National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025

Heart Lung and Circulation, Journal Year: 2025, Volume and Issue: 34(4), P. 309 - 397

Published: April 1, 2025

Language: Английский

---

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

---

Exercise intensity prescription in cardiovascular rehabilitation: bridging the gap between best evidence and clinical practice

Frontiers in Cardiovascular Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Aug. 27, 2024

Optimizing endurance exercise intensity prescription is crucial to maximize the clinical benefits and minimize complications for individuals at risk or with cardiovascular disease (CVD). However, standardization remains incomplete due variations in guidelines. This review provides a practical updated guide health professionals on how prescribe rehabilitation (CR) populations, addressing international guidelines, applicability across diverse settings resource availabilities. In context of CR, cardiopulmonary test (CPET) considered gold standard assessment, based ventilatory thresholds (VTs) preferable methodology. where this approach isn't accessible, which frequently case low-resource environments, approximating VTs involves combining objective assessments—ideally, tests without gas exchange analyses, but least alternative functional like 6-minute walk test—with subjective methods adjusting prescriptions, such as Borg's ratings perceived exertion Talk Test. Therefore, enhancing offering personalized physical activity guidance patients CVD rely aligning workouts individual physiological changes. A tailored promotes consistent impactful routine outcomes, considering patient preferences motivations. Consequently, selection implementation best possible should consider available resources, an ongoing emphasis strategies improve delivery quality training FITT-VP model (frequency, intensity, time, type, volume, progression).

Language: Английский

---

Measuring physical activity, automaticity and memory are determinants for physical activity promotion among physical therapists in cardiac and pulmonary rehabilitation: a cross-sectional survey

Physiotherapy Theory and Practice, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 10

Published: Jan. 27, 2025

The study aims to identify determinants of implementation behavior among physical therapists frequently promoting activity (PA) in cardiac and pulmonary rehabilitation. A cross-sectional online survey incorporating the Determinants Implementation Behavior Questionnaire (DIBQ) anchored by Theoretical Domains Framework (TDF) was sent working rehabilitation practices Australia Singapore. All items on DIBQ were scored a 7-point Likert scale from "Strongly Disagree" Agree." Demographics associated with frequency PA promotion using logistic regression analysis manual backward stepwise elimination. Differences between countries measured Mann-Whitney U test. Thirty-four 32 Singapore responded survey. Seventy-four percent them correctly identified guidelines almost all (98%) agreed that therapist's role. However, only 58% encouraged ≥ 10 patients monthly be physically active. revealed > 8 years experience (AOR = 8.08: 95% CI 1.69-38.67), currently measuring 8.04: 1.73-37.39) who promote it automatically (Nature Behaviors) 8.57: 0.66-111.55) more likely PA. Similar determinants, except Belief about Consequences, found therapists. Currently PA, automaticity influence rehabilitation, regardless knowledge, role awareness they practice in.

Language: Английский

---

Part 1—Cardiac Rehabilitation After an Acute Myocardial Infarction: Four Phases of the Programme—Where Do We Stand?

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1117 - 1117

Published: Feb. 9, 2025

Cardiac rehabilitation is a well-established multidisciplinary interventional protocol that plays pivotal role in the management and prevention of future cardiovascular events patients with diseases. This patient-tailored approach includes educating about their condition how to control associated risk factors, an expert-designed lifestyle modification plan may include exercise, proper nutrition, pharmacological treatment, psychological support at each step. Exercise training represents fundamental component cardiac rehabilitation. It facilitates enhancement fitness, reduction heart rate, blood pressure remodeling, increase left ventricular ejection fraction, optimization endothelial function, inflammation oxidative stress. Moreover, beneficial physiological changes resulting from contribute morbidity mortality survivors myocardial infarction (MI). Furthermore, European Society Cardiology Guidelines advocate for initiation as early possible, while patient who survived MI still hospital. two-part comprehensive review commences historical overview rehabilitation, followed by detailed exploration four phases programme its impact on health. In Part 2, study aims provide account optimal timing starting programs examine factors affecting low engagement such programs, well gender-based differences adherence.

Language: Английский

---

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

---

An Expert Opinion on the Management of Frailty in Heart Failure from the Australian Cardiovascular Alliance National Taskforce

Heart Lung and Circulation, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

---

Developing physical Activity and Sedentary behaviour thresholds for the Secondary prevention of Heart disease (DASSH): a cohort mortality survival tree analysis

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 10, 2025

Abstract Background The dose–response relationship between physical activity and sedentary behaviour (SB) with mortality in people coronary heart disease (CHD) is unclear. aim was to identify moderate-to-vigorous (MVPA) SB thresholds for risk. Methods This prospective cohort study comprised Australian participants aged ≥ 45 years self-reported CHD (2006–2020). Self-reported MVPA (min/wk) (hr/day) were the exposures. Cardiac all-cause main outcomes. Survival regression trees identified influencing survival rate. Cox models C-statistic used examine thresholds, comparing them public health guidelines. Results included 40,156 (mean (SD) age, 70.3(10.3) years; 15,278 females (38%)). During a median follow-up of 11.1 (IQR,6.2–14.4) years, 2,497 cardiac 12,240 deaths recorded. threshold 146 min/wk 96 min/wk, respectively. For SB, < 5–6 h/day. Sex-specific differences found. All had equivalent associated risk reductions predictive abilities Conclusion newly suggest that guidelines are suitable reducing risks CHD. mortality, suggested be much lower. Further research required explore these sex-specific differences.

Language: Английский

---

Effectiveness of alternative exercises in cardiac rehabilitation on program completion and outcomes in women with or at high risk of cardiovascular disease: a systematic review and meta-analysis

JBI Evidence Synthesis, Journal Year: 2025, Volume and Issue: unknown

Published: April 29, 2025

Objective: This systematic review aimed to evaluate the effectiveness of alternative exercises within a cardiac rehabilitation (CR) program compared traditional gym-based or usual care. The focus was on CR completion and outcomes in women. Introduction: programs generally offer exercises, including treadmill cycling ergometers, conventional resistance training. However, these may not be suitable for all individuals, particularly women with chronic musculoskeletal conditions. Alternative such as yoga, Pilates, tai chi, Nordic walking, dancing, have been suggested safer more enjoyable options, potentially increasing rates among evidence improving other health remains limited. Inclusion criteria: included randomized controlled trials evaluating effects that recruited at least 50% Methods: following databases were searched from inception January 15, 2024: MEDLINE (Ovid), CINAHL (EBSCOhost), Cochrane Central Register Controlled Trials, Embase Emcare Scopus, Web Science, LILACS, PsycINFO (Ovid). Two reviewers independently assessed methodological quality certainty using JBI critical appraisal instrument Grading Recommendations Assessment, Development Evaluation (GRADE), respectively. Meta‐analyses random-effects models conducted data synthesis. Results: Eight RCTs involving 398 studied. (yoga, stepping outdoor aerobic dance) had little no effect women’s care (risk ratio [RR] 1.02; 95%CI 0.87–1.20; 2 trials; 51 participants; I2=0%, very low evidence). These result improved systolic blood pressure, diastolic body weight, 6-minute-walk test ≤12 weeks follow-up. outcomes, mass index, lipid profiles, fasting sugar, hemoglobin A1c, peak oxygen uptake, life, depression symptoms weeks. When examining longer-term impacts, it appears offering modalities pressure (systolic diastolic) 24 supporting findings rated each outcome. Conclusions: Evidence is primarily due small number Future well-designed are needed provide robust findings. Review registration: PROSPERO CRD42022354996

Language: Английский

---

Effect of Adding Early Bedside Cycling to Inpatient Cardiac Rehabilitation on Physical Function and Length of Stay After Heart Valve Surgery: A Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: 105(6), P. 1050 - 1057

Published: Feb. 16, 2024

Language: Английский

---