Cardiovascular Therapeutics最新文献

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Improved Risk Prediction of Acute Myocardial Infarction in Patients With Stable Coronary Artery Disease Using an Amino Acid-Assisted Model 利用氨基酸辅助模型改进稳定型冠状动脉疾病患者急性心肌梗死的风险预测
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-08-30 DOI: 10.1155/2024/9935805
Yi-Jing Zhao, Yong Li, Feng-Xiang Wang, Hao Lv, Yaoyao Qu, Lian-Wen Qi, Pingxi Xiao
{"title":"Improved Risk Prediction of Acute Myocardial Infarction in Patients With Stable Coronary Artery Disease Using an Amino Acid-Assisted Model","authors":"Yi-Jing Zhao,&nbsp;Yong Li,&nbsp;Feng-Xiang Wang,&nbsp;Hao Lv,&nbsp;Yaoyao Qu,&nbsp;Lian-Wen Qi,&nbsp;Pingxi Xiao","doi":"10.1155/2024/9935805","DOIUrl":"https://doi.org/10.1155/2024/9935805","url":null,"abstract":"<p>Patients with stable coronary artery disease (CAD) are at an increased risk of acute myocardial infarction (AMI), particularly among older individuals. Developing a reliable model to predict AMI occurrence in these patients holds the potential to expedite early diagnosis and intervention. This study is aimed at establishing a circulating amino acid-assisted model, incorporating amino acid profiles alongside clinical variables, to predict AMI risk. A cohort of 874 CAD patients from two independent centers was analyzed. Plasma amino acid levels were quantified using liquid chromatography tandem mass spectrometry (LC-MS/MS) employing a targeted metabolomics approach. This methodology incorporated <sup>13</sup>C isotope-labeled internal standards for precise quantification of 27 amino acids. Univariate logistic regression was applied to identify differentially expressed amino acids that distinguished between stable CAD and AMI patients. To assess prediction performance, receiver operating characteristic (ROC) curve and nomogram analyses were utilized. Five amino acids—lysine, methionine, tryptophan, tyrosine, and N6-trimethyllysine—emerged as potential biomarkers (<i>p</i> &lt; 0.05), exhibiting significant differences in their expression levels across the two centers when comparing stable CAD with AMI patients. For AMI risk prediction, the base model, utilizing 12 clinical variables, achieved areas under the curve (AUC) of 0.7387 in the discovery phase (<i>n</i> = 623) and 0.8205 in the external validation set (<i>n</i> = 251). Notably, the integration of these five amino acids into the prediction model significantly enhanced its performance, increasing the AUC to 0.7651 in the discovery phase (Delong’s test, <i>p</i> = 1.43e-02) and to 0.8958 in the validation set (Delong’s test, <i>p</i> = 8.91e-03). In conclusion, the circulating amino acid-assisted model effectively enhances the prediction of AMI risk among CAD patients, indicating its potential clinical utility in facilitating early detection and intervention.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9935805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Stress Ball on Anxiety and Pain Levels in Angiography: A Randomized Controlled Trial 压力球对血管造影术中焦虑和疼痛程度的影响:随机对照试验
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-08-24 DOI: 10.1155/2024/5049092
Dilan Yüksel, Dilek Güneş
{"title":"The Effect of Stress Ball on Anxiety and Pain Levels in Angiography: A Randomized Controlled Trial","authors":"Dilan Yüksel,&nbsp;Dilek Güneş","doi":"10.1155/2024/5049092","DOIUrl":"https://doi.org/10.1155/2024/5049092","url":null,"abstract":"<p><b>Background:</b> Coronary angiography, an invasive diagnostic procedure, often induces pain and anxiety in patients. Despite the potential for alleviating discomfort, the use of stress balls as a nonpharmacological intervention during angiography remains underexplored.</p><p><b>Objective:</b> This study is aimed at investigating the impact of stress ball application on pain and anxiety levels in patients undergoing angiography.</p><p><b>Methods:</b> This randomized controlled trial was conducted on adult patients undergoing angiography at a Cardiovascular Surgery Clinic in Eastern Turkey between January 2023 and June 2023. A total of 120 patients were randomly assigned to receive stress ball application in addition to routine care. Data collection utilized the Numerical Rating Scale (NRS), Patient Information Form, and State-Trait Anxiety Inventory (STAI).</p><p><b>Results:</b> Analysis revealed a significantly lower increase in mean NRS posttest scores among patients in the experimental group compared to the control group (<i>p</i> &lt; 0.05). Additionally, the mean STAI posttest score demonstrated a significant decrease (<i>p</i> &lt; 0.05) in the experimental group. A positive and significant correlation was observed between the mean NRS and STAI posttest scores among study group patients (<i>p</i> &lt; 0.05), indicating a reduction in anxiety levels with decreasing pain.</p><p><b>Conclusion:</b> The application of stress balls during angiography was associated with decreased anxiety and pain levels in patients. Stress ball intervention may serve as a beneficial adjunct to pharmacological treatments. This study underscores the potential of nonpharmacological interventions in enhancing patient comfort during invasive procedures.</p><p><b>Trial Registration:</b> ClinicalTrials.gov Identifier: NCT06131606 (http://clinicaltrials.gov).</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5049092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discovery and Validation of Potential Serum Biomarkers for Heart Failure by Untargeted Metabolomics 通过非靶向代谢组学发现和验证心力衰竭的潜在血清生物标记物
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-08-13 DOI: 10.1155/2024/7004371
Guisheng Zhou, Junzhi Zhang, Hongli Guo, Xiaochao Hu, Yingzhuo Wang, Kunqun Shi, Tongtong Liu, Shengyan Yin, Huanhuan Liu, Chunling Liu, Shijia Liu
{"title":"Discovery and Validation of Potential Serum Biomarkers for Heart Failure by Untargeted Metabolomics","authors":"Guisheng Zhou,&nbsp;Junzhi Zhang,&nbsp;Hongli Guo,&nbsp;Xiaochao Hu,&nbsp;Yingzhuo Wang,&nbsp;Kunqun Shi,&nbsp;Tongtong Liu,&nbsp;Shengyan Yin,&nbsp;Huanhuan Liu,&nbsp;Chunling Liu,&nbsp;Shijia Liu","doi":"10.1155/2024/7004371","DOIUrl":"https://doi.org/10.1155/2024/7004371","url":null,"abstract":"<p>Detection of biomarkers was extremely important for the early diagnosis, prognosis, and therapy optimization of diseases. The purpose of this study was to investigate the differences in serum metabolites between patients with heart failure (HF) and healthy control (HC) and to diagnose HF qualitatively. In this study, serum samples from 83 patients with HF and 35 HCs were used as the research subjects for untargeted metabolomic analysis using ultraperformance liquid chromatography combined with quadrupole-time of flight mass spectrometry (UPLC-QTOF/MS) technology. Potential biomarkers were screened and validated using the orthogonal partial least squares discriminant analysis (OPLS-DA), random forest (RF), binary logistic regression (BLR), and receiver operating characteristic (ROC) analysis. The results indicated that a total of 43 metabolites were considered as differentially expressed metabolites (DEMs). Among these DEMs, glycodeoxycholate was identified as a specific biomarker of HF. A ROC curve analysis for HC versus HF discrimination showed an area under the ROC curve (AUC) of 0.9853 (95% CI: 0.9859–1.0000), a sensitivity of 95%, and a specificity of 100%. Hence, glycodeoxycholate might serve as a potential biomarker for HF. Furthermore, the amino acid metabolism was screened as the most significantly altered pathway in patients with HF. By identifying serum biomarkers and analyzing metabolic pathways, our study provided opportunities to enhance the understanding of the pathogenesis and early diagnosis of HF.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7004371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141986103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiopulmonary Exercise Testing-Guided Exercise Therapy in Hypertensive Patients: A Single Center Study 高血压患者心肺运动测试指导下的运动疗法:单中心研究
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-08-08 DOI: 10.1155/2024/8476971
Qin Lu, Jingjing Lu, Che Li, Ping Huang, Fenfen Jiang, Xia Zhao, Jianqin Zhang, Yi Huang, Zhenliang Chu
{"title":"Cardiopulmonary Exercise Testing-Guided Exercise Therapy in Hypertensive Patients: A Single Center Study","authors":"Qin Lu,&nbsp;Jingjing Lu,&nbsp;Che Li,&nbsp;Ping Huang,&nbsp;Fenfen Jiang,&nbsp;Xia Zhao,&nbsp;Jianqin Zhang,&nbsp;Yi Huang,&nbsp;Zhenliang Chu","doi":"10.1155/2024/8476971","DOIUrl":"https://doi.org/10.1155/2024/8476971","url":null,"abstract":"<p><b>Objective:</b> To observe the effects of cardiac rehabilitation guided by cardiopulmonary exercise testing (CPET) on cardiorespiratory reserve function, blood pressure, blood pressure variability, and lipid metabolism in patients with hypertension.</p><p><b>Methods:</b> A randomized trial enrolled 67 Grade 1 hypertensive patients on antihypertensive drugs, divided into conventional (<i>n</i> = 35) and CPET (<i>n</i> = 32) groups. Antihypertensive drugs were not adjusted in both groups during the study period. Blood pressure, cardiorespiratory indicators, lipid profile, and BMI were assessed pre/post 12 weeks.</p><p><b>Results:</b> Postintervention, the CPET group exhibited significantly lower blood pressure levels and improved cardiac indicators compared to the conventional group (<i>p</i> &lt; 0.05). CPET group showed greater improvements in cardiorespiratory endurance indicators (<i>p</i> &lt; 0.05). The cardiorespiratory endurance indicators showed significantly greater increases in the CPET group compared to the conventional group (<i>p</i> &lt; 0.05). Low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), triglycerides (TG), and body mass index (BMI) were significantly lower in the CPET group (<i>p</i> &lt; 0.05).</p><p><b>Conclusion:</b> In addition to drug treatment, cardiac rehabilitation guided by CPET can effectively improve blood pressure control, reduce blood pressure variability, improve cardiorespiratory function and lipid metabolism, and increase exercise endurance in patients with Grade 1 hypertension. Its efficacy is clear and safe, with clinical value for promotion.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8476971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of COVID-19 Infection on Abdominal Aortic Aneurysms: Mechanisms and Clinical Implications COVID-19 感染对腹主动脉瘤的影响:机制与临床意义
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-29 DOI: 10.1155/2024/7288798
Zenghan Cao, Jianhang Gao, Jianqiang Wu, Yuehong Zheng
{"title":"The Impact of COVID-19 Infection on Abdominal Aortic Aneurysms: Mechanisms and Clinical Implications","authors":"Zenghan Cao,&nbsp;Jianhang Gao,&nbsp;Jianqiang Wu,&nbsp;Yuehong Zheng","doi":"10.1155/2024/7288798","DOIUrl":"https://doi.org/10.1155/2024/7288798","url":null,"abstract":"<p><b>Background:</b> The COVID-19 virus not only has significant pathogenicity but also influences the progression of many diseases, altering patient prognosis. Cardiovascular diseases, particularly aortic aneurysms, are among the most life-threatening conditions.</p><p><b>Main Idea:</b> COVID-19 infection is reported to accelerate the progression of abdominal aortic aneurysms (AAAs) and increase the risk of rupture; however, a comprehensive understanding of the underlying mechanisms remains elusive. This article primarily reviews the relevant foundational research, focusing on disruptions in the renin-angiotensin-aldosterone system (RAAS), immune system activation, and coagulation disorders. Furthermore, we summarize related clinical research, including the epidemiology of aortic aneurysms during the pandemic and specific case studies.</p><p><b>Conclusion:</b> COVID-19 infection can influence the onset and progression of aortic aneurysms by affecting the RAAS, triggering inflammation and immune dysregulation in the arterial wall, and inducing a hypercoagulation state. It is crucial to comprehensively understand the impact of pandemic viral infections on aortic diseases at the foundational and clinical levels, thereby identifying potential preventative or therapeutic approaches and preparing for potential future outbreaks.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7288798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Endurance Exercise Training on Biomarkers of Aortic Endothelial Damage in Diabetic Rats 耐力运动训练对糖尿病大鼠主动脉内皮损伤生物标志物的影响
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-09 DOI: 10.1155/2024/6025911
Mahtab Fouladi, Maryam Mahmoudabady, Zahra Gholamnezhad, Sadegh Shabab, Saeed Niazmand, Hossein Salmani
{"title":"Impact of Endurance Exercise Training on Biomarkers of Aortic Endothelial Damage in Diabetic Rats","authors":"Mahtab Fouladi,&nbsp;Maryam Mahmoudabady,&nbsp;Zahra Gholamnezhad,&nbsp;Sadegh Shabab,&nbsp;Saeed Niazmand,&nbsp;Hossein Salmani","doi":"10.1155/2024/6025911","DOIUrl":"https://doi.org/10.1155/2024/6025911","url":null,"abstract":"<p>Given the heightened risk of diabetes-related cardiovascular events associated with inactivity, this study investigates the molecular mechanisms of vascular damage in streptozotocin (STZ)-induced diabetic rats. The aim is to elucidate the impact of different exercises (interval and continuous training) and metformin on biochemical parameters, aortic injury, oxidative stress, and inflammation to provide insights into potential therapeutic interventions for diabetes-associated vascular complications. Male Wistar rats were administered a single dose of STZ (60 mg/kg) to induce diabetes. Diabetic rats underwent either interval training or continuous training (40 min/day, 5 days/week, 6 weeks), received metformin (300 mg/kg), or a combination of metformin and exercise. After 6 weeks, biochemical parameters in serum and oxidative stress markers and mRNA expression of endothelial nitric oxide synthase (eNOS), lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1), and intercellular adhesion molecule-1 (ICAM-1) in aorta tissue were assessed. Serum levels of fasting blood sugar (FBS), triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL), TG/HDL, TC/HDL, and LDL/HDL ratios were significantly reduced in all treatment groups compared to the diabetes group. Both types of exercises, metformin, and exercise+metformin combinations, significantly reduced oxidative stress by decreasing malondialdehyde (MDA) and enhancing the antioxidant status in the aortic tissue compared to the diabetic group. In addition, in exercise groups, metformin, and combination groups, the expression of eNOS was significantly elevated, while LOX-1 and ICAM-1 expression significantly decreased compared to the diabetic group. In most cases, the combination of exercise and metformin (especially interval training) was more effective than exercise alone. It seems that exercise along with taking metformin can be considered as a therapeutic method by improving hyperglycemia and hyperlipidemia and reducing oxidative stress and vascular inflammatory responses, leading to ameliorating biomarkers function related to endothelial damage in experimental diabetes conditions.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6025911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Off-Pump Coronary Artery Bypass Graft (OCABG) Surgery Outcome: AKI Incidence, Serum Uric Acid, and Cut-Offs of Variables 体外循环冠状动脉旁路移植术(OCABG)的手术结果:AKI 发生率、血清尿酸和变量临界值
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-04 DOI: 10.1155/2024/5945687
Mohamad Reza Zare-Khormizi, Fatemeh Pourrajab
{"title":"Off-Pump Coronary Artery Bypass Graft (OCABG) Surgery Outcome: AKI Incidence, Serum Uric Acid, and Cut-Offs of Variables","authors":"Mohamad Reza Zare-Khormizi,&nbsp;Fatemeh Pourrajab","doi":"10.1155/2024/5945687","DOIUrl":"https://doi.org/10.1155/2024/5945687","url":null,"abstract":"<p><b>Purpose:</b> One of the most important challenges of the medical community is to find out the success rate of coronary artery bypass surgery and control complications after surgery, including acute kidney injury (AKI). The present study was conducted with the aim of determining the predictive effect of serum uric acid (SUA) (UA) level in patients undergoing off-pump coronary artery bypass (OCABG) surgery.</p><p><b>Methods:</b> The present descriptive-analytical study included 144 patients who underwent OCABG and met the inclusion criteria. SUA and related indicators, duration of hospitalization and stay in ICU, AKI and in-hospital mortality, and 6-month follow-up mortality were investigated.</p><p><b>Results:</b> Patients were divided into high and normal groups based on SUA levels. The prevalence of postoperative AKI was 20% and was significantly associated with the preoperative UA levels (OR: 2.04; CI: 95%; 1.03–4.20). The mortality rate of patients was between 2% and 9%, which increased to 13% in patients with high SUA (<i>p</i> value ~0.224). The average duration of ICU and hospitalization in patients with high UA was longer than the other group (<i>p</i> value ~0.06 and <i>p</i> value ~0.002, respectively).</p><p><b>Conclusion:</b> SUA levels are independently associated with a higher risk of AKI and outcome complications after off-pump CABG, and confounding factors at specific cutoffs affect the odds ratio of UA for AKI occurrence.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5945687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Designing, Validation, and Feasibility of Integrated Approach of Heartfulness Meditation and Yoga Protocol (IAHFNM & YP) for Hypertensive Participants 针对高血压参与者的 "心灵冥想与瑜伽综合疗法"(IAHFNM 与 YP)的设计、验证与可行性研究
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-04 DOI: 10.1155/2024/9289232
Pooja S. Singh, Veronique Nicolai, Yogesh Patil, Neelam Yeram, Bhusan Bhukte, Kapil Thakur, Mitesh Thakker, Haresh Mehta, Mansee K. Thakur
{"title":"Designing, Validation, and Feasibility of Integrated Approach of Heartfulness Meditation and Yoga Protocol (IAHFNM & YP) for Hypertensive Participants","authors":"Pooja S. Singh,&nbsp;Veronique Nicolai,&nbsp;Yogesh Patil,&nbsp;Neelam Yeram,&nbsp;Bhusan Bhukte,&nbsp;Kapil Thakur,&nbsp;Mitesh Thakker,&nbsp;Haresh Mehta,&nbsp;Mansee K. Thakur","doi":"10.1155/2024/9289232","DOIUrl":"https://doi.org/10.1155/2024/9289232","url":null,"abstract":"<p>The module was designed and developed at Heartfulness Institute, Kanha Shanti Vanam, Hyderabad. The Department of Medicine, MGM Medical College &amp; Hospital, MGMIHS, Navi Mumbai, carried out the validation and subsequently pilot-tested on volunteers. Forty experts were selected to validate the contents of IAHFNM &amp; YP which was designed after a thorough review of meditation and yoga literature. A total of 23 items were included, and each item was rated as essential or not essential by the experts, based on which the content validity ratio (CVR), Item-Level Content Validity Index (I-CVI), and Scale-Level Content Validity Index Average (S-CVI/Ave) were calculated. Reliability analysis and a pilot study for the feasibility of IAHFNM &amp; YP for hypertensive patients were also done. All 23 practices exhibited significant CVR (≥ 0.29), I-CVI (&gt; 0.79), and S-CVI/Ave (&gt; 0.9); thus, the tool was found to have valid contents. Cronbach’s alpha value for the tool was 0.95 which was highly reliable. Feasibility analysis in hypertensive participants showed that the tool is reliable and implementable. The IAHFNM &amp; YP tool designed for hypertensive patients is valid, reliable, and feasible. The patients showed a willingness to continue with heartfulness meditation and yoga practices for participation in research for a longer duration. Further studies to confirm the tool’s efficacy should be conducted with a large sample size.</p><p><b>Trial Registration:</b>CTRI/2024/01/061035</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9289232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Achievement of LDL-Cholesterol Goals in Patients Receiving LLT in Primary Care: TERESA-AP Study 在基层医疗机构接受低密度脂蛋白胆固醇治疗的患者实现低密度脂蛋白胆固醇目标的情况:TERESA-AP 研究
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-03 DOI: 10.1155/2024/4227941
Sergio Cinza-Sanjurjo, Vivencio Barrios, David Fierro-González, Jose Polo-García, Vicente Pallarés-Carratalá
{"title":"Achievement of LDL-Cholesterol Goals in Patients Receiving LLT in Primary Care: TERESA-AP Study","authors":"Sergio Cinza-Sanjurjo,&nbsp;Vivencio Barrios,&nbsp;David Fierro-González,&nbsp;Jose Polo-García,&nbsp;Vicente Pallarés-Carratalá","doi":"10.1155/2024/4227941","DOIUrl":"https://doi.org/10.1155/2024/4227941","url":null,"abstract":"<p><b>Background and Aim:</b> Since 2019, LDL-cholesterol (LDL-C) is the risk factor with the strictest goals and the most difficult to reach, due to its role in the development of atherosclerotic plaque and, therefore, cardiovascular risk. The objective of the TERESA-AP study is to analyze the degree of LDL-C control in patients followed up in primary care with lipid-lowering drug treatment (LLT).</p><p><b>Methods:</b> Observational, multicenter, cross-sectional, nationwide study was conducted, in which 50 PC physicians recruited 929 patients who were receiving LLT during at least the preceding 6 months. The variables required to estimate the patients’ cardiovascular risk and LDL control were recorded.</p><p><b>Results:</b> Nearly half of sample was women (50.5%), and the mean age was 67.8 (10.4) years. High blood pressure (65.3%) and sedentary lifestyle (59.7%) were the most frequent risk factors. Recommended goals were reached in 26.0% (95% CI: 23.3%–29.0%) of patients, with a slightly higher percentage in patients with cardiovascular disease (CVD) (26.7%), diabetes mellitus (DM) (35.5%), and a lower one in patients with chronic kidney disease (CKD) (12.1%). The most frequent drug treatments were statin monotherapy (69.0%) and statin with ezetimibe combination (27.6%), with moderate-intensity statins being the most commonly used in both groups.</p><p><b>Conclusions:</b> On average, only a quarter of the patients followed up in PC and who receive drug treatment reach their therapeutic targets. This percentage is slightly higher if the patients have CVD and DM and lower if they have CKD. The most commonly used therapeutic strategy is moderate-intensity statins, both in monotherapy and in combination with ezetimibe.</p>","PeriodicalId":9582,"journal":{"name":"Cardiovascular Therapeutics","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4227941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benzoylaconine: Potential Therapeutic Agent for Cardiovascular Diseases From Fuzi 苯甲酰乌头原碱心血管疾病的潜在治疗剂 From Fuzi
IF 3.4 4区 医学
Cardiovascular Therapeutics Pub Date : 2024-07-03 DOI: 10.1155/2024/4878103
Chenggang Xu, Le Tang, Lixin Hu, Yunzhe Huang, Jin Tang, Xiaohu Wang, Feng Wang
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