Randomised Crossover Trial of Home-Based Neuromuscular Electrical Stimulation Therapy as an Adjunct to Cardiac Rehabilitation in Frail Older Adult Patients With Chronic Heart Failure

Circulation Reports, Journal Year: 2025, Volume and Issue: unknown

Published: March 6, 2025

Background: Neuromuscular electrical stimulation (NMES) is an alternative therapy for patients unable to perform sufficient voluntary exercises. This randomised crossover study aimed evaluate the safety and efficacy of home-based NMES as adjunct cardiac rehabilitation (CR) improving physical function in frail older adult with chronic heart failure (CHF).

Language: Английский

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Promoting Diversity in Cardiac Rehabilitation Programs at Community Hospitals

Circulation Reports, Journal Year: 2025, Volume and Issue: unknown

Published: March 14, 2025

Background: Although comprehensive cardiac rehabilitation (CR) is an effective treatment for cardiovascular diseases, its implementation in Japan remains insufficient. Following the 2022 Basic Act on Cardiovascular Disease Prevention, each prefecture has established specific targets.

Language: Английский

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Characteristics of Cardiac Rehabilitation for Older Patients in a Japanese Rehabilitation Hospital

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: March 21, 2025

Background Japan's aging population faces a rising prevalence of cardiovascular disease (CVD), resulting in an increased demand for specialized cardiac rehabilitation (CR). This study investigated the characteristics older patients and current status CR Japanese convalescent hospitals. Materials methods retrospective cohort enrolled 107 who were transferred to hospital following acute CVD treatment. The divided into group (aged ≥80 years) control <80 years). Clinical characteristics, physical cognitive function, exercise tolerance, activities daily living (ADL), health-related quality life (HR-QoL), components collected analyzed. Results Despite shorter aerobic duration (median, 9.8 (IQR, 0.4-19.2) vs. 20.6 (11.7-29.8) min, P < 0.001), demonstrated significant improvements ADL, HR-QoL by discharge. Both groups showed gains functional independence measures, performance, strength, gait speed, endurance. While started with lower baseline performance required higher level care at discharge, their comparable those group. Conclusion programs hospitals, although characterized relatively short durations exercise, may contribute improved outcomes. These results highlight importance developing implementing support potential broader application addressing needs population.

Language: Английский

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Effects of inpatient and outpatient cardiac rehabilitation on the 5-year prognosis in patients with acute myocardial infarction

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

Published: March 21, 2025

Abstract Aims Cardiac rehabilitation (CR) has been shown to improve the prognosis of patients with acute myocardial infarction (AMI). In Japan, duration hospitalization shortened, resulting in a lower participation rate CR among outpatients. Therefore, we evaluated effects CR, stratified into inpatient and outpatient phases, on AMI Japan. Methods results A multi-centre, retrospective, cohort study which extracted 4411 from 72 institutes throughout Japan who were identified Japanese Registry Of All cardiac vascular Diseases (JROAD) 2014 was performed. The JROAD is database Diagnosis Procedure Combination, additionally investigated detailed information about severity, complications, treatment AMI, examinations, 5-year respect (JROAD-CR). divided four groups, depending their history as inpatients percentages outpatients received 66.1% (n = 2917) 9.91% 437), respectively. groups only [In(+)Out(-)] both [In(+)Out(+)] showed significant reductions composite major adverse cardiovascular events [In(+)Out(-) group; hazard ratio (HR): 0.751, 95% confidence interval (CI) (0.584–0.967) In(+)Out(+) HR: 0.641, CI (0.426–0.964)] all-cause mortality 0.720, (0.546–0.950) 0.575, (0.338–0.977)]. Conclusion This JROAD-CR revealed that even short periods during are important continuing phase may further AMI.

Language: Английский

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Role of balance exercise dynamic stress in rehabilitation of heart failure patients with reduced ejection fraction

Egyptian Rheumatology and Rehabilitation, Journal Year: 2025, Volume and Issue: 52(1)

Published: April 7, 2025

Abstract Background Heart failure (HF) patients often experience decreased cardiac performance, leading to exercise intolerance. Additionally, skeletal muscle changes such as reduced mass, density, fiber type alterations, oxidative metabolism, and mitochondrial function contribute dysfunction in HF. These functional impairments increase the risk of falls, particularly elderly individuals. Balance impairment is a significant factor for falls this population. Identifying balance crucial developing fall prevention strategies appropriate treatment programs with Failure Ejection Fraction (HFrEF). Aim work The aim prospective interventional study effects computerized dynamic stress training on postural capacity HFrEF. Results On comparing assessment parameters before after by Biodex system 2 times/week 1 month, participants achieved improvements gait speed ( p < 0.001), Short Physical Performance Battery (SPPB) score Timed up go (TUG) 0.001). Sample size calculation adherence ethical guidelines were ensured, confirming robustness design. Conclusion findings underscore importance incorporating exercises into rehabilitation heart EF (ejection fraction). Targeted interventions addressing mobility can enhance overall physical function, reduce risk, improve effectiveness exercise-based management.

Language: Английский

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