European journal of cardiovascular nursing最新文献

{"title":"Identifying and preliminary validating patient clusters in coronary artery bypass grafting: integrating autonomic function with clinical and demographic data for personalized care.","authors":"Pavandeep Singh, Alberto Porta, Marco Ranucci, Beatrice Cairo, Francesca Gelpi, Rosario Caruso, Arianna Magon, Irene Baroni, Gianluca Conte, Vlasta Bari","doi":"10.1093/eurjcn/zvaf059","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf059","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to identify distinct clusters of patients undergoing coronary artery bypass grafting (CABG) based on demographic, clinical, and autonomic function characteristics and to validate these clusters.</p><p><strong>Methods and results: </strong>Our cohort study included 154 subjects aged 18 years and older undergoing CABG, enrolled in Italy, from April 2017 to January 2020. Data were prospectively collected from pre-anesthesia induction to hospital discharge. Clustering was performed using t-distributed stochastic neighbor embedding (t-SNE) on 23 variables and hierarchical clustering, including pre-and post-anesthesia autonomic function indices and demographic and clinical data. Two distinct clusters were identified: \"Higher Risk-Responsive Group\" and \"Lower Risk-Responsive Group.\" The Higher Risk-Responsive Group cluster consisted of older patients with higher comorbidity rates and worse autonomic function. Validation of clusters through multiple correspondence analysis and Poisson regression demonstrated significant differences in postoperative outcomes. Patients in the Lower Risk-Responsive Group cluster had fewer complications (IRR = 0.441, p=0.004). The analysis indicated that intensive care unit (ICU) stay duration and the power of systolic arterial pressure series in low-frequency band derived in the post-anesthesia phase were significant predictors of complications above and beyond the expected contributions of age and comorbidities, with longer ICU stays and lower low-frequency power of systolic arterial pressure post-anesthesia induction being associated with higher complication rates.</p><p><strong>Conclusion: </strong>Integrating autonomic function measures and demographic and clinical data could enhance patient monitoring and intervention, improving outcomes if included in future risk stratification tools and early warning score systems.</p><p><strong>Registration: </strong>ClinicalTrials.gov: NCT03169608.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789454","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}

{"title":"Psychological screening in cardiovascular care.","authors":"Chantal F Ski, David R Thompson, Alun C Jackson, Susanne S Pedersen","doi":"10.1093/eurjcn/zvaf057","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf057","url":null,"abstract":"<p><p>Approximately one in three patients with cardiovascular disease experience psychological distress, often with associated poor prognosis. Early detection and intervention can improve patients' heart and mental health, yet minimal guidance on psychological screening is offered for clinicians working in cardiovascular care. This paper describes a pragmatic approach to conducting psychological screening during routine clinical care, including when and how to screen and what to do in the case of a positive screen. A psychological screening protocol is proposed to enable clinicians to assess and, where necessary, intervene or refer for further evaluation.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784650","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}

{"title":"Use of oral anti-coagulants following intracerebral haemorrhage: a commentary.","authors":"Ansley Grimes Stanfill","doi":"10.1093/eurjcn/zvaf043","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf043","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784654","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}

{"title":"Exploring dyadic mechanisms of self-care outcomes in persons living with heart failure and their family caregivers: a commentary.","authors":"Julie T Bidwell","doi":"10.1093/eurjcn/zvaf045","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf045","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782327","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}

{"title":"A commentary on \"Factors Influencing Forearm Swelling after Transradial Artery Intervention and Establishment of a Predictive Model\".","authors":"Diekje R Schouten, Marjo J A G De Ronde-Tillmans","doi":"10.1093/eurjcn/zvaf036","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf036","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784648","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}

{"title":"Women's Heart Health: Should the physical activity recommendations be different?","authors":"Nicole Freene, Amanda Lonn, Maria Back, Jennifer Reed","doi":"10.1093/eurjcn/zvaf058","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf058","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784655","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}

{"title":"Resistance training for patients with sarcopenia and coronary artery disease: it's what they want!","authors":"Sophie Rayner, Renaud Tremblay, Myles W O'Brien","doi":"10.1093/eurjcn/zvaf046","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf046","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782352","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}

{"title":"Comment on psychological factors and blood pressure response to acute stress in women with takotsubo syndrome: an exploratory study.","authors":"Sara Wallström","doi":"10.1093/eurjcn/zvaf042","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf042","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784649","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}

{"title":"The impact of being present during in-hospital resuscitation on family members: A scoping review.","authors":"Ira Rahmawati, Tamara Page, Lisa Conlon, Frank Donnelly","doi":"10.1093/eurjcn/zvaf054","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf054","url":null,"abstract":"<p><strong>Aim: </strong>To identify the impact on family members who witness resuscitation of a loved one in a hospital setting.</p><p><strong>Methods and results: </strong>This study was conducted according to the JBI methodology for scoping reviews. Electronic databases, including PubMed, CINAHL (EBSCO), Embase, Emcare, and Google Scholar were searched to identify papers evaluating the impact and experiences of family members after being present during adult resuscitations in hospital settings. The search was limited to studies published in English since 1982. The screening process was conducted by two independent reviewers. Data were analysed using descriptive content analysis and checked for quality according to The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review (PRISMA-ScR). A total of 4233 records were identified from the included databases and five additional articles through citation searching. Of this 4238, 11 studies met the inclusion criteria (quantitative=5; qualitative=6). The included studies were published between 2004 and 2023 and were conducted in the United States, Sweden, Iran, Jordan, Finland-Poland, and Pakistan. Three main themes were identified: psychological impact on family members, family attitudes and preferences on being present during resuscitation, and family members' experiences during a loved one's resuscitation.</p><p><strong>Conclusion: </strong>Studies evaluating the psychological impact on family members who are present during adult resuscitations in hospital settings are limited and show mixed results. Future research should investigate family members' responses to family presence during resuscitation in various clinical, cultural, and geographical settings and include short-term and long-term impacts.</p><p><strong>Registration: </strong>The protocol was published on the public Open Science Framework platform on 29th April 2024 (no registration reference provided) and can be accessed at https://osf.io/u6aw8.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775105","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}

{"title":"Co-occurring sleep duration and weight-adjusted waist index and their associations with cardiovascular risk in older adults: a group-based dual-trajectory modeling study.","authors":"Yaqi Wang, Qingyun Lv, Bowen Wan, Xueying Xu, Jingwen Liu, Yuan He, Hairong Chang, Yue Zhao, Ying Yao, Xiaoying Zang, Xiaonan Zhang","doi":"10.1093/eurjcn/zvaf056","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf056","url":null,"abstract":"<p><strong>Aim: </strong>Although sleep duration and weight-adjusted waist index (WWI) are recognized CVD risk factors in older adults, the individual and dual trajectories of these factors and their associations with CVD risk remain unclear. We aim to investigate these associations using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS).</p><p><strong>Methods and results: </strong>We included 3,313 older adults without hypertension, heart disease, or stroke in 2011 and assessed sleep duration, WWI, and CVD incidence in 2011, 2014, and 2018. Group-based dual trajectory modeling and logistic regression were used for analysis. All data were analyzed in 2024. Three trajectories of sleep duration (Low-Stable, Normal-Stable, High-Increasing) and two trajectories of WWI (Normal-Increasing, High-Increasing) were identified, along with their six dual trajectories. Compared to the \"Normal-Increasing WWI & Normal-Stable sleep duration\" pattern, the \"High-Increasing WWI & Low-Stable sleep duration\" pattern was associated with an increased risk of any one type of CVD (OR=1.25, 95% CI 1.03-1.83), the \"Normal-Increasing WWI & Low-Stable sleep duration\" pattern was associated with an increased risk of any two types of CVD (OR=1.58, 95% CI 1.06-2.36), and the \"Normal-Increasing WWI & High-Increasing sleep duration\" pattern was associated with an increased risk of all three types of CVD (OR=4.48, 95% CI 1.44-13.94).</p><p><strong>Conclusions: </strong>These findings highlight the importance of nursing professionals considering both sleep duration and WWI trajectories when assessing CVD risk in older adults, supporting the implementation of multi-point monitoring and targeted joint interventions to mitigate CVD risk in this population.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766239","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}