Predictive factors of erectile dysfunction in a cardiac rehabilitation programme. What can we improve?

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
A Adeba Garcia ◽  
R Alvarez Velasco ◽  
M Vigil-Escalera Diaz ◽  
M Martin Fernandez ◽  
V Barriales Alvarez ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Cardiac Rehabilitation ◽  
Regression Model ◽  
Multiple Regression ◽  
Multiple Regression Model ◽  
Rehabilitation Programme ◽  
Cardiac Rehabilitation Programme ◽  
Coronary Syndrome ◽  
Supervised Exercise ◽  
Modifiable Factors

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Erectile dysfunction (ED) is a frequent comorbidity in patients with chronic coronary syndrome; it is related to both cardiovascular risk factors (CVRF), the treatments administered and the vascular disease itself. We analyse the predictors of ED in the cardiac rehabilitation unit of a third level hospital. Material and methods Observational and prospective cohort of male patients participating in the cardiac rehabilitation programme (CRP) between 2015 and 2019. This CRP lasts 1 month, with 3 weekly sessions of monitored and supervised exercise, in addition to talks related on the cardiovascular area, diet, etc. One of these sessions is on ED, in which the patient is asked about the entity, possible interactions with drugs, etc. In addition, the degree of ED is evaluated anonymously using the IIEF5 scale, in which 5 questions are used to evaluate different conditions of the disease by scoring from 1 to 5, with values of less than 21 being considered as ED. For the statistical analysis we carried out a multiple regression model adjusted by the clinical variables collected at the beginning of the programme. Results Out of a total of 343 patients 90% were male and 265 completed the questionnaire. 63% presented ED. The mean age is 56 ± 9 years. The distribution of CVRF: 43% hypertense, 23% diabetics, 72% dyslipemia, 22% ex and 48% smokers. As for the diagnoses prior to the start of CRP, 59% suffered from STEMI, 22% from NSTEMI, 9% from unstable angina and 9% were post-operative from cardiac surgery. In the global multiple regression model the factors predisposing to ED and presenting statistically significant coefficients were age (-0.2 CI: -0.27- -0.12, p < 0.001), hypertension (-1.6; CI -2.9- -0.3, p = 0.014) and diabetes (-2.0 CI: -3.1- -0.6, p = 0.007). We performed a predictive model for the different age ranges according to the presence/absence of hypertension and diabetes (Figure 1). Conclusions ED is a prevalent entity in our series, with age-adjusted multivariate analysis predicting its development and hypertension and diabetes as potentially modifiable factors related to it. Abstract Figure. Graph 1: Predictive regression model

Cardiac rehabilitation programme as a non-pharmacological platelet inhibitory tool in acute coronary syndrome survivors

2017 ◽  
Vol 24 (11) ◽  
pp. 1148-1156 ◽  
Author(s):  
Emese Tóth-Zsámboki ◽  
Zsófia Horváth ◽  
László Hajtman ◽  
Sarolta Leé ◽  
Éva Pállinger ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Programme ◽  
Cardiac Rehabilitation Programme ◽  
Coronary Syndrome

Targeting relatives: Impact of a cardiac rehabilitation programme including basic life support training on their skills and attitudes

2019 ◽  
Vol 26 (8) ◽  
pp. 795-805 ◽  
Author(s):  
Violeta González-Salvado ◽  
Cristian Abelairas-Gómez ◽  
Francisco Gude ◽  
Carlos Peña-Gil ◽  
Carmen Neiro-Rey ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Basic Life Support ◽  
Life Support ◽  
Rehabilitation Programme ◽  
Cardiac Rehabilitation Programme ◽  
Skill Retention ◽  
Coronary Syndrome ◽  
Time Interaction ◽  
Group Time ◽  
Over Time

Background Training families of patients at risk for sudden cardiac death in basic life support (BLS) has been recommended, but remains challenging. This research aimed to determine the impact of embedding resuscitation training for patients in a cardiac rehabilitation programme on relatives' BLS skill retention at six months. Design Intervention community study. Methods Relatives of patients suffering acute coronary syndrome or revascularization enrolled on an exercise-based cardiac rehabilitation programme were included. BLS skills of relatives linked to patients in a resuscitation-retraining programme (G-CPR) were compared with those of relatives of patients in a standard programme (G-Stan) at baseline, following brief instruction and six months after. Differences in skill performance and deterioration and self-perceived preparation between groups over time were assessed. Results Seventy-nine relatives were included and complete data from 66 (G-Stan=33, G-CPR=33) was analysed. Baseline BLS skills were equally poor, improved irregularly following brief instruction and decayed afterwards. G-CPR displayed six-month better performance and lessened skill deterioration over time compared with G-Stan, including enhanced compliance with the BLS sequence ( p = 0.006 for group*time interaction) and global resuscitation quality ( p = 0.007 for group*time interaction). Self-perceived preparation was higher in G-CPR ( p = 0.002). Conclusions Relatives of patients suffering acute coronary syndrome or revascularization enrolled on a cardiac rehabilitation programme showed poor BLS skills. A resuscitation-retraining cardiac rehabilitation programme resulted in relatives' higher BLS awareness, skill retention and confidence at six months compared with the standard programme. This may suggest a significant impact of this formula on the family setting and support the active role of patients to enhance health education in their environment.

Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery

2017 ◽  
Vol 17 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Tina B Hansen ◽  
Selina K Berg ◽  
Kirstine L Sibilitz ◽  
Ann D Zwisler ◽  
Tone M Norekvål ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Heart Valve ◽  
Isolated Heart ◽  
Personal Responsibility ◽  
Training Programme ◽  
Valve Surgery ◽  
Rehabilitation Programme ◽  
Heart Valve Surgery ◽  
Structured Interviews ◽  
Cardiac Rehabilitation Programme

Background: Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. Aims: The purpose of this qualitative analysis was to gain insight into patients’ experiences in cardiac rehabilitation, the CopenHeartVR trial. This trial specifically assesses patients undergoing isolated heart valve surgery. Methods: Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2–3 weeks, 3–4 months and 8–9 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. Results: Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. Conclusions: Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes.

Impact of a paediatric cardiac rehabilitation programme upon patient quality of life

2021 ◽  
pp. 1-8
Author(s):  
Kristin H. Kroll ◽  
Joshua R. Kovach ◽  
Salil Ginde ◽  
Roni M. Jacobsen ◽  
Michael Danduran ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Psychosocial Functioning ◽  
Rehabilitation Programme ◽  
Self Concept ◽  
Cardiac Rehabilitation Programme ◽  
Patient Reported ◽  
Related Quality

Abstract Introduction: Cardiac rehabilitation programmes for paediatric patients with congenital heart disease (CHD) have been shown to promote emotional and physical health without any associated adverse events. While prior studies have demonstrated the effectiveness of these types of interventions, there has been limited research into how the inclusion of psychological interventions as part of the programme impacts parent-reported and patient-reported quality of life. Materials and methods: Patients between the ages of 7 and 24 years with CHD completed a cardiac rehabilitation programme that followed a flexible structure of four in person-visits with various multidisciplinary team members, including paediatric psychologists. Changes in scores from the earliest to the latest session were assessed regarding exercise capacity, patient functioning (social, emotional, school, psychosocial), patient general and cardiac-related quality of life, patient self-concept, and patient behavioural/emotional problems. Results: From their baseline to final session, patients exhibited significant improvement in exercise capacity (p = 0.00009). Parents reported improvement in the patient’s emotional functioning, social functioning, school functioning, psychosocial functioning, cognitive functioning, communication, and overall quality of life. While patients did not report improvement in these above areas, they did report perceived improvement in certain aspects of cardiac-related quality of life and self-concept. Discussion: This paediatric cardiac rehabilitation programme, which included regular consultations with paediatric psychologists, was associated with divergent perceptions by parents and patients on improvement related to quality of life and other aspects of functioning despite improvement in exercise capacity. Further investigation is recommended to identify underlying factors associated with the differing perceptions of parents and patients.

A COMPREHENSIVE CARDIAC REHABILITATION PROGRAMME

1968 ◽  
Vol 2 (12) ◽  
pp. 511-513
Author(s):  
John H. Aloes ◽  
Severin Grabin ◽  
Seymour P. Stein
Keyword(s):  
Cardiac Rehabilitation ◽  
Rehabilitation Programme ◽  
Cardiac Rehabilitation Programme
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