scholarly journals Cardiovascular fitness associated with cognitive performance in heart failure patients enrolled in cardiac rehabilitation

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Sarah Garcia ◽  
Michael L Alosco ◽  
Mary Beth Spitznagel ◽  
Ronald Cohen ◽  
Naftali Raz ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Cognitive Performance ◽  
Cardiovascular Fitness ◽  
Heart Failure Patients

The prognostic significance of improvement in exercise capacity in heart failure patients who participate in cardiac rehabilitation programme

2018 ◽  
Vol 25 (4) ◽  
pp. 354-361 ◽  
Author(s):  
Avi Sabbag ◽  
Israel Mazin ◽  
David Rott ◽  
Ilan Hay ◽  
Nelly Gang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Cardiovascular Fitness ◽  
Rehabilitation Programme ◽  
Exercise Stress ◽  
Cardiac Rehabilitation Programme ◽  
Heart Failure Patients ◽  
Baseline Fitness

Introduction There are limited contemporary data regarding the association between improvement in cardiovascular fitness in heart failure patients who participate in a cardiac rehabilitation programme and the risk of subsequent hospitalisations. Methods The study population comprised 421 patients with heart failure who participated in our cardiac rehabilitation programme between the years 2009 and 2016. All were evaluated by a standard exercise stress test before initiation, and underwent a second exercise stress test on completion of 3 ± 1 months of training. Participants were dichotomised by fitness level at baseline, according to the percentage of predicted age and sex norms achieved. Each group was further divided according to its degree of functional improvement, between the baseline and the follow-up exercise stress test. Major improvement was defined as improvement above the median value in each group. The combined primary endpoint was cardiac hospitalisation or all-cause mortality. Results A total of 211 (50%) patients had low baseline fitness (<73% (median)) for age and sex-predicted metabolic equivalents of task value. Compared to patients with higher fitness, those with a low baseline fitness were more commonly smokers, had diabetes and were obese ( P < 0.05 for all). Multivariable Cox proportional hazard regression analysis showed that, independent of baseline capacity, an improvement of 5% of predicted fitness was associated with a corresponding 10% reduced risk of cardiac hospitalisation or all-cause mortality ( P < 0.001). Conclusion In heart failure patients participating in a cardiac rehabilitation programme, improved cardiovascular fitness is associated with reduced mortality or cardiac hospitalisation risk during long-term follow-up, independent of baseline fitness.

scholarly journals Quality of life – an important parameter of cardiac rehabilitation in heart failure patients

2018 ◽  
Vol 9 (3) ◽  
pp. 288-290
Author(s):  
Anca Daniela Farcaş ◽  
◽  
Laura Elena Năstasă ◽  
Florin Petru Anton ◽  
Mirela Anca Stoia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Heart Failure Patients

scholarly journals A systematic review of provider-and system-level factors influencing the delivery of cardiac rehabilitation for heart failure

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paulina Daw ◽  
Thomas M. Withers ◽  
Jet J. C. S. Veldhuijzen van Zanten ◽  
Alexander Harrison ◽  
Colin J. Greaves
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Cardiac Rehabilitation ◽  
Thematic Analysis ◽  
System Level ◽  
Future Research ◽  
Heart Failure Patients ◽  
Barriers And Enablers ◽  
Factors Influencing ◽  
Wide Range

Abstract Background There is a longstanding research-to-practice gap in the delivery of cardiac rehabilitation for patients with heart failure. Despite adequate evidence confirming that comprehensive cardiac rehabilitation can improve quality of life and decrease morbidity and mortality in heart failure patients, only a fraction of eligible patients receives it. Many studies and reviews have identified patient-level barriers that might contribute to this disparity, yet little is known about provider- and system-level influences. Methods A systematic review using narrative synthesis. The aims of the systematic review were to a) determine provider- and system-level barriers and enablers that affect the delivery of cardiac rehabilitation for heart failure and b) juxtapose identified barriers with possible solutions reported in the literature. A comprehensive search strategy was applied to the MEDLINE, Embase, PsycINFO, CINAHL Plus, EThoS and ProQuest databases. Articles were included if they were empirical, peer-reviewed, conducted in any setting, using any study design and describing factors influencing the delivery of cardiac rehabilitation for heart failure patients. Data were synthesised using inductive thematic analysis and a triangulation protocol to identify convergence/contradiction between different data sources. Results Seven eligible studies were identified. Thematic analysis identified nine overarching categories of barriers and enablers which were classified into 24 and 26 themes respectively. The most prevalent categories were ‘the organisation of healthcare system’, ‘the organisation of cardiac rehabilitation programmes’, ‘healthcare professional’ factors and ‘guidelines’. The most frequent themes included ‘lack of resources: time, staff, facilities and equipment’ and ‘professional’s knowledge, awareness and attitude’. Conclusions Our systematic review identified a wide range of provider- and system-level barriers impacting the delivery of cardiac rehabilitation for heart failure, along with a range of potential solutions. This information may be useful for healthcare professionals to deliver, plan or commission cardiac rehabilitation services, as well as future research.

ECG telemonitoring during home-based cardiac rehabilitation in heart failure patients

2012 ◽  
Vol 18 (4) ◽  
pp. 193-197 ◽  
Author(s):  
Ewa Piotrowicz ◽  
Anna Jasionowska ◽  
Maria Banaszak-Bednarczyk ◽  
Joanna Gwilkowska ◽  
Ryszard Piotrowicz
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Holter Ecg ◽  
Heart Failure Patients ◽  
Monitoring Centre ◽  
Home Based ◽  
Patients With Heart Failure ◽  
Atrial Fibrillation Episode ◽  
The Times ◽  
Premature Beats

We assessed ECGs recorded during home-based telemonitored cardiac rehabilitation (HTCR) in stable patients with heart-failure. The study included 75 patients with heart failure (NYHA II, III), with a mean age of 56 years. They participated in an eight-week programme of home cardiac rehabilitation which was telemonitored with a device which recorded 16-s fragments of their ECG. These fragments were transmitted via mobile phone to a monitoring centre. The times of the automatic ECG recordings were pre-set and coordinated with the cardiac rehabilitation. Patients were able to make additional recordings when they felt unwell using a tele-event-Holter ECG facility. During the study, 5757 HTCR sessions were recorded and 11,534 transmitted ECG fragments were evaluated. Most ECGs originated from the automatic recordings. Singular supraventricular and ventricular premature beats and ventricular couplets were detected in 16%, 69% and 16% of patients, respectively. Twenty ECGs were recorded when patients felt unwell: non sustained ventricular tachycardia occurred in three patients and paroxysmal atrial fibrillation episode in two patients. Heart failure patients undergoing HTCR did not develop any arrhythmia which required a change of the procedure, confirming it was safe. Cardiac rehabilitation at home was improved by utilizing the tele-event-Holter ECG facility.

Heart Rate Recovery in Heart Failure Patients After a 12-Week Cardiac Rehabilitation Program

2006 ◽  
Vol 97 (5) ◽  
pp. 694-698 ◽  
Author(s):  
Stacey D. Streuber ◽  
Ezra A. Amsterdam ◽  
Charles L. Stebbins
Keyword(s):  
Heart Failure ◽  
Heart Rate ◽  
Cardiac Rehabilitation ◽  
Heart Rate Recovery ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Heart Failure Patients

scholarly journals Cardiac rehabilitation programs for heart failure patients in the time of COVID-19

2020 ◽  
Vol 39 (7) ◽  
pp. 365-366
Author(s):  
Cristine Schmidt ◽  
Sandra Magalhães ◽  
Ana Barreira ◽  
Fernando Ribeiro ◽  
Preza Fernandes ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Heart Failure Patients ◽  
Rehabilitation Programs

Impaired cognitive performance in Heart Failure patients: An unrecognized evil

Heart & Lung ◽  
2016 ◽  
Vol 45 (4) ◽  
pp. 376
Author(s):  
Tanya M. Simmons ◽  
Nicole L. Williams ◽  
Andrew Gaddis ◽  
Yessenia Gomez ◽  
Nisha Chandra ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Performance ◽  
Heart Failure Patients
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