scholarly journals The effect of cardiorehabilitation on the quality of life by congestive heart failure patients

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
M Labudova ◽  
M Hudak ◽  
I Zambojova ◽  
E Durinova ◽  
M Simonova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Chronic Heart Failure ◽  
Inpatient Treatment ◽  
Psychiatric Patients ◽  
Statistical Processing ◽  
Prognostic Indicators ◽  
Chi Square ◽  
Rehabilitation Programs

Abstract Funding Acknowledgements Type of funding sources: None. Introduction To examine selected parameters of quality of life in patients with cardiac failure after cardiorehabilitation in outpatient and inpatient form and to compare the effect with each other. Methods and methodology: The survey included 64 respondents without age restrictions with chronic heart failure NYHA I. - III. after undergoing inpatient or outpatient cardiorehabilitation, polymorbid, oncology and psychiatric patients were excluded. The questionnaire with 20 questions focused on 12 quality of life domains. Statistical processing: t-test, ANOVA, Chi-square test, Spearman correlation coefficient (p <0.05). Results 35 men (54.7%) and 29 women (45.3%) were included, with a mean age of 58.07 years, with a mean duration of CHF treatment of 3.99 years, subgroups (internal 25, cardiology 21 and institute 18 probands) did not differ in age. We found that cardiorehabilitation has a positive effect on the quality of life of patients with CHF, if it is associated with social support, appropriate education and meets the conditions of a comprehensive approach. Patients rated their quality of life better compared to their quality of life a year ago. Outpatients are more satisfied with their health than patients in inpatient treatment, patients with a more severe manifestation of CHF have a greater anxiety from physical activity and therefore less motivation to move. All patients expressed dissatisfaction with their sex lives. Patients in outpatient treatment experience more depression. There were no differences between the subgroups in the evaluation of the degree of education by the nurse and the effect of the exercise on the subjective condition. All subgroups perceived the other person"s help more valuable than medical help. Patients from inpatient treatment have been more motivated to change their lifestyle on their own initiative and through the influence of information from healthcare professionals. Conclusion Comprehensive cardiovascular rehabilitation of patients with heart failure improves many of the prognostic indicators of heart failure, reduces mortality and the frequency of rehospitalizations, reduces treatment costs, improves quality of life. nevertheless, rehabilitation programs for chronic heart failure are being promoted only very slowly. The reason may be the absence of standard procedures, as well as organizational, economic and personnel demands.

scholarly journals Factors Associated With the Level of Movement-Related Everyday Activity and Quality of Life in People With Chronic Heart Failure

2005 ◽  
Vol 85 (12) ◽  
pp. 1340-1348 ◽  
Author(s):  
Rita J van den Berg-Emons ◽  
Johannes B Bussmann ◽  
Aggie H Balk ◽  
Henk J Stam
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
New York ◽  
Chronic Heart Failure ◽  
Heart Association ◽  
Physiological Factors ◽  
Everyday Activity ◽  
Factors Associated ◽  
Rehabilitation Programs

Abstract Background and Purpose. Cardiac rehabilitation has been shown to be effective in people with chronic heart failure (CHF), particularly in terms of exercise capacity. However, no effects have been found onthe level of movement-related everyday activity. Therefore, rehabilitation programs also should focus on enhancing the level of movement-related everyday activity. The aim of this study was to explore factors associated with the level of movement-related everyday activity and with quality of life in people with CHF. Subjects and Methods. Measurements of movement-related everyday activity (using an accelerometry-based Activity Monitor), quality of life, and associated factors were performed in 36 people with stable CHF (New York Heart Association classes II and III). Results. Knee flexion and extension torque, and particularly extension torque, were significantlyassociated with movement-related everyday activity (r =.43–.49, P<.05), whereas non-physiological factors such as feelings of being disabled were associated with quality of life (r =.37–.77, P≤.01, P<.05). No relationship was found between movement-related everyday activity and quality of life (r =.20–.22, P>.05). Discussion and Conclusion. The results indicate that knee torque is associated with the level of movement-related everyday activity in people with CHF and that quality of life is mediated by nonphysiologicalfactors.

scholarly journals Acceptability, Feasibility and Preliminary Evaluation of a Novel, Personalised, Home-Based Physical Activity Intervention for Chronic Heart Failure (Active-at-Home-HF): a Pilot Study

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nduka C. Okwose ◽  
Leah Avery ◽  
Nicola O’Brien ◽  
Sophie Cassidy ◽  
Sarah J. Charman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Heart Failure ◽  
Pilot Study ◽  
Chronic Heart Failure ◽  
Physical Activity Intervention ◽  
Step Count ◽  
Home Based ◽  
At Home

Abstract Purpose Less than 10% of heart failure patients in the UK participate in cardiac rehabilitation programmes. The present pilot study evaluated feasibility, acceptability and physiological effects of a novel, personalised, home-based physical activity intervention in chronic heart failure. Methods Twenty patients (68 ± 7 years old, 20% females) with stable chronic heart failure due to reduced left ventricular ejection fraction (31 ± 8 %) participated in a single-group, pilot study assessing the feasibility and acceptability of a 12-week personalised home-based physical activity intervention aiming to increase daily number of steps by 2000 from baseline (Active-at-Home-HF). Patients completed cardiopulmonary exercise testing with non-invasive gas exchange and haemodynamic measurements and quality of life questionnaire pre- and post-intervention. Patients were supported weekly via telephone and average weekly step count data collected using pedometers. Results Forty-three patients were screened and 20 recruited into the study. Seventeen patients (85%) completed the intervention, and 15 (75%) achieved the target step count. Average step count per day increased significantly from baseline to 3 weeks by 2546 (5108 ± 3064 to 7654 ± 3849, P = 0.03, n = 17) and was maintained until week 12 (9022 ± 3942). Following completion of the intervention, no adverse events were recorded and quality of life improved by 4 points (26 ± 18 vs. 22 ± 19). Peak exercise stroke volume increased by 19% (127 ± 34 vs. 151 ± 34 m/beat, P = 0.05), while cardiac index increased by 12% (6.8 ± 1.5 vs. 7.6 ± 2.0 L/min/m2, P = 0.19). Workload and oxygen consumption at anaerobic threshold also increased by 16% (49 ± 16 vs. 59 ± 14 watts, P = 0.01) and 10% (11.5 ± 2.9 vs. 12.8 ± 2.2 ml/kg/min, P = 0.39). Conclusion The Active-at-Home-HF intervention is feasible, acceptable and effective for increasing physical activity in CHF. It may lead to improvements in quality of life, exercise tolerance and haemodynamic function. Trial Registration www.clinicaltrials.gov NCT0367727. Retrospectively registered on 17 September 2018.

scholarly journals Waon Therapy Improves Quality of Life as Well as Cardiac Function and Exercise Capacity in Patients With Chronic Heart Failure

2015 ◽  
Vol 56 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Mitsuo Sobajima ◽  
Takashi Nozawa ◽  
Yasutaka Fukui ◽  
Hiroyuki Ihori ◽  
Takashi Ohori ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiac Function ◽  
Exercise Capacity

Surgical methods of treatment of chronic heart failure and their place in modern clinical recommendations

2020 ◽  
Vol 22 (4) ◽  
pp. 183-191
Author(s):  
O. T. Kotsoeva ◽  
A. V. Koltsov ◽  
V. V. Tyrenko ◽  
A. A. Ialovets
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Chronic Heart Failure ◽  
Left Ventricle ◽  
Heart Transplantation ◽  
Mechanical Circulatory Support ◽  
Circulatory Support ◽  
Surgical Methods ◽  
The Moment

This review discusses a number of aspects of surgical methods for treating severe chronic heart failure: resynchronizing therapy, mechanical circulatory support systems, and heart transplantation. Surgical methods for the treatment of heart failure are a rapidly developing field of modern cardiology and cardiac surgery. The main surgical method of treatment was and remains orthotopic transplantation of a donor heart. The advent of implantable systems has affected the problem of heart transplantation. Over the past decade, the use of mechanical circulatory support systems has grown significantly. At the moment, there are 3 main directions: creating devices for auxiliary blood circulation, various modes and methods of electrical stimulation of the myocardium, creating devices that mechanically remodel the heart chambers (left ventricle). All of these directions to some extent (depending on the evidence base) have found their place in modern recommendations for the treatment of chronic heart failure. The use of mechanical left ventricular remodeling shows good results in patients suffering from symptomatic heart failure, which leads to a significant and persistent decrease in the volume of the left ventricle and improvement of its function, symptoms and quality of life. Despite the fact that at the moment the geography and prevalence of their use is small, the number of implanted devices will only grow. Thus, given the need for frequent hospitalizations and high treatment costs, it is necessary to improve modern methods of surgical treatment of severe and terminal heart failure, make them more accessible, which will affect the duration and quality of life of these patients.

scholarly journals SUPPORTING DEVICES IN THE TREATMENT OF CHRONIC HEART FAILURE IN ELDERLY AND OLD PATIENTS

2020 ◽  
Vol 2 (3) ◽  
pp. 40-57
Author(s):  
Gennadiy Hubulava ◽  
Kirill L. Kozlov ◽  
Andrey N. Bogomolov ◽  
Aleksey Volkov ◽  
Viktor N. Fedorets ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Clinical Practice ◽  
Chronic Heart Failure ◽  
Severe Heart Failure ◽  
Circulatory Support ◽  
Old Patients ◽  
Western Countries ◽  
Surgical Methods

Chronic heart failure (CHF) is a widespread disease associated with high rates of disability and mortality, as well as a decrease in the quality of life. Moreover, the vast majority of patients are elderly and senile. Modern surgical methods of treating heart failure are able to increase the duration and quality of life of such patients, however, the need far exceeds the volume of this care, and some highly effective methods common in Western countries are still not used in Russian clinical practice. Elderly age is a risk factor for the development of senile asthenia (frailty) and concomitant pathology. Large abdominal surgery is often contraindicated for patients with signs of senile asthenia, and the method of choice in patients with severe heart failure is the implantation of devices for long-term mechanical circulatory support (LT-MCS). After implantation of LT-MCS, a regression of signs of senile asthenia may be observed. The topic of an integrated approach to non-drug treatment of heart failure in elderly and senile patients in Russia has not been studied enough. In particular, the implantation of LT-MCS is not used in Russian clinical practice, while in many Western countries for many years it has been the main and most effective treatment for severe heart failure. Systematization of the available up-to-date information on this topic could help increase the duration and quality of life of patients with severe heart failure.

Sign in / Sign up

Export Citation Format

Share Document