeer Al-Kindi, Khurram Nasir

{"title":"Green Streets, Healthy Hearts: Exploring the Roles of Urban Nature and Walkability in Cardiovascular Health.","authors":"Nwabunie Nwana, Zulqarnain Javed, Stephen L Jones, Chanam Lee, Jay E Maddock, Sadeer Al-Kindi, Khurram Nasir","doi":"10.14797/mdcvj.1455","DOIUrl":"https://doi.org/10.14797/mdcvj.1455","url":null,"abstract":"With the growing evidence that connects urban environments with public health outcomes, the role of urban planning has become increasingly critical in addressing public health challenges. Cardiovascular diseases (CVDs) are the leading cause of mortality in urban areas and worldwide and are impacted by characteristics of the built environment, such as walkability and nature exposure. In this literature view, we explore the influence of the physical built environment, specifically green spaces and walkability, on cardiovascular health. Results from prior studies show a clear reduction in cardiovascular disease-related risk factors, morbidity, and mortality in neighborhoods that integrate green spaces and/or walkability. Cumulative evidence suggests that urban environments that integrate green spaces (such as parks) and walkability (eg, safe sidewalks) can significantly improve cardiovascular health. Urban planning policies and strategies that prioritize the integration of green infrastructure and walkable designs can contribute to improving cardiovascular health in urban residents while also enhancing the overall well-being and quality of life.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intersectionality and Social Drivers of Health in Cardiovascular Care. 心血管护理中健康的交叉性和社会驱动因素。

Methodist DeBakey cardiovascular journal Pub Date : 2024-11-05 eCollection Date: 2024-01-01 DOI: 10.14797/mdcvj.1436

Madelyn Hurwitz, Jason Bonomo, Jared Spitz, Garima Sharma

引用次数: 0