Comprehensive and personalized approach is a critical area for developing remote cardiac rehabilitation programs

World Journal of Clinical Cases, Journal Year: 2024, Volume and Issue: 12(12), P. 2009 - 2015

Published: April 16, 2024

In the evolving landscape of cardiac rehabilitation (CR), adopting digital technologies, including synchronous/real-time interventions and smart applications, has emerged as a transformative approach. These technologies offer real-time health data access, continuous vital sign monitoring, personalized educational enhanced patient self-management engagement. Despite their potential benefits, challenges limitations exist, necessitating careful consideration. Synchronous/real-time CR involves remote, two-way audiovisual communication, addressing issues accessibility promoting home-based interventions. Smart applications extend beyond traditional healthcare, providing fostering empowerment. Wearable devices mobile apps enable tracking outcomes, facilitate lifestyle modifications crucial for maintenance. As progresses, ensuring equitable implementation, divide becomes paramount. Artificial intelligence holds promise in early detection events tailoring patient-specific programs. However, such literacy, privacy, security must be addressed to ensure inclusive implementation. Moreover, shift toward raises concerns about cost, safety, depersonalization therapeutic relationships. A towards technologically enabled necessitates further research, focusing not only on technological advancements but also customization meet diverse needs. Overcoming related security, is widespread adoption CR. Future studies should explore integrating moral values into relationships that accessible, equitable, seamlessly integrated routine care. Theoretical frameworks accommodate dynamic quality monitoring feedback feature considered guide intervention development.

Language: Английский

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Technology-based comprehensive cardiac rehabilitation therapy for women in a middle-income setting: a randomized controlled trial

European Journal of Preventive Cardiology, Journal Year: 2025, Volume and Issue: unknown

Published: April 11, 2025

Abstract Aims Women are under-represented in cardiac rehabilitation (CR), especially lower-income settings. This study tested Technology-bAsed Cardiac Therapy (TaCT) on functional capacity, risk factors, quality of life (QoL; MacNew), heart-health behaviours (e.g. Global Physical Activity Questionnaire), symptoms angina), and morbidity hospitalization procedure) women. Methods results Single-centre, single-blind, two parallel arms (1:1 SNOSE) randomized superiority trial, undertaken an Indian outpatient cardiology department, where women with stable disease smartphone access were recruited. TaCT was compared standard care (CR rare), assessments conducted before the intervention, 6 months later. The 6-month comprehensive intervention delivered via several technologies. Exercise prescriptions based Incremental Shuttle Walk Test (ISWT; primary outcome). Analyses intention-to-treat. Fifty to 50 control (n = 89; 89.0% retained). There few tobacco users. Results for following outcomes favoured intervention: capacity [ISWT effect size 0.3 (95% confidence interval 1.0 −0.2), P 0.002; Duke Status Index < 0.001; Sit-to-Stand 0.003], QoL (global all subscale P’s 0.001), (exercise medication adherence 0.02), anxiety (P 0.002). no significant differences blood pressure, waist circumference, or symptoms. Three participants group experienced 1 suffered mortality 9 controls only. Conclusion program significantly improved QoL, cardiovascular a middle-income country, demonstrating potential technology-based CR tailored these Registration CTRI/2021/07/035197 URL: https://ctri.nic.in/Clinicaltrials/rmaindet.php?trialid=51810&EncHid=79231.15408&modid=1&compid=19.

Language: Английский

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“Challenges to Normalcy”- Perceived Barriers to Adherence to Home-Based Cardiac Rehabilitation Exercise in Patients with Chronic Heart Failure

Patient Preference and Adherence, Journal Year: 2023, Volume and Issue: Volume 17, P. 3515 - 3524

Published: Dec. 1, 2023

Purpose: The aim of this study was to explore perceived barriers adherence home-based cardiac rehabilitation exercise in patients with chronic heart failure. Patients and Methods: A qualitative descriptive conducted from May July 2023. purposive sampling approach adopted select Semi-structured interviews were completed collect data for exploring the barriers. In addition, information saturation validation strategies prove adequacy data. Transcripts analysed using thematic analysis. Results: total 16 failure included study. Analysis revealed five main These include (1) lack knowledge, (2) activity intolerance, (3) fear, (4) role conflict, (5) lower self-efficacy. Conclusion: This delved deeper into understanding challenges faced by adhering exercise. development precise effective management intervention based on these is necessary improve patient compliance Keywords: rehabilitation, exercise, influencing factors, research, analysis

Language: Английский

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Time to re-evaluate blood pressure recommendations for exercise testing in spontaneous coronary artery dissection? A case series.

CJC Open, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Language: Английский

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Part 2—Cardiac Rehabilitation After an Acute Myocardial Infarction: Timing and Gender Differences in Adherence; Where Do We Stand?

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1189 - 1189

Published: Feb. 11, 2025

Cardiac rehabilitation is a beneficial multidisciplinary interventional protocol that improves cardiovascular health and reduces mortality morbidity rates in patients with diseases. Multiple studies have demonstrated the implementation of such protocols acute myocardial infarction (MI) dramatically improved patients' outcome. It unfortunate practice, spite advantages cardiac rehabilitation, this approach seldom employed. Indeed, only some guidance, as American College Cardiology European Society guidelines, recommends their protocols. In particular, guideline its early while patient still hospital, whereas suggests it should be approximately three weeks after discharge. Part 1 two-part comprehensive review, we provided historical overview detailed examination each component programme, impact on health. 2, objective was to provide explanation optimal timing for commencement elucidate factors influence low engagement programmes, well gender-based differences adherence.

Language: Английский

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Exploring Sex-Based Differences in Patient Outcomes: A Secondary Analysis of Heartwatch, an Irish Cardiovascular Secondary Prevention Programme

International Journal of Cardiology Cardiovascular Risk and Prevention, Journal Year: 2025, Volume and Issue: 24, P. 200376 - 200376

Published: Feb. 14, 2025

In the last two decades, sex-related differences regarding cardiovascular diagnosis, treatment, and risk factors management have been reported. The current study aims to explore in outcomes among male female patients attending Irish secondary prevention programme - Heartwatch. This is a retrospective observational study. Anonymous data was extracted from Heartwatch database 2003 2017. Cardiovascular were analysed at sign-up four years follow-ups. An 8-point aggregate score (CCare Score) assessed calculate targeted outcomes. Generalized estimating equations models applied for analysis. total 8893 (77 % male) included. Females exhibited higher profile across all more likely be off target than males baseline after 4 of attendance [M F odds ratios(95 CI); systolic blood pressure: 1.35 (1.21-1.49), waist circumference: 2.11(1.89-2.36), physical activity: 1.72 (1.53-1.95)]. CCare scores also demonstrated gap between [mean(sd); M: 5.1(1.2), F: 4.8(1.2)] structured care 5.3(1.2), 4.9(1.2)]. Female less prescribed aspirin ACE inhibitors but AT2 inhibitors, calcium channel blockers, diuretics compared patients. has demonstrably improved patient care, however, continuous underperformance necessitates further investigation ensure appropriate equitable CVD population.

Language: Английский

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Exercise Training and Cardiac Rehabilitation in Patients After Percutaneous Coronary Intervention: Comprehensive Assessment and Prescription

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(5), P. 1607 - 1607

Published: Feb. 27, 2025

Current guidelines on acute and chronic coronary syndromes recommend comprehensive multidisciplinary exercise-based cardiac rehabilitation in Class I. Indeed, patients after a percutaneous intervention, this supervised structured program improves cardiovascular risk reduces adverse events mortality. After an initial assessment, including peak exercise capacity evaluation, follow tailored consisting of aerobic resistance training, factor management, dietary counselling, physical activity weight control psychosocial support, education. However, management prescription require careful assessment consideration several variables such as left ventricular dysfunction, comorbidities, aging, artery disease severity, capacity, type syndrome. The functional prognostic benefits have been widely demonstrated intervention; however, referral is still limited, although should be strongly recommended to these the context prevention. Therefore, aim our article provide updated, critical, state-of-the-art review training programs intervention. Furthermore, practical approaches with personalized intervention will provided.

Language: Английский

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Exploring the Willingness of Young and Middle-Aged CHD Patients to Participate in Home-Based Cardiac Rehabilitation: A Qualitative Study

Patient Preference and Adherence, Journal Year: 2025, Volume and Issue: Volume 19, P. 1011 - 1027

Published: April 1, 2025

With the rapid development of medical science and technology increasing trend coronary heart disease (CHD) rejuvenation, home-based cardiac rehabilitation (HBCR), with its unique advantages, shows great potential for application in field prevention treatment CHD. In-depth understanding subjective perception willingness to participate HBCR patients CHD is crucial precise formulation programs promotion clinical HBCR. The aim this study was explore factors influencing young middle-aged patients' This used qualitative descriptive approach. Using purposive sampling, a total 20 who were admitted tertiary hospital Taiyuan from June August 2024 selected study. theory planned behavior (TPB) as theoretical framework carry out data collection analysis. Face-to-face, semi-structured interviews collect data. Data analyzed using content Two researchers independently read, coded, categorized, refined themes. Based on TPB, four themes emerged analysis: (1) attitude; (2) norm; (3) perceived behavioral control; (4) Knowledge mastery level. Of participants study, 15 had positive attitudes toward HBCR, but their still influenced by multiple factors. Economic conditions are fundamental factor Social support, self-efficacy, emotional state, knowledge level also crucial. lack face-to-face professional guidance risks impede participation. Moreover, social roles participate. Under deeply explored these factors, it necessary make interventions future at government level, among healthcare professionals, within support systems. By identifying we can not only improve rehabilitate effect, help them return society, reduce pressure, promote optimize CR grading system.

Language: Английский

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Bridging the Gap

Journal of Cardiopulmonary Rehabilitation and Prevention, Journal Year: 2025, Volume and Issue: 45(3), P. 157 - 160

Published: April 24, 2025

Language: Английский

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A cross-sectional study of cardiac rehabilitation enrollment barriers in patients at risk for suboptimal outcomes from acute coronary syndrome

Contemporary Nurse, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 18

Published: May 12, 2025

Cardiac rehabilitation (CR) is an effective treatment to reduce the burden of cardiovascular disease (CVD) but underutilized. This study characterized CR enrollment barriers and perceived physician endorsement in patient subgroups at increased risk poor outcomes. The association between sociodemographic clinical characteristics Rehabilitation Barriers Scale (CRBS) item subscale scores were examined using secondary data analysis patients with acute coronary syndrome referred to, not yet enrolled in, a 12-week program. Participants rated strength recommendation attend on 1-5 scale. three most endorsed CRBS items inclement weather, travel, work responsibilities. Additional (e.g. time constraints, already exercising, family responsibilities) emerged certain subgroups. Perceived was high overall sample. After statistical adjustment for confounds, depressed mood positively associated logistical (b = 0.05, p 0.002), comorbidity-related 0.02, < 0.001). Female sex 0.62, 0.004), higher body mass index 0.009), diabetes 1.08, 0.001), barriers. Patients require individualized support address Given their crucial role supporting access CR, nurses are well-positioned identify

Language: Английский

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