scholarly journals Association of the COVID-19 pandemic and dying at home due to ischemic heart disease

2021 ◽  
pp. 106818
Author(s):  
Austin Porter ◽  
Clare Brown ◽  
J. Mick Tilford ◽  
Michael Cima ◽  
Namvar Zohoori ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Ischemic Heart ◽  
Dying At Home ◽  
At Home

scholarly journals Willingness of non-participants of conventional cardiac rehabilitation to participate in cardiac telerehabilitation: results of semi-structured interviews

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
M Falter ◽  
M Scherrenberg ◽  
T Kaihara ◽  
V Intan-Goey ◽  
P Dendale
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Digital Literacy ◽  
Structured Interview ◽  
Ischemic Heart ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Cardiac rehabilitation (CR) is considered a Class IA recommendation in secondary prevention of ischemic heart disease and heart failure. Participation rates are low however. Telerehabilitation (TR) is widely studied to overcome known barriers. However, the willingness of patients that refuse centre-based CR to participate in TR is scarcely studied. This study aims to assess the willingness to participate in TR in patients that refuse conventional centre-based CR, as well as the main barriers to participation in CR and TR. Methods Patients were screened during hospitalisation on the cardiology, cardiac surgery and cardiac intensive care departments. Patients that were eligible for CR but refused to participate were asked to participate in the study. A semi-structured interview consisting of 18 questions was performed during hospitalisation. After signing an informed consent, interviews were conducted, recorded and analysed. Additional data was extracted and analysed from the hospital electronic health records. Results A total of 20 patients were included. Mean age was 69.6 years (± 10), 17 patients were male (85%), cardiac pathologies were ischemic heart disease (10), heart failure (5) and arrhythmia (5). Six patients (30%) owned a smartphone. Primary reasons not to participate in conventional CR were transport issues (7), lack of motivation (5), cost (3), already being physically active at home (2), or other reasons (3). Eight patients (40%) indicated that, if a programme existed, they would participate in a TR programme. In the group of patients that would not want to participate in TR (n = 12), 10 said lack of digital literacy was a reason, 9 said not having the needed technology (either a computer, a smartphone or both) was a reason. Five said that lack of motivation was a reason and 3 didn’t see the utility of doing rehabilitation at home or rehabilitation at all. The most important reason not to participate was a lack of digital literacy in 6 patients, and a lack of motivation or not seeing the utility of rehabilitation in 6 patients. In the group of patients that would participate in TR, all 8 said that not needing transport was an advantage, 2 indicated that being able to perform rehabilitation on flexible hours was an advantage. All 8 indicated that not needing transport was the main advantage of TR for them. The most important barrier for this group was not being fluent with computers and/or smartphone (3). Conclusions Of a group of patients not willing to participate in conventional CR, 40% would be prepared to participate in TR. Lack of digital literacy and lack of motivation were the main reasons not to participate in TR. Not needing transport was seen as the main advantage of TR. Further research in larger populations will be needed to confirm these results.

scholarly journals Community Noise Exposure and its Effect on Blood Pressure and Renal Function in Patients with Hypertension and Cardiovascular Disease

Folia Medica ◽  
2017 ◽  
Vol 59 (3) ◽  
pp. 344-356 ◽  
Author(s):  
Angel M. Dzhambov ◽  
Mariya P. Tokmakova ◽  
Penka D. Gatseva ◽  
Nikolai G. Zdravkov ◽  
Dolina G. Gencheva ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Renal Function ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Filtration Rate ◽  
Noise Exposure ◽  
Traffic Noise ◽  
Ischemic Heart ◽  
The City ◽  
At Home

AbstractBackground:Road traffic noise (RTN) is a risk factor for cardiovascular disease (CVD) and hypertension; however, few studies have looked into its association with blood pressure (BP) and renal function in patients with prior CVD.Aim:This study aimed to explore the effect of residential RTN exposure on BP and renal function in patients with CVD from Plovdiv Province.Materials and methods:We included 217 patients with ischemic heart disease and/or hypertension from three tertiary hospitals in the city of Plovdiv (March – May 2016). Patients’ medical history, medical documentation, and medication regimen were reviewed, and blood pressure and anthropometric measurements were taken. Blood samples were analyzed for creatinine, total cholesterol, and blood glucose. Participants also filled a questionnaire. Glomerular filtration rate was estimated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. All participants were asked about their annoyance by different noise sources at home, and those living in the city of Plovdiv (n = 132) were assigned noise map Ldenand Lnightexposure. The effects of noise exposure on systolic blood pressure (SBP), diastolic blood pressure (DBP), and estimated glomerular filtration rate (eGFR) were explored using mixed linear models.Results:Traffic noise annoyance was associated with higher SBP in the total sample. The other noise indicators were associated with non-significant elevation in SBP and reduction in eGFR. The effect of Ldenwas more pronounced in patients with prior ischemic heart disease/stroke, diabetes, obesity, not taking Ca-channel blockers, and using solid fuel/gas at home. Lnighthad stronger effect among those not taking statins, sleeping in a bedroom with noisy façade, having a living room with quiet façade, and spending more time at home. The increase in Ldenwas associated with a significant decrease in eGFR among men, patients with ischemic heart disease/stroke, and those exposed to lower air pollution. Regarding Lnight, there was significant effect modification by gender, diabetes, obesity, and time spent at home. In some subgroups, the effect of RTN was statistically significant.Conclusions:Given that generic risk factors for poor progression of cardiovascular diseases cannot be controlled sufficiently at individual level, environmental interventions to reduce residential noise exposure might result in some improvement in the management of blood pressure and kidney function in patients with CVD.

The Consequences of Comorbidity, Ischemic Heart Disease, and Stroke at the Functional Level in Elderly People at Home

2020 ◽  
pp. 167-175
Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Fátima Cano ◽  
Marta Carocinho
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Elderly People ◽  
Scientific Evidence ◽  
Ischemic Heart ◽  
Flow Diagram ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Home Setting ◽  
At Home

The objective of this chapter is to identify the consequences of comorbidity, ischemic heart disease, and functional stroke in elderly people at home. Aystematic review using electronic databases—PubMed, Ebscohost, SciELO, and B On—articles published between 2009 and 2016, based on the descriptors (DeCS), was used. The results are presented in the flow diagram generator according to the Prisma statement. For the level of evidence, the authors opted for the JBI grid, and for quality, EPHPP. Sampling was restricted to six articles, three of which were cross-sectional studies, one a cohort study, one a qualitative study, and one a random study. In the home setting, individuals who have suffered a stroke and those with impaired motor ability exhibit greater changes in functionality compared to individuals with ischemic cardiopathy. ICF allows for the analysis of life and health aspects of elderly people with these pathologies. The authors considered important studies with more significant samples and greater scientific evidence.

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