European journal of cardiovascular nursing最新文献

{"title":"Efficacy and Workload Implications of the Triage-HF™ Algorithm in a Nurse- and Allied Professional-Led Heart Failure Care Pathway.","authors":"Bert A C Zwaenepoel, Ugur Aslan, Bas Kirchhof, Stephan Gelderblom, Anne De Jong-van der Linden, Lieselot van Erven, J Wouter Jukema, Anastasia D Egorova, Saskia L M A Beeres","doi":"10.1093/eurjcn/zvag082","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag082","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the diagnostic accuracy and operational workload of the Triage-HF™ algorithm when integrated into a structured heart failure (HF) clinic workflow in real-world clinical practice.</p><p><strong>Methods and results: </strong>We conducted a single-center, prospective, real-world cohort study in a tertiary HF center. Consecutive adult patients with HF carrying a Triage-HF™-enabled cardiac implantable electronic device (CIED) were followed within an alert-guided care pathway between January 2023 and August 2025. High-risk Heart Failure Risk Score alerts were considered actionable.A total of 180 patients were included (230 patient-years follow-up, mean age 67.5 years, 77.2% male, 48.9% ischemic cardiomyopathy). Overall, 102 high-risk alerts occurred: 64 true positives (58 HF-related and 6 non-HF but clinically meaningful), 27 false positives, and 20 false negatives. Sensitivity was 82% (95% CI 70-92%), specificity 91% (87-94%), positive predictive value 72% (60-81%), and negative predictive value 93% (90-96%). The average alert rate was 0.44 per patient-year, with an unexplained alert rate of 0.10 per patient-year. Most true-positive alerts (80%) were managed ambulatory, while 19% resulted in hospitalization. Median time to first intervention was 2 days [IQR 1-4]. All alerts were driven by multisensor input, most commonly thoracic impedance combined with patient activity. Total estimated workload amounted to 70.3 hours, corresponding to 306 hours per 1,000 patient-years (approximately 0.20 full-time equivalent).</p><p><strong>Conclusion: </strong>Within a standardized HF care pathway, Triage-HF™ demonstrated good sensitivity and high specificity and negative predictive value, while imposing a modest staffing burden. These findings support the feasibility of integrating Triage-HF™ into routine, proactive HF management.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583313","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":"Patient-Reported Barriers to Dietary Adherence in Heart Failure: A Qualitative Substudy of the Pro-HEART Trial.","authors":"Andrew T Reyes, Angelina Nguyen, Alona D Angosta, Rebecca Meraz, Kelly L Wierenga, Jennifer Kawi, Lorraine S Evangelista","doi":"10.1093/eurjcn/zvag092","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag092","url":null,"abstract":"<p><strong>Aims: </strong>Dietary interventions can improve outcomes for individuals with heart failure and cardiometabolic comorbidities, yet long-term adherence remains difficult and contributes to high attrition in nutrition trials. Understanding participants' lived experiences is essential for designing sustainable, patient-centered interventions. This qualitative substudy of the registered Pro HEART randomized controlled trial explored participants' reported barriers to adherence to high-protein or standard-protein dietary prescriptions during a 12-week intensive weight-loss phase and 12-month maintenance phase.</p><p><strong>Methods: </strong>Twenty-four participants from the parent trial who completed the parent trial participated in semi-structured interviews conducted immediately after the intensive phase. Two researchers conducted reflexive thematic analysis using an inductive approach until thematic saturation was reached.</p><p><strong>Results: </strong>Participants encountered several interrelated challenges, which were categorized into six key themes: (1) psychological distress, stemming from guilt and fear of failure; (2) tracking burden from extensive weighing and logging; (3) technological stress related to rigid or unintuitive digital tools; cultural dissonance, particularly the mismatch between prescribed meal plans and participants' traditional food practices; (5) social pressures stemming from family dynamics and social events; and (6) a decrease in motivation, as initial enthusiasm waned throughout the intervention.</p><p><strong>Conclusion: </strong>Participant experiences demonstrate the need for culturally inclusive, emotionally supportive, and behaviorally feasible heart failure nutrition therapies. Future nutrition trials may improve adherence and retention by addressing psychological distress, fatigue, cultural dissonance, and social pressure.</p><p><strong>Registration: </strong>(ClinicalTrials.gov: NCT1423266).</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583351","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 Fear of Recurrence and Progression on Mental Health after Spontaneous Coronary Artery Dissection: The Role of Illness Uncertainty.","authors":"Sarah T Clarke, Barbara M Murphy, Michael R Le Grande, Michelle C Rogerson, Jason C Kovacic, Stephanie Hesselson, Siiri E Iismaa, Robert M Graham, Robert Hester, Alun C Jackson","doi":"10.1093/eurjcn/zvag090","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag090","url":null,"abstract":"<p><strong>Aims: </strong>Spontaneous coronary artery dissection (SCAD) is a cause of acute myocardial infarction that is marked by a particularly challenging psychosocial recovery period. Survivors commonly experience fear of recurrent events and uncertainty around their condition. These psychosocial challenges may contribute to anxiety, depression, and cardiac distress. This study investigated the relationship between fear of recurrence and progression (FoRP), uncertainty, and psychological outcomes, specifically whether illness uncertainty moderates the relationship between FoRP and mental health outcomes in SCAD survivors.</p><p><strong>Methods and results: </strong>Participants were recruited from the Victor Chang Cardiac Research Institute Arteriopathy and SCAD Cohort (VASC). Two hundred and seventy survivors completed an online questionnaire measuring FoRP, illness uncertainty, anxiety, depression, and cardiac distress. Moderation analyses were undertaken to investigate the relationship between these variables. FoRP directly predicted all three mental health variables. Illness uncertainty moderated this relationship in the case of depression and cardiac distress.</p><p><strong>Conclusion: </strong>The findings indicate specific intervention targets to meet the support needs of survivors. While fear of recurrent events is common following SCAD, managing illness uncertainty may be a means to reduce the impacts of this fear on survivor's mental health.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517858","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":"Reading between the lines: NLP, symptom documentation, and a new era of cardiovascular prognostication.","authors":"Meghan Reading Turchioe","doi":"10.1093/eurjcn/zvag063","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag063","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505970","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":"Influence of factors on medication adherence among patients after percutaneous coronary intervention: a commentary.","authors":"Rafaela Batista Dos Santos Pedrosa","doi":"10.1093/eurjcn/zvag074","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag074","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505926","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":"Improving interventions for informal cardiovascular disease caregivers: insights from a systematic review of randomized controlled trials reporting psychological outcomes.","authors":"Mitchell Nicmanis","doi":"10.1093/eurjcn/zvag060","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag060","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505909","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":"Measuring what sustains a heart-healthy life: self-care as the missing link in cardiovascular prevention.","authors":"Caroline Dancu, Dion Candelaria, Linda G Park","doi":"10.1093/eurjcn/zvag065","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag065","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505960","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":"Associated factors of terminal decision making in hospitalized elderly patients with heart failure-the impact of culture on end-of-life care decisions.","authors":"Malin K Wallin, Tiny Jaarsma","doi":"10.1093/eurjcn/zvag062","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag062","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505894","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":"When AI enters nursing practice: reflections based on a study using voice biomarkers in heart failure monitoring.","authors":"Hanna Allemann","doi":"10.1093/eurjcn/zvag059","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag059","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506032","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":"When language shapes measurement and care models: validating caregiver strain among relatives of out-of-hospital cardiac arrest survivors.","authors":"Angela Durante, Marco Di Nitto, Anna Gadignani, Yuliia Lysanets","doi":"10.1093/eurjcn/zvag068","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag068","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505985","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}