The Deficit of Nutrition Education of Physicians

The American Journal of Medicine, Journal Year: 2017, Volume and Issue: 131(4), P. 339 - 345

Published: Dec. 18, 2017

Language: Английский

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Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study

Physical Therapy, Journal Year: 2020, Volume and Issue: 100(12), P. 2110 - 2119

Published: Sept. 3, 2020

Abstract Objective Physical activity and exercise are central components in rehabilitation after a myocardial infarction. Kinesiophobia (fear of movement) is well-known barrier for good outcome these patients; however, there lack studies focusing on the patient perspective. The aim this study was to explore patients’ perceptions kinesiophobia relation physical 2 3 months an acute Methods This qualitative design used individual semi-structured interviews. Face-to-face interviews were conducted with 21 patients post-myocardial infarction who screened (≥32 Tampa Scale Heart). transcribed analyzed according inductive content analysis. Results An overarching theme defined as “coping fear movement infarction—a dynamic process over time” comprising subthemes explaining how coping runs parallel processes integrating patient’s internal contextual external process. described total 8 categories. iterative governed by combination factors: ambivalence, hypervigilance, insecurity about progression, avoidance behavior. contains categories relatives’ anxiety, prerequisites feeling safe, information, exercise-based cardiac program. Conclusion Coping that requires support. To further improve programs, person-centered strategies support each person—as well new treatment reduce kinesiophobia—need be elaborated. Impact Patients found ambivalent they expressed their movement; therefore, it crucial therapists acknowledge signs listening carefully full story addition using adequate self-reports tests fitness. These results will inform design, development, evaluation strategies, overall reducing increasing participation rehabilitation.

Language: Английский

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Psychological Preparation for Cardiac Surgery

Current Cardiology Reports, Journal Year: 2020, Volume and Issue: 22(12)

Published: Oct. 10, 2020

Abstract Purpose of Review To review the current state preoperative psychological preparation to improve outcomes after cardiac surgery. Recent Findings Preoperative psychosocial factors are associated with short- and long-term There several approaches optimize patients’ status promising effects on postoperative (e.g., less complications, improved quality life). often aims knowledge or social support modify expectations illness beliefs. Summary is gaining importance for However, still does not get as much attention it deserves. seems have positive outcomes. Since overall evidence weak, further studies warranted understand which intervention works best whom why.

Language: Английский

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Prevalence of angina pectoris and association with coronary atherosclerosis in a general population

Heart, Journal Year: 2023, Volume and Issue: 109(19), P. 1450 - 1459

Published: May 23, 2023

Objective To assess the contemporary prevalence of, and factors associated with angina pectoris symptoms, to examine relationship coronary atherosclerosis in a middle-aged, general population. Methods Data were based on Swedish CArdioPulmonary bioImage Study (SCAPIS), which 30 154 individuals randomly recruited from population between 2013 2018. Participants that completed Rose Angina Questionnaire included categorised as or no angina. Subjects valid CT angiography (CCTA) by degree of atherosclerosis; ≥50% obstruction (obstructive atherosclerosis), <50% any atheromatosis (non-obstructive atherosclerosis) none (no atherosclerosis). Results The study consisted 28 974 questionnaire responders (median age 57.4 years, female 51.6%, hypertension 19.9%, hyperlipidaemia 7.9%, diabetes mellitus 3.7%), 1025 (3.5%) fulfilled criteria Coronary was more common having compared those (n=24 602, obstructive 11.8% vs 5.4%, non-obstructive 38.9% 37.0%, 49.4% 57.7%, all p<0.001). Factors independently birthplace outside Sweden (OR 2.58 (95% CI 2.10 2.92)), low educational level 1.41 (1.10 1.79)), unemployment 1.51 (1.27 1.81)), poor economic status 1.85 (1.38 2.47)), symptoms depression 1.63 1.92)) high stress 2.92 (1.80 4.73)). Conclusion are among middle-aged Sweden, though association atherosclerosis. Sociodemographic psychological highly irrespective

Language: Английский

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Mind-Body Interventions for Individuals With Heart Failure: A Systematic Review of Randomized Trials

Journal of Cardiac Failure, Journal Year: 2017, Volume and Issue: 24(3), P. 186 - 201

Published: Sept. 20, 2017

Language: Английский

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The impact of SSRIs on mortality and cardiovascular events in patients with coronary artery disease and depression: systematic review and meta-analysis

Clinical Research in Cardiology, Journal Year: 2020, Volume and Issue: 110(2), P. 183 - 193

Published: July 2, 2020

Language: Английский

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Tai Chi exercise for psychological well-being among adults with cardiovascular disease: A systematic review and meta-analysis

European Journal of Cardiovascular Nursing, Journal Year: 2020, Volume and Issue: 19(7), P. 580 - 591

Published: June 9, 2020

Regular exercise is beneficial for adults with cardiovascular disease to improve psychological well-being. Tai Chi a mind-body thought promote well-being.Examine the efficacy of in improving well-being among persons disease.An electronic literature search 10 databases (AMED, CINAHL, Embase, OpenGrey, PsycARTICLES, PsycINFO, PubMed, Scopus, SPORTDiscus, and Web Science) was conducted. Clinical trials that examined one or more aspect well-being, incorporated intervention participants, were published English German languages included. Comprehensive Meta-Analysis version 2.0 software (Biostat, Inc.) used calculate effect sizes (i.e. Hedges' g) 95% confidence intervals using random effects models.A total 15 studies met inclusion criteria, enrolling 1853 participants (mean age = 66 years old, 44% women). Outcomes included: quality life (QOL), stress, anxiety, depression, distress. When compared controls, significantly better general QOL (Hedges' g 0.96; p=0.02, I2=94.99%), mental health g=0.20; p=0.01, I2=15.93) physical g=0.40; p=0.00, I2=0%); less depression g=0.69; I2=86.64%) distress g=0.58; I2=0%) found.Few have been conducted during past decade examining older disease. Further research needed rigorous study designs, adequate doses, carefully chosen outcome measures assess mechanisms as well Chi.

Language: Английский

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Ginkgo Biloba Extract Reduces Cardiac and Brain Inflammation in Rats Fed a HFD and Exposed to Chronic Mental Stress through NF-κB Inhibition

Mediators of Inflammation, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 15

Published: May 29, 2022

Cardiac and brain inflammation can lead to a host of deleterious health effects. Our formal experimental research showed that Ginkgo Biloba Extract (GBE) contributed the reduction in mice with myocardial infarction along depression. This study is aimed at expanding on these findings via analysis cardiac inflammation, which was prevented by GBE rats suffering high-fat diet (HFD) combined unpredictable chronic mild stress (UCMS).Fifty male Wistar were randomly divided into 5 groups treated normal diet, UCMS, HFD, HFD+UCMS, or HFD+UCMS+GBE respectively. Rats HFD fed for 10 13 weeks. UCMS exposed 8 types physical psychological stressors The group given intragastric gavage consecutive Sucrose preference established assessment depressive behaviors. heart function evaluated echocardiography. terminated end 10th 13th week. blood used detecting low-density lipoprotein cholesterol (LDL-c) total (TCHO) kit instructions; Helper T Lymphocytes (TH cells, CD3+CD4+) flow cytometry; Interleukin- (IL-) 1β, IL-37, IL-38, NT-proBNP, hs-cTNI, Ischemia-modified albumin (IMA) enzyme-linked immunosorbent assay (ELISA). tissues IL-1β, nuclear factor kappa B (NF-κB), inhibitor molecule protein (IκB), IL-1 receptor (IL-1R) ELISA P65, P-P65, IκB, phosphorylated α (P-IκBα) western blotting. Cortex 8-iso-prostaglandinF2α (8-iso-PGF2α) ELISA. Oil Red staining carried out evaluate lipid deposits rats' aortic arteries. Sirius performed display collagen fibers Hematoxylin Eosin (HE) applied reveal pathological changes arteries tissue. Immunohistochemical employed assess distribution inflammatory cytokine IL-1β tissues. Transmission Electron Microscopy (TEM) observe ultrastructure hippocampal cornu ammonis (CA)1 (CA1) neurons.In HFD+UCMS+GBE, over weeks, exerted protective role both brain, attenuating oxidative stress. Levels lymphocytes serum anti-inflammatory cytokines involving IL-37 IL-38 all elevated, behaviors HFD+UCMS attenuated GBE. accomplished inhibition canonical NF-κB signaling pathway, through downregulation expressions P-P65 P-IκB-α heart, hippocampus, cortex, hypothalamus.This suggests poses from various pathologies associated diets, stress, depression, possibly improving peripheral immunity reducing inflammation.

Language: Английский

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Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 2

Journal of Clinical Medicine, Journal Year: 2021, Volume and Issue: 10(14), P. 3071 - 3071

Published: July 12, 2021

Background: Scientific guidelines have been developed to update and harmonize exercise based cardiac rehabilitation (ebCR) in German speaking countries. Key recommendations for ebCR indications recently published part 1 of this journal. The present 2 updates the evidence with respect contents delivery clinical practice, focusing on training (ET), psychological interventions (PI), patient education (PE). In addition, special patients’ groups new developments, such as telemedical (Tele) or home-based ebCR, are discussed well. Methods: Generation search literature described 1. Results: Well documented confirms prognostic significance ET patients coronary artery disease. Positive effects congestive heart failure, valve surgery intervention, adults congenital disease, peripheral arterial Specific risk stratification adequate prescription continuous-, interval-, strength given detail. PI when added did not show significant positive general. There was a trend towards reduction depressive symptoms “distress management” “lifestyle changes”. PE is able increase knowledge motivation, well behavior changes, regarding physical activity, dietary habits, smoking cessation. distinct programs less clear. Studies Tele-CR predominantly included low-risk patients. Hence, it questionable, whether results derived from studies conventional may be transferred Tele-CR. Conclusions: cornerstone ebCR. Additional should included, adjusted needs individual patient. promote self-management, empowerment, motivation. Diversity-sensitive structures established interact gender issues. further investigated valuable tool implement more widely effectively.

Language: Английский

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Home intravenous diuretic administration for heart failure management: A scoping review

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0316851 - e0316851

Published: Jan. 17, 2025

Background Heart failure (HF) significantly impacts healthcare systems due to high rates of hospital bed utilization and readmission rates. Chronic HF often leads frequent hospitalizations recurrent exacerbations a decline in patient health status. Intravenous (IV) diuretic administration is essential for treating worsening HF. Emerging strategies include home-based IV therapy administration; however, limited practical implementation guidance available. This scoping review aims summarize the literature on home patients, focusing interventions’ characteristics, facilitators barriers its implementation. Methods followed framework proposed by Arksey O’Malley PRIMSA-ScR. A comprehensive search was conducted across six databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychINFO Scopus) grey identify English studies from inception April 13, 2024. Two independent reviewers screened articles resources inclusion data extracted using form created authors Covidence. Results The yielded 2,049 results, with nine meeting criteria. Studies varied design, including feasibility, pilot, observational, pre/post-intervention evaluations. majority were European countries, sample sizes ranging 12 96 patients receiving diuretics Key challenges appropriate selection, cannulation competency providers, multi-disciplinary multi-agency collaboration. Conclusions Evidence practices management remains limited. However, this suggests that commonalities could basis developing standard protocols outpatient settings. Despite lack formal evidence-based guidelines, findings also suggest tailored, community-specific approaches safe infusion documents enhance efficacy scalability therapy. Future research should focus refining these exploring escalation methods beyond traditional acute care optimize outcomes.

Language: Английский

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