Implementation of Comprehensive Lifelong Healthy Behavioural Programs to Improve Outcome: The Third Jim Pattison–Mazankowski Alberta Heart Institute Cardiac Rehabilitation Symposium DOI Creative Commons
Paolo Raggi

Canadian Journal of Cardiology, Год журнала: 2023, Номер 39(11), С. S313 - S314

Опубликована: Ноя. 1, 2023

In my long career as a cardiologist, I have had the privilege to care for variety of patients. The memory 2 them remains particularly vivid, after many years encountering them. received referral from an oncology colleague lovely 45-year-old lady who unfortunately developed dilated cardiomyopathy receiving doxorubicin breast cancer. We worked several together, and she maintained stable left ventricular ejection fraction some time, adhering her therapy with beta-blockers angiotensin-converting enzyme inhibitors. At time there were no angiotensin receptor blocker/neprilysin sodium-glucose cotransporter inhibitors, mineralocorticoid antagonists not frequently used. She eventually decompensated heart failure reduced fraction, mostly due poor diet, lack exercise, excessive reliance on benefit drugs in isolation. On numerous occasions we talked about undertaking rehabilitation program, but regularly voiced concerns ability attend classes owing work schedule, family life, transportation centre, etc. second patient was lean athletic 60-year-old man referred me previous patient. He stated that he been physically active his entire life; participated semiprofessional team sports, skied biked avidly, never tired playing tennis friends family. did smoke, use illicit drugs, drank alcohol moderation, treated borderline hypertension calcium antagonist. His surface electrocardiogram, obtained during random physical examination, showed hypertrophy nonspecific intraventricular conduction defect, echocardiography. Much everyone's surprise, study revealed severely ventricle (estimated at 35%) multiple wall motion abnormalities attributable any coronary artery territory. Cardiac magnetic resonance imaging angiography revealing. What source such dysfunction? do this very gentleman? Advise him curb exercise routine, or let be free pursue it? medications prescribe him, if any? Little know later would find myself chairing cardiac symposium dedicated these issues,1Pituskin E. Foulkes S.J. Cox-Kennett N. et al.Cardio-oncology cancer rehabilitation: is integrated approach possible?.Can J Cardiol. 2023; 39: S315-S322Abstract Full Text PDF Google Scholar,2Rowe Paratz E.D. al.Understanding capacity: elite athlete HFpEF.Can S323-S334Abstract Scopus (0) Scholar along other interesting ones, patients chronic kidney disease,3Thompson S. Stickland M.K. Wilund K. Gyenes G.T. Bohm C. Exercise people end-stage disease: will fill gaps?.Can S335-S345Abstract congenital disease,4Spence Khoo Mackie A. al.Exploring promise telemedicine interventions children adolescents disease.Can S346-S358Abstract those cardiometabolic dysfunction related human immunodeficiency virus infection.5Milic J. Calza Cantergiani al.Sarcopenic obesity phenotypes HIV: implications cardiovascular prevention rehabilitation.Can S359-S367Abstract During it became amply clear despite well known benefits rehabilitation, still face obstacles more universal delivery it, physicians often hesitate delay offering therapeutic preventative solution need. Symposia one organised by Mazankowski Heart institute University Hospital Foundation, made possible generous supporters Pattison are meant increase our awareness extraordinary extend beyond increasing activity. case man, example, highlights importance "prehabilitation,"6Zheng Y.T. Zhang J.X. Preoperative recovery surgery: meta-analysis.BMC Cardiovasc Disord. 2020; 20: 2Crossref PubMed (9) words, lifestyle. It training peripheral vascular system derived well-being systolic function. A similar explanation could invoked fast transplantation bypass surgery demonstrated before their operation.6Zheng Scholar, 7Foulkes Hewitt D. Peters al.Effect peak aerobic power transplantation: brief review.Can S368-S374Abstract My cardio-oncology benefited limited sessions universally encountered across globe, discussed Ghisi al.8Ghisi G.L.M. Kim W.-S. Cha al.Women's barriers: results International Council Cardiovascular Prevention Rehabilitation's first global assessment.Can S375-S383Abstract (2) addition, while attending emotional support modern society short of, dietary advice. Does low-sodium diet truly reduce incidence mortality failure?9Ezekowitz J.A. Colin-Ramirez Ross H. al.SODIUM-HF Investigators. Reduction sodium less than 100 mmol (SODIUM-HF): international, open-label, randomised, controlled trial.Lancet. 2022; 399 ([erratum: Lancet 2022;400(10359):1194]): 1391-1400Abstract (52) Are ketones type energy failing craves, carbohydrates? And so, should rendered available through ketogenic via intermittent fasting?10Small Iglesies-Grau Gariepy al.Time-restricted eating: novel strategy S384-S394Abstract Or Mediterranean best heart? number fascinating questions pose seems end. Should facilitate encourage delivering directly homes?4Spence advise against suffered dissection?11van Damme McDermott McMurtry al.Secondary spontaneous dissection: systematic S395-S411Abstract (1) world witnessing explosion its attendant complications, how prevent treat sarcopenia fatty liver disease, both closely linked disease?5Milic Although hear news bits intermittently topics, aware preventive rehabilitative level, fail deliver holistic population level. Until day when comprehensive health policy starts childhood, home, schools implemented, continue witness disorders older age.12Laitinen T.T. Pahkala Magnussen C.G. al.Ideal childhood outcomes adulthood: Risk Young Finns Study.Circulation. 2012; 125: 1971-1978Crossref (218) burden lessened promotion programs early childhood13Peñalvo J.L. Santos-Beneit G. Sotos-Prieto M. al.The SI! program childhood: cluster-randomized trial.J Am Coll 2015; 66: 1525-1534Crossref (67) address all aspects oncologic habits, activity, body weight, smoking avoidance, blood pressure, glucose cholesterol control.14Santos-Beneit Fernández-Jiménez R. de Cos–Gandoy al.Lessons learned 10 preschool intervention promotion: JACC state-of-the-art review.J 79: 283-298Crossref (18) But usual conundrum: With resources, where focus efforts spend money? has ounce far superior pound cure. Yet keep implement knowledge. If unable event, least make sure efforts, most economical way, next phase event: because they work! article published part supplement supported Jim Foundation.

Язык: Английский

Interactive Telehealth Solutions for Patients With Congenital Heart Disease: A Systematic Review DOI Creative Commons

Charlotte Schöneburg,

Laura Willinger,

Isabel Uphoff

и другие.

CJC Pediatric and Congenital Heart Disease, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0
Digital health technologies and self-efficacy in Parkinson’s: a scoping review DOI Creative Commons
Andrew Hall, Victoria Allgar, Camille Carroll

и другие.

BMJ Open, Год журнала: 2025, Номер 15(1), С. e088616 - e088616

Опубликована: Янв. 1, 2025

Objective Prior research has identified that people with Parkinson’s reporting lower levels of self-efficacy exhibit worsening motor and non-motor symptomology, reduced quality life, self-management. Our key objective was to conduct a scoping review examining the impact digital health technologies on in Parkinson’s. Design A using Arksey O’Malley’s (2005) framework undertaken. Data sources MEDLINE, Embase, PsychINFO, CINAHL, Web Science, IEEE Xplore, Google Scholar principally for grey literature were searched from 1 January 2008 24th July 2024. Eligibility criteria selecting studies Primary which incorporated technologies, measured had sample population searched. extraction synthesis Following identification potentially eligible records, two independent reviewers undertook title abstract screening, followed by full-text screening. extracted our earlier published data sheet Practical Reviews Self-Management Support (PRISMS) taxonomy, template intervention description replication (TIDieR) checklist. Microsoft Excel spreadsheet synthesised describing themes, demographic numerical data. Results From 33 165 unique records following screening reviewers, 11 found. Of these five elevated statistically significant level, did not one lowered self-efficacy. raised all adopted multimodal approach variety devices. Thematically, devices focused physical activity, falls/falls prevention, or both. The level heterogeneity precluded comparisons between studies. Conclusions This knowledge evidence gaps literature, limited number make findings generalisable. Future self-management might benefit also considering

Язык: Английский

Процитировано

0
Exergaming system for exercise-based cardiac rehabilitation in heart failure patients: HEFMOB development and usability assessment study (Preprint) DOI Creative Commons
Carles Blasco‐Peris,

Juan Pedro Alcolea,

Barbara Seguí

и другие.

Опубликована: Янв. 25, 2025

BACKGROUND Heart failure is a growing global health concern. Exergaming promising alternative to conventional exercise programs for patients with heart (HF). However, existing research has limitations, and the integration of exergaming into clinical practice remains challenging. OBJECTIVE The aims this study were design develop an prototype (i.e., HEFMOB), which encompasses lower limb aerobic game upper coordination mobilization game, assess usability prototype. METHODS evaluation had two phases: initial assessment by researchers, user-rated analysis single session 10 (4 women) HF. sessions recorded individually evaluated researchers using Serious Game Usability Evaluator (SGUE) tool. After each session, participants completed System Scale (SUS) subscale Intrinsic Motivation Inventory (IMI) rate enjoyment, respectively. Participants reported more negative events (e.g., confusion [n = 76]) than neutral (n 49) positive 11). RESULTS mean ± standard deviation (SD) SUS score was 71.5 17.8 SD IMI 25.1 3.5, showing good high level interest, CONCLUSIONS HEFMOB represents significant step in developing customized CHF. seems usable, experienced satisfaction session. Future required conclusively demonstrate efficacy effectiveness HEFMOB.

Язык: Английский

Процитировано

0
Are subjective reports of exercise intensity accurate in recreational athletes? DOI
Jennifer Lewis, Robert F. Bentley, Kim A. Connelly

и другие.

Canadian Journal of Cardiology, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 1, 2024

Язык: Английский

Процитировано

0
Implementation of Comprehensive Lifelong Healthy Behavioural Programs to Improve Outcome: The Third Jim Pattison–Mazankowski Alberta Heart Institute Cardiac Rehabilitation Symposium DOI Creative Commons
Paolo Raggi

Canadian Journal of Cardiology, Год журнала: 2023, Номер 39(11), С. S313 - S314

Опубликована: Ноя. 1, 2023

In my long career as a cardiologist, I have had the privilege to care for variety of patients. The memory 2 them remains particularly vivid, after many years encountering them. received referral from an oncology colleague lovely 45-year-old lady who unfortunately developed dilated cardiomyopathy receiving doxorubicin breast cancer. We worked several together, and she maintained stable left ventricular ejection fraction some time, adhering her therapy with beta-blockers angiotensin-converting enzyme inhibitors. At time there were no angiotensin receptor blocker/neprilysin sodium-glucose cotransporter inhibitors, mineralocorticoid antagonists not frequently used. She eventually decompensated heart failure reduced fraction, mostly due poor diet, lack exercise, excessive reliance on benefit drugs in isolation. On numerous occasions we talked about undertaking rehabilitation program, but regularly voiced concerns ability attend classes owing work schedule, family life, transportation centre, etc. second patient was lean athletic 60-year-old man referred me previous patient. He stated that he been physically active his entire life; participated semiprofessional team sports, skied biked avidly, never tired playing tennis friends family. did smoke, use illicit drugs, drank alcohol moderation, treated borderline hypertension calcium antagonist. His surface electrocardiogram, obtained during random physical examination, showed hypertrophy nonspecific intraventricular conduction defect, echocardiography. Much everyone's surprise, study revealed severely ventricle (estimated at 35%) multiple wall motion abnormalities attributable any coronary artery territory. Cardiac magnetic resonance imaging angiography revealing. What source such dysfunction? do this very gentleman? Advise him curb exercise routine, or let be free pursue it? medications prescribe him, if any? Little know later would find myself chairing cardiac symposium dedicated these issues,1Pituskin E. Foulkes S.J. Cox-Kennett N. et al.Cardio-oncology cancer rehabilitation: is integrated approach possible?.Can J Cardiol. 2023; 39: S315-S322Abstract Full Text PDF Google Scholar,2Rowe Paratz E.D. al.Understanding capacity: elite athlete HFpEF.Can S323-S334Abstract Scopus (0) Scholar along other interesting ones, patients chronic kidney disease,3Thompson S. Stickland M.K. Wilund K. Gyenes G.T. Bohm C. Exercise people end-stage disease: will fill gaps?.Can S335-S345Abstract congenital disease,4Spence Khoo Mackie A. al.Exploring promise telemedicine interventions children adolescents disease.Can S346-S358Abstract those cardiometabolic dysfunction related human immunodeficiency virus infection.5Milic J. Calza Cantergiani al.Sarcopenic obesity phenotypes HIV: implications cardiovascular prevention rehabilitation.Can S359-S367Abstract During it became amply clear despite well known benefits rehabilitation, still face obstacles more universal delivery it, physicians often hesitate delay offering therapeutic preventative solution need. Symposia one organised by Mazankowski Heart institute University Hospital Foundation, made possible generous supporters Pattison are meant increase our awareness extraordinary extend beyond increasing activity. case man, example, highlights importance "prehabilitation,"6Zheng Y.T. Zhang J.X. Preoperative recovery surgery: meta-analysis.BMC Cardiovasc Disord. 2020; 20: 2Crossref PubMed (9) words, lifestyle. It training peripheral vascular system derived well-being systolic function. A similar explanation could invoked fast transplantation bypass surgery demonstrated before their operation.6Zheng Scholar, 7Foulkes Hewitt D. Peters al.Effect peak aerobic power transplantation: brief review.Can S368-S374Abstract My cardio-oncology benefited limited sessions universally encountered across globe, discussed Ghisi al.8Ghisi G.L.M. Kim W.-S. Cha al.Women's barriers: results International Council Cardiovascular Prevention Rehabilitation's first global assessment.Can S375-S383Abstract (2) addition, while attending emotional support modern society short of, dietary advice. Does low-sodium diet truly reduce incidence mortality failure?9Ezekowitz J.A. Colin-Ramirez Ross H. al.SODIUM-HF Investigators. Reduction sodium less than 100 mmol (SODIUM-HF): international, open-label, randomised, controlled trial.Lancet. 2022; 399 ([erratum: Lancet 2022;400(10359):1194]): 1391-1400Abstract (52) Are ketones type energy failing craves, carbohydrates? And so, should rendered available through ketogenic via intermittent fasting?10Small Iglesies-Grau Gariepy al.Time-restricted eating: novel strategy S384-S394Abstract Or Mediterranean best heart? number fascinating questions pose seems end. Should facilitate encourage delivering directly homes?4Spence advise against suffered dissection?11van Damme McDermott McMurtry al.Secondary spontaneous dissection: systematic S395-S411Abstract (1) world witnessing explosion its attendant complications, how prevent treat sarcopenia fatty liver disease, both closely linked disease?5Milic Although hear news bits intermittently topics, aware preventive rehabilitative level, fail deliver holistic population level. Until day when comprehensive health policy starts childhood, home, schools implemented, continue witness disorders older age.12Laitinen T.T. Pahkala Magnussen C.G. al.Ideal childhood outcomes adulthood: Risk Young Finns Study.Circulation. 2012; 125: 1971-1978Crossref (218) burden lessened promotion programs early childhood13Peñalvo J.L. Santos-Beneit G. Sotos-Prieto M. al.The SI! program childhood: cluster-randomized trial.J Am Coll 2015; 66: 1525-1534Crossref (67) address all aspects oncologic habits, activity, body weight, smoking avoidance, blood pressure, glucose cholesterol control.14Santos-Beneit Fernández-Jiménez R. de Cos–Gandoy al.Lessons learned 10 preschool intervention promotion: JACC state-of-the-art review.J 79: 283-298Crossref (18) But usual conundrum: With resources, where focus efforts spend money? has ounce far superior pound cure. Yet keep implement knowledge. If unable event, least make sure efforts, most economical way, next phase event: because they work! article published part supplement supported Jim Foundation.

Язык: Английский

Процитировано

0