Mind–Body Interventions in Patients With Heart Failure: State of the Science

2021 ◽  
pp. 073346482110530
Author(s):  
Wanich Suksatan ◽  
Thitipong Tankumpuan
Keyword(s):  
Heart Failure ◽  
Tai Chi ◽  
Psychological Symptoms ◽  
Behavioral Outcomes ◽  
Current Evidence ◽  
Future Research ◽  
Failure State ◽  
Patients With Heart Failure ◽  
Mental Wellness ◽  
State Of The Science

Complementary and alternative medicine are broadly considered mind–body interventions (MBIs) that support physical and mental wellness in patients with heart failure (HF). The aims of this review were to integrate and summarize current evidence from MBIs in patients with HF and to identify gaps for future research. We used PRISMA guideline and conducted a literature search through six databases. Fifteen publications met the criteria, published between 2013 and 2021. This review stipulated that MBIs included yoga, Tai Chi, meditation, reflexology, massage, relaxation, and breathing interventions. The findings emphasized that MBIs could reduce physical and psychological symptoms and improve health outcomes in patients with HF. MBIs had encouraging results for patients with HF on selected physiological and behavioral outcomes. Despite the early state of the evidence in this field, it seems that MBIs will play an essential role in the future for alleviating the symptoms of patients with HF.

Diastolic heart failure: State of the science on best treatment practices

2008 ◽  
Vol 20 (10) ◽  
pp. 506-514 ◽  
Author(s):  
Lindsey Austin Redderson ◽  
Crystal Keen ◽  
Laura Nasir ◽  
Diane Berry
Keyword(s):  
Heart Failure ◽  
Diastolic Heart Failure ◽  
Treatment Practices ◽  
Failure State ◽  
State Of The Science

Dementia friendly initiatives: A state of the science review

Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1858-1895 ◽  
Author(s):  
Catherine A Hebert ◽  
Kezia Scales
Keyword(s):  
Interdisciplinary Collaboration ◽  
Well Being ◽  
Evidence Base ◽  
Research Literature ◽  
Current Evidence ◽  
Future Research ◽  
Current Evidence Base ◽  
Centered Care ◽  
State Of The Science

Background Dementia friendly initiatives share similarities with the age-friendly movement in a focus on active engagement and creating a good quality of life for older adults. Dementia friendly initiatives offer a welcoming optimistic narrative in dementia studies by embracing dignity, empowerment, and autonomy to enable well-being throughout the dementia trajectory. Purpose The purpose of this review is to explore the current science of dementia friendly initiatives, identify gaps, and inform future research. Method Quantitative, qualitative, and conceptual/theoretical peer-reviewed dementia friendly research literature were evaluated for their current evidence base and theoretical underpinnings. Results The dementia friendly initiatives research base is primarily qualitative and descriptive focused on environmental design, dementia awareness and education, and the development of dementia friendly communities. Person-centered care principles appear in dementia friendly initiatives centered in care settings. Strong interdisciplinary collaboration is present. Research is needed to determine the effect of dementia friendly initiatives on stakeholder-driven and community-based outcomes. Due to the contextual nature of dementia, the perspective of persons with dementia should be included as dementia friendly initiatives are implemented. Theory-based studies are needed to confirm dementia friendly initiative components and support rigorous evaluation. Dementia friendly initiatives broaden the lens from which dementia is viewed.

scholarly journals Value of MitraClip in Reducing Functional Mitral Regurgitation

2019 ◽  
Vol 13 (1) ◽  
pp. 30-34
Author(s):  
Mehmet Ali Elbey ◽  
Luis Augusto Palma Dallan ◽  
Guilherme Ferragut Attizzani ◽  
Keyword(s):  
Heart Failure ◽  
Mitral Regurgitation ◽  
Ventricular Dysfunction ◽  
Left Ventricular ◽  
Functional Mitral Regurgitation ◽  
Current Evidence ◽  
Successful Implementation ◽  
Severe Mitral Regurgitation ◽  
Percutaneous Mitral Valve Repair ◽  
Patients With Heart Failure

Patients with heart failure who have secondary severe mitral regurgitation due to left ventricular dysfunction have a poor prognosis, with high rates of rehospitalization and mortality. Percutaneous mitral valve repair using the MitraClip (Abbott) has been shown to be safe and effective in secondary severe mitral regurgitation with heart failure. The number of MitraClip procedures performed has increased significantly, as recently published large, randomized clinical studies have shown. However, these studies have drawn different conclusions. This review aims to summarize the current evidence for the MitraClip procedure and provide information for its safe and successful implementation, comparing the studies that examined the use of MitraClip versus medical therapy alone or surgical repair for severe secondary mitral regurgitation.

scholarly journals The prevalence of malnutrition and its effects on the all-cause mortality among patients with heart failure: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0259300
Author(s):  
Shubin Lv ◽  
Songchao Ru
Keyword(s):  
Heart Failure ◽  
Cohort Studies ◽  
Data Extraction ◽  
Meta Analysis ◽  
Current Evidence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
Total Prevalence ◽  
Patients With Heart Failure ◽  
All Cause Mortality

Objective Malnutrition has a high occurrence in patients with chronic heart failure (CHF). The prevalence of malnutrition and its impact on all-cause mortality in patients with CHF were assessed using a meta-analysis. Methods PubMed, Embase, the Cochrane Library, Web of Science, Medline, CBM, CNKI, WANFANG DATA, and VIP databases were searched to collect cross-sectional and cohort studies on malnutrition, and the prevalence and all-cause mortality of patients with CHF were determined. The time of retrieval was from the database establishment to May 2021. Two researchers independently performed screening of the literature, data extraction and assessed the risk of bias in the included studies. Then Stata 16.0 software was used for meta-analysis. Results A total of 10 cross-sectional and 21 cohort studies were included, including 12537 patients with CHF. A meta-analysis demonstrated that the total prevalence of malnutrition in patients with heart failure was 46% (95% confidence interval [CI]: 0.43, 0.49). Compared to patients with non-malnutrition, malnutrition increased the risk of all-cause mortality in patients with CHF (hazard ratio = 2.15, 95% CI [1.89, 2.45], P < 0.05). Discussion Current evidence suggests that the prevalence of malnutrition is high among patients with CHF. The risk of all-cause mortality in such patients can be increased by malnutrition. Therefore, the risk of malnutrition in patients with CHF should be considered to reduce the occurrence of adverse clinical outcomes.

scholarly journals Gender-Related Differences in Heart Failure Biomarkers

2021 ◽  
Vol 7 ◽  
Author(s):  
Germán Cediel ◽  
Pau Codina ◽  
Giosafat Spitaleri ◽  
Mar Domingo ◽  
Evelyn Santiago-Vacas ◽  
...  
Keyword(s):  
Heart Failure ◽  
Menopausal Status ◽  
Plasma Concentrations ◽  
Fat Distribution ◽  
Current Evidence ◽  
Future Research ◽  
Circulating Biomarkers ◽  
Galectin 3 ◽  
Kinetics Of ◽  
Cardiovascular Care

Important differences in comorbidities and clinical characteristics exist between women and men with heart failure (HF). In particular, differences in the kinetics of biological circulating biomarkers—a critical component of cardiovascular care—are highly relevant. Most circulating HF biomarkers are assessed daily by clinicians without taking sex into account, despite the multiple gender-related differences observed in plasma concentrations. Even in health, compared to men, women tend to exhibit higher levels of natriuretic peptides and galectin-3 and lower levels of cardiac troponins and the cardiac stress marker, soluble ST2. Many biological factors can provide a reliable explanation for these differences, like body composition, fat distribution, or menopausal status. Notwithstanding, these sex-specific differences in biomarker levels do not reflect different pathobiological mechanisms in HF between women and men, and they do not necessarily imply a need to use different diagnostic cut-off levels in clinical practice. To date, the sex-specific prognostic value of HF biomarkers for risk stratification is an unresolved issue that future research must elucidate. This review outlines current evidence regarding gender-related differences in circulating biomarkers widely used in HF, the pathophysiological mechanisms underlying these differences, and their clinical relevance.

scholarly journals Exploring correlates of improved depression symptoms and quality of life following tai chi exercise for patients with heart failure

2020 ◽  
Vol 7 (6) ◽  
pp. 4206-4212
Author(s):  
Christina M. Luberto ◽  
Charles A. Coey ◽  
Roger B. Davis ◽  
Peter M. Wayne ◽  
Sydney Crute ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Tai Chi ◽  
Depression Symptoms ◽  
Patients With Heart Failure ◽  
Tai Chi Exercise

Depression and Rehospitalization in Patients With Heart Failure After Discharge From Hospital to Home: An Integrative Review

2021 ◽  
pp. 108482232098696
Author(s):  
Wanich Suksatan ◽  
Thitipong Tankumpuan
Keyword(s):  
Heart Failure ◽  
Healthcare Providers ◽  
Cost Of Care ◽  
Current Evidence ◽  
Adverse Health Outcomes ◽  
Adherence To Medication ◽  
Effective Interventions ◽  
Patients With Heart Failure ◽  
Meta Analyses ◽  
The Relationship

Patients with heart failure are known to be particularly vulnerable to depression resulting in adverse health outcomes. However, there has been no literature review on current evidence regarding the relationship between depression and rehospitalization. This review aims to explore the relationship between depression and rehospitalization in patients with heart failure. A systematic review employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines included articles published between 2001 and 2019 taken from Scopus, PubMed, CINAHL, and PsycINFO databases. We identified 12 relevant studies with participants ranging from 115 to 160,169 patients. Heart failure patients with depression were more likely to be rehospitalized than those without. To explain this, few reasons have been proposed. First, depression could disrupt the regulation of autonomic nervous system, neurohormonal activation, and body’s natural rhythm. Second, depressed patients tend to have poor adherence to medication. Healthcare providers should not only focus on drug and dietary management but also on implementing effective interventions to manage depression, in order to reduce the risk of rehospitalization. Moreover, palliative care should start at the stage of heart failure diagnosis to improve quality of life, better outcomes, and lower cost of care for the patients.

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