scholarly journals Introduction of alternative rehabilitation method for the patients with cardiovascular diseases in conditions of the COVID-19 pandemic

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
R V Nesterak ◽  
I P Vakaliuk ◽  
N V Yakymchyk ◽  
I Drapchak ◽  
N V Savchuk ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Coronary Syndrome ◽  
Cardiovascular Diseases ◽  
Activity Level ◽  
Psychological State ◽  
Clinical State ◽  
Group Training ◽  
Relaxation Techniques ◽  
Coronary Syndrome ◽  
Rehabilitation Model

Abstract   COVID-19 pandemic caused structure reorganization in rehabilitation. Nowadays telerehabilitation is the best method due to close-out and readjustment of clinics. There is a need to search and develop alternative rehabilitation models in the conditions of COVID-19 pandemic. Aim Developing and introducing an alternative rehabilitation model for the patients after acute coronary syndrome in the conditions of COVID-19 pandemic. Methods An alternative rehabilitation model was developed for the patients after acute coronary syndrome in the condition of COVID-19 pandemic. 70 patients after the acute coronary syndrome who were hospitalized into the cardiology center went thought our rehabilitation model. The 1st stage of the rehabilitation is conducted during in-patient treatment. Before the discharge from the hospital, the patient gets evaluated his/her clinical state, physical activity level, evaluation of his/her psychological state, risk stratification with noting in a developed by us patient's individual self-check diary. The individual diary includes: ID data, pharmaceutical treatment, recommendations on physical activity with a possibility to note daily data on angina and dyspnea attacks, their number, need in medications, heart rate, blood pressure, distance walked during a day, evaluation in points according to the Borg scale, HADS and SAQ questionnaires. The 2nd stage is conducted using telerehabilitation methods: phone call, group training on the ZOOM platform, and individual consulting. At this stage we used the components of rehabilitation: – group training in breathing exercises and using relaxation techniques, are conducted 2 times/week during 3 months after discharge, then 1 time/week up to 6th month or on patient's request individually – group training using an author's method of psychological rehabilitation while optimizing internal health picture, is conducted 2 times/week during 3 months after discharge, then 1 time/week up to 6th month or on patient's request individually Control of the patient's state and indices (according to data from the patient's individual diary) is conducted after 1, 6 months, and a year. Results We established that our alternative rehabilitation method contributed to the improvement of clinical and functional capabilities of the patients, decrease of depression and anxiety, improved quality of life, attitude towards the disease and health. Conclusion The COVID-19 pandemic changed our life and health care for the patients. But a time-lag in conducting and using rehabilitation in patients with cardiovascular diseases causes complications and progression of the disease. Using alternative rehabilitation methods will grant providing timely and complex medical care, improving clinical, physical, and psychological indices that will contribute to increased adherence to rehabilitation and treatment in conditions of the COVID-19 pandemic. FUNDunding Acknowledgement Type of funding sources: None. Alternative rehabilitation model The patients' state dynamics

scholarly journals Protein Intake and Physical Activity in Newly Diagnosed Patients with Acute Coronary Syndrome: A 5-Year Longitudinal Study

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 634 ◽  
Author(s):  
Andrea Greco ◽  
Agostino Brugnera ◽  
Roberta Adorni ◽  
Marco D’Addario ◽  
Francesco Fattirolli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Coronary Syndrome ◽  
Protein Intake ◽  
Processed Meat ◽  
High Morbidity ◽  
Newly Diagnosed ◽  
Healthy Behaviors ◽  
Coronary Syndrome ◽  
Over Time

Cardiovascular disease is one of the most common causes of hospitalization and is associated with high morbidity and mortality rates. Among the most important modifiable and well-known risk factors are an unhealthy diet and sedentary lifestyle. Nevertheless, adherence to healthy lifestyle regimes is poor. The present study examined longitudinal trajectories (pre-event, 6-, 12-, 24-, 36-, and 60-month follow-ups) of protein intake (fish, legumes, red/processed meat) and physical activity in 275 newly-diagnosed patients with acute coronary syndrome. Hierarchical Generalized Linear Models were performed, controlling for demographic and clinical variables, the season in which each assessment was made, and the presence of anxiety and depressive symptoms. Significant changes in protein intake and physical activity were found from pre-event to the six-month follow-up, suggesting the adoption of healthier behaviors. However, soon after the six-month follow-up, patients experienced significant declines in their healthy behaviors. Both physical activity and red/processed meat intake were modulated by the season in which the assessments took place and by anxiety symptoms over time. The negative long-term trajectory of healthy behaviors suggests that tailored interventions are needed that sustain patients’ capabilities to self-regulate their behaviors over time and consider patient preference in function of season.

Physical Activity Frequency on the 10-Year Acute Coronary Syndrome (ACS) Prognosis; The Interaction With Cardiovascular Disease History and Diabetes Mellitus: The GREECS Observational Study

2016 ◽  
Vol 24 (4) ◽  
pp. 624-632 ◽  
Author(s):  
Evangelos Papataxiarchis ◽  
Demosthenes B. Panagiotakos ◽  
Venetia Notara ◽  
Matina Kouvari ◽  
Yannis Kogias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Acute Coronary Syndrome ◽  
Protective Effect ◽  
Protective Factor ◽  
Monthly Basis ◽  
Coronary Syndrome ◽  
Activity Frequency ◽  
Patients With Diabetes ◽  
Greek Hospitals

The association between physical activity, diabetes mellitus (DM), and long-term acute coronary syndrome (ACS) prognosis was evaluated. The GREECS study included 2,172 consecutive ACS patients from six Greek hospitals (2003–2004). In 2013–2014, a 10-year follow up was performed with 1,918 patients. Physical activity was categorized in never, rarely (monthly basis), 1–2 and ≥ 3 times/week. Multi-adjusted analysis revealed that 1–2 and ≥ 3 times/week vs. no physical activity had a protective effect on ACS incidence (OR = 0.63 95% CI 0.38, 1.05) and (OR = 0.63 95% CI 0.40, 0.99) respectively, only in patients without prior baseline CVD event. In a subgroup analysis, with DM as strata in these patients, engagement in physical activity (i.e., 1–2 times/week) had a significant protective effect among patients with diabetes (OR = 0.51, 95% CI 0.27, 0.96, p = .037). These findings revealed the beneficial role of exercise in secondary ACS prevention, even in DM patients. Public health-oriented policies should incorporate regular physical activity as a key protective factor in disease prognosis.

Study on Heart Failure Patients Admitted in National Institute of Cardiovascular Diseases

2021 ◽  
Vol 13 (2) ◽  
pp. 172-176
Author(s):  
Nur Alam ◽  
Abdullah Al Shafi Majumder
Keyword(s):  
Heart Failure ◽  
Acute Coronary Syndrome ◽  
Heart Disease ◽  
Cardiovascular Diseases ◽  
Epidemiological Studies ◽  
Clinical Syndrome ◽  
Cross Sectional ◽  
Common Cause ◽  
Heart Failure Patients ◽  
Coronary Syndrome

Background: Heart failure is a complex clinical syndrome that arises secondary to abnormalities of cardiac structure and/or function (inherited or acquired) that impair the ability of the left ventricle to fill or eject blood. There is a paucity of data on characteristics of the patients of heart failure admitted in hospitals in terms of demographic and etiological information. So, this study aimed to see the disease burden of heart failure patients and the age and sex specific prevalence of heart failure among patients admitted into NICVD and to identify the etiological pattern of diseases leading to heart failure with associated comorbid factors. Methods: It was a cross sectional study carried out at National Institute of Cardiovascular Diseases (NICVD) Dhaka Bangladesh and was conducted from January 2015 to December 2015. Total 400 heart failure patients were taken. Results: The mean age of the patients were 54 ± 14 years ranging from 16 to 95 years with a high preponderance of male. Most the patient population was in the age group of 51- 60 years (29.5%). 79% of the cases were male & 21% female by gender specification. Ischaemic cardiomyopathy (ICM) was found to be the common cause of heart failure (n=153, 40.75%) followed by Acute coronary syndrome (32.5%) and Valvular heart disease (18.25%). The patients with heart failure having acute coronary syndrome (n=107) had hypertension (46.8%) as the most prevalent major risk factor. In the present study only 11% patient had heart failure with preserved ejection fraction. Mortality rate of the study population were 6.3%. Conclusion: In this study, the most common cause of heart failure is ischaemic heart disease. So, patients of acute and chronic ischemic heart disease patients should be treated and follow up with care. Clinical and epidemiological studies are needed to explore further. Cardiovasc. j. 2021; 13(2): 172-176

SP31 The Retrospective Analysis of Physical Activity in Term of 12 Months before Acute Coronary Syndrome

2009 ◽  
Vol 8 (1_suppl) ◽  
pp. S45-S45
Author(s):  
A. Wisniewska ◽  
A. Wujec ◽  
A. Zakrzewska ◽  
E. Lisowska ◽  
A. Serafin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Coronary Syndrome ◽  
Retrospective Analysis ◽  
Coronary Syndrome

scholarly journals Role of Gender and Physical Activity Level on Cardiovascular Risk Factors and Biomarkers of Oxidative Stress in the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Antoine Raberin ◽  
Philippe Connes ◽  
Jean-Claude Barthélémy ◽  
Pia Robert ◽  
Sébastien Celle ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Physical Activity ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Cardiovascular Risk Factors ◽  
The Elderly ◽  
Activity Level ◽  
Advanced Oxidation Protein Products ◽  
The Impact

Background. Cardiovascular diseases remain as the leading cause of morbidity and mortality in industrialized countries. Ageing and gender strongly modulate the risk to develop cardiovascular diseases but very few studies have investigated the impact of gender on cardiovascular diseases in the elderly, which represents a growing population. The purpose of this study was to test the impact of gender and physical activity level on several biochemical and clinical markers of cardiovascular risk in elderly individuals. Methods. Elderly individuals (318 women (75.8±1.2 years-old) and 227 men (75.8±1.1 years-old)) were recruited. Physical activity was measured by a questionnaire. Metabolic syndrome was defined using the National Cholesterol Education Program Expert Panel’s definition. Polysomnography and digital tonometry were used to detect obstructive sleep apnea and assess vascular reactivity, respectively. Blood was sampled to measure several oxidative stress markers and adhesion molecules. Results. The frequency of cardiovascular diseases was significantly higher in men (16.4%) than in women (6.1%) (p<0.001). Body mass index (25.0±4.3 vs. 25.8±3.13 kg.m−2) and glycaemia (94.9±16.5 vs. 101.5±22.6 mg.dL−1) were lower, and High Density Lipoprotein (HDL) (74.6±17.8 vs. 65.0±17.2 mg.dL−1) was higher in women compared to men (p<0.05). Oxidative stress was lower in women than in men (uric acid: 52.05±13.78 vs. 59.84±13.58, advanced oxidation protein products: 223±94 vs. 246±101 μmol.L−1, malondialdehyde: 22.44±6.81 vs. 23.88±9.74 nmol.L−1). Physical activity was not associated with lower cardiovascular risk factors in both genders. Multivariate analyses showed an independent effect of gender on acid uric (β=0.182; p=0.020), advanced oxidation protein products (β=0.257; p<0.001), and HDL concentration (β=−0.182; p=0.026). Conclusion. These findings suggest that biochemical cardiovascular risk factors are lower in women than men which could explain the lower cardiovascular disease proportion observed in women in the elderly.

scholarly journals Preliminary Pilot Study of Combined Effects of Physical Activity and Achievement of LDL-Cholesterol Target on Coronary Plaque Volume Changes in Patients with Acute Coronary Syndrome

2020 ◽  
Vol 9 (5) ◽  
pp. 1578
Author(s):  
Miho Nishitani-Yokoyama ◽  
Katsumi Miyauchi ◽  
Kazunori Shimada ◽  
Takayuki Yokoyama ◽  
Shohei Ouchi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Coronary Syndrome ◽  
Combined Therapy ◽  
Study Groups ◽  
Coronary Plaque ◽  
Combined Effects ◽  
Plaque Volume ◽  
Coronary Syndrome ◽  
Coronary Plaque Volume

Background: We investigated the combined effects of physical activity (PA) and aggressive low-density lipoprotein cholesterol (LDL-C) reduction on the changes in coronary plaque volume (PV) in patients with acute coronary syndrome (ACS) using volumetric intravascular ultrasound (IVUS) analysis. Methods: We retrospectively analyzed data from two different prospective clinical trials that involved 101 ACS patients who underwent percutaneous coronary intervention (PCI) and assessed the non-culprit sites of PCI lesions using IVUS at baseline and at the follow-up. After PCI, all the patients participated in early phase II comprehensive cardiac rehabilitation. Patients were divided into four groups based on whether the average daily step count, measured using a pedometer, was 7000 steps of more and whether the follow-up LDL-C level was <70 mg/dL. At the time of follow-up, we examined the correlation of changes in the PV with LDL-C and PA. Results: The baseline characteristics of the four study groups were comparable. At the follow-up, plaque regression in both the achievement group (PA and LDL-C reduction) was higher than that in the other three groups. In addition, plaque reduction independently correlated with increased PA and reduction in LDL-C level. Conclusions: Combined therapy of intensive PA and achievement of LDL-C target retarded coronary PV in patients with ACS.

scholarly journals Effects of Optimism and Gratitude on Physical Activity, Biomarkers, and Readmissions After an Acute Coronary Syndrome

2016 ◽  
Vol 9 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Jeff C. Huffman ◽  
Eleanor E. Beale ◽  
Christopher M. Celano ◽  
Scott R. Beach ◽  
Arianna M. Belcher ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Coronary Syndrome ◽  
Coronary Syndrome

scholarly journals Acute coronary syndrome: especially treatment and rehabilitation on a stationary stage

2019 ◽  
Vol 10 (4) ◽  
pp. 12-16
Author(s):  
Nikolai N. Zolotukhin ◽  
Aleksandr V. Kon’kov
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Acute Coronary Syndrome ◽  
Medical Rehabilitation ◽  
Maximum Frequency ◽  
Rehabilitation Center ◽  
Coronary Syndrome ◽  
Production Complex ◽  
The Russian Federation

Introduction to medical practice of the term «acute coronary syndrome» (ACS) showed increased interest in the problems of not only the features of the occurrence, the course of acute myocardial infarction (AMI) and unstable angina (UA), the effectiveness of treatment methods, but also the re-evaluation of the system of medical rehabilitation. Aim. To assess the features of treatment and comprehensive medical rehabilitation in AMI and UA of the Ministry of Internal Affairs of Russia (MIA), the ratio of these diseases in the structure of ACS in the treatment and rehabilitation in the Main Clinical Hospital of the MIA. Materials and methods. Over a period of 4 years treated and conducted medical rehabilitation 551 persons in the MIA, of which 152 police officer. The criterion for inclusion in the study was the presence of AMI or UA. Examination and treatment of AMI and UA was carried out in strict accordance with the approved standards. Medical rehabilitation was carried out by the method of Russian Cardiology Research and Production Complex of the Ministry of Health of the Russian Federation with the use of the dosed physical activity. Results. Of the total number of diseases, ACS was most often diagnosed in pensioners of the MIA. In the structure of the ACS, the MIA most often identifies AMI, 28-29 cases annually. The maximum frequency of the hospitalizations and 46 cases of ACS from the employees of the MIA recorded in 2015. Among pensioners of the MIA the number of ACS was maximum - 399 in comparison with employees of the MIA - 152. It should be noted that the MIA staff is dominated by AMI, pensioners - UA. For further rehabilitation, 135 patients were transferred to a rehabilitation center, most of whom were diagnosed with AMI. Transfer to the rehabilitation center for ACS for further rehabilitation was carried out up to 38% of patients with AMI and up to 4% of UA. Conclusion. The presence of the rehabilitation center in the structure of MIA allows optimal stage-by-stage medical rehabilitation of patients with ACS.

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