scholarly journals Gender differences among ischemic heart disease patients enrolled in a cardiac rehabilitation program

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Ahmed Mohamed El Missiri ◽  
Hany Mohamed Awadalla ◽  
Mosadaq Mustafa Almoudi
Keyword(s):  
Gender Differences ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Ischemic Heart ◽  
Cardiac Rehabilitation Program

Effect of Endurance Cardiovascular Training Intensity on Erectile Dysfunction Severity in Men With Ischemic Heart Disease

2014 ◽  
Vol 9 (5) ◽  
pp. 360-369 ◽  
Author(s):  
Dariusz Kalka ◽  
Zygmunt A. Domagala ◽  
Piotr Kowalewski ◽  
Leslaw Rusiecki ◽  
Piotr Koleda ◽  
...  
Keyword(s):  
Heart Disease ◽  
Erectile Dysfunction ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Endurance Training ◽  
Rehabilitation Program ◽  
Ischemic Heart ◽  
Study Group ◽  
Cardiac Rehabilitation Program ◽  
Training Intensity

The protective effect of physical activity on arteries is not limited to coronary vessels, but extends to the whole arterial system, including arteries, in which endothelial dysfunction and atherosclerotic changes are one of the key factors affecting erectile dysfunction development. The objective of this study was to report whether the endurance training intensity and training-induced chronotropic response are linked with a change in erectile dysfunction intensity in men with ischemic heart disease. A total of 150 men treated for ischemic heart disease, who suffered from erectile dysfunction, were analyzed. The study group consisted of 115 patients who were subjected to a cardiac rehabilitation program. The control group consisted of 35 patients who were not subjected to any cardiac rehabilitation. An IIEF-5 (International Index of Erectile Function) questionnaire was used for determining erectile dysfunction before and after cardiac rehabilitation. Cardiac training intensity was objectified by parameters describing work of endurance training. The mean initial intensity of erectile dysfunction in the study group was 12.46 ± 6.01 (95% confidence interval [CI] = 11.35-13.57). Final erectile dysfunction intensity (EDI) assessed after the cardiac rehabilitation program in the study group was 14.35 ± 6.88 (95% CI = 13.08-15.62), and it was statistically significantly greater from initial EDI. Mean final training work was statistically significantly greater than mean initial training work. From among the parameters describing training work, none were related significantly to reduction of EDI. In conclusion, cardiac rehabilitation program–induced improvement in erection severity is not correlated with endurance training intensity. Chronotropic response during exercise may be used for initial assessment of change in cardiac rehabilitation program–induced erection severity.

scholarly journals Fuzzy Linguistic Protoforms to Summarize Heart Rate Streams of Patients with Ischemic Heart Disease

Complexity ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
María Dolores Peláez-Aguilera ◽  
Macarena Espinilla ◽  
María Rosa Fernández Olmo ◽  
Javier Medina
Keyword(s):  
Heart Rate ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Health Centers ◽  
Ischemic Heart ◽  
Rehabilitation Team ◽  
Health Council ◽  
Number Of Patients

Cardiac rehabilitation is a key program which significantly decreases mortality rates in high-risk patients with ischemic heart disease. Due to the huge lack of accessibility to such programs at Health Centers, outdoor-based programs for cardiac rehabilitation have been proposed as an excellent tool to improve accessibility for patients at Health Centers. These outdoor-based programs make use of wrist-worn devices for real-time monitoring of rehabilitation sessions based on clinical guidelines. In this way, a greater number of patients can fortunately gain access to the rehabilitation program. However, this advantage also means that the cardiac rehabilitation team has to monitor a greater number of sessions due to the increase of the number of benefited patients, so the team members spend a lot of time analyzing each patient’s sessions. In this paper, we present a methodology to evaluate heart rate streams of patients with ischemic heart disease using a linguistic approach. This innovative methodology manages relevant linguistic descriptions (protoforms) for the cardiac rehabilitation team to identify sessions with interest indicators by means of linguistic summaries. Therefore, the analysis process is automated in a comprehensible way, offering short linguistic descriptions to the cardiac rehabilitation team, who promptly provide feedback to their patients. In order to show the great efficiency and effectiveness of the proposed methodology, we have used and applied this methodology to real data provided by patients of an outdoor cardiac rehabilitation program run by the Health Council of the Andalusian Health Service (Spain).

Quality indicators of a cardiac rehabilitation program in women with coronary heart disease

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
I Juanes Dominguez ◽  
L Tojal Sierra ◽  
Z Fernandez De Leceta ◽  
E Saez De Buruaga ◽  
S Garcia ◽  
...  
Keyword(s):  
Gender Differences ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Arterial Pressure ◽  
Cardiac Rehabilitation ◽  
Exercise Test ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Men And Women ◽  
Cardiovascular Diagnosis

Abstract Introduction Cardiac rehabilitation programs (CRP) are well known to improve functional status and prognosis after a cardiovascular event. This programs are class IA recommendation. However, many studies have demonstrated that women are less likely to stick to a CRP. Purpose To compare baseline characteristics between men and women participating in a cardiac rehabilitation program and to determine whether there are gender differences in the benefits obtained after the program. Methods Using data from our Department of CRP, we analysed a total of 1091 patients referred between 2015 and 2018 to our center CRP after a cardiovascular diagnosis. Clinical, analytical and echocardiographic outcomes were collected. We defined benefit as the achievement of the target levels established for each cardiovascular risk factor (CVRF) as well as improvement in the exercise capacity. This capacity was evaluated with exercise tests and maximum O2 uptake at the beginning and at the end of the CPR. Results Between 2015 and 2018, 189 (17.3%) of them women with a mean age of 62 years were enrolled in the CRP. There were no significant gender differences in mean age or incidence of CVRF. Likewise, there weren't differences in cardiovascular diagnosis, risk stratification, left ventricular ejection fraction or exercise test performed before the program. In the results after CRP there were no important gender differences in the percentage of patients who achieved the quality indicators described as HbA1c <7.0%, systolic arterial pressure <140 mmHg, diastolic arterial pressure <90 mmHg. Percentage of LDL cholesterol <70 mg/dl was significantly higher in male patients. Both in men and women an improvement of the second exercise test result was observed. Conclusions 1. Men and women who suffer from a coronary heart disease have similar clinical characteristics. 2. Among patients with coronary heart disease who attended a cardiac rehabilitation program there were no significant gender differences in the benefits obtained after the program. Funding Acknowledgement Type of funding source: None

Gender Differences in Non-Obstructive Coronary Artery Disease

2020 ◽  
Vol 26 ◽  
Author(s):  
Maria Bergami ◽  
Marialuisa Scarpone ◽  
Edina Cenko ◽  
Elisa Varotti ◽  
Peter Louis Amaduzzi ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Gender Differences ◽  
Heart Disease ◽  
Coronary Artery ◽  
Ischemic Heart Disease ◽  
Coronary Arteries ◽  
Obstructive Coronary Artery Disease ◽  
Ischemic Heart ◽  
Current Evidence ◽  
Artery Disease

: Subjects affected by ischemic heart disease with non-obstructive coronary arteries constitute a population that has received increasing attention over the past two decades. Since the first studies with coronary angiography, female patients have been reported to have non-obstructive coronary artery disease more frequently than their male counterparts, both in stable and acute clinical settings. Although traditionally considered a relatively infrequent and low-risk form of myocardial ischemia, its impact on clinical practice is undeniable, especially when it comes to infarction, where the prognosis is not as benign as previously assumed. Unfortunately, despite increasing awareness, there are still several questions left unanswered regarding diagnosis, risk stratification and treatment. The purpose of this review is to provide a state of the art and an update on current evidence available on gender differences in clinical characteristics, management and prognosis of ischemic heart disease with non-obstructive coronary arteries, both in the acute and stable clinical setting.

scholarly journals Gender Differences in the Risk of Ischemic Heart Disease According to Healthcare Utilization and Medication Adherence among Newly Treated Korean Hypertensive Patients

2021 ◽  
Vol 18 (3) ◽  
pp. 1274
Author(s):  
Jiae Shin ◽  
Dongwoo Ham ◽  
Hee Young Paik ◽  
Sangah Shin ◽  
Hyojee Joung
Keyword(s):  
Gender Differences ◽  
Heart Disease ◽  
Medication Adherence ◽  
Ischemic Heart Disease ◽  
Healthcare Utilization ◽  
Healthcare Providers ◽  
Ischemic Heart ◽  
Health Examination ◽  
Men And Women ◽  
Hypertensive Patients

We aimed to investigate gender differences in ischemic heart disease (IHD) according to healthcare utilization and medication adherence among newly treated Korean hypertensive adults. The National Sample Cohort version 2.0 of the National Health Insurance Service was used for analysis. Newly treated hypertensive patients ≥ 20 years and without IHD in 2002 were selected from a population that underwent health examination during 2003–2006. Of those patients, 11,942 men and 11,193 women were analyzed and followed up for 10 years. We determined the association between IHD and healthcare utilization and medication adherence using the Cox proportional hazards model. Hypertensive women patients had a lower risk of IHD than men patients (hazard ratio [HR] = 0.93, 95% confidence interval [CI] 0.88–1.00). The IHD risk was increased in patients who visited healthcare providers > 12 times/person-year (HR = 2.97, 95% CI 2.79–3.17), paid high out-of-pocket expense/person-year (HR = 1.55, 95% CI 1.41–1.69), and had medication nonadherence (HR = 1.67, 95% CI 1.58–1.77). However, the risk was decreased in patients who used both urban and rural areas (HR 0.75, 95% CI 0.67–0.84) and mixed types of providers (HR = 0.93, CI 0.88–0.99). The risk of IHD was significantly different between men and women only in the visiting frequency to healthcare providers (men, HR = 3.21, 95% CI 2.93–3.52; women, HR = 2.78, 95% CI 2.53–3.04, p for interaction = 0.0188). In summary, the risk of IHD was similar according to healthcare utilization and medication adherence between men and women, except visiting frequency to healthcare providers.

Effect of Cardiac Rehabilitation Program on Physiological Risk Parameters of Patient with Coronary Heart Disease.

2014 ◽  
Vol 1 (3) ◽  
pp. 20-31
Author(s):  
Reham AbdElmawla, ◽  
Sanaa Alaa Eldien ◽  
Amany Abd Ellateef, ◽  
Wafaa Sherief ◽  
Hanan Soliman
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Risk Parameters ◽  
Physiological Risk

scholarly journals Methods of Evaluation of Tolerance yo Physical Activity Based on Six-Minute Walking Test During Outpatient Rehabilitation of Patients with Ischemic Heart Disease

2021 ◽  
Vol 3 (1) ◽  
pp. 4-10
Author(s):  
Tatyana V. Mikhailovskaya ◽  
Irina E. Mishina ◽  
Olga A. Nazarova ◽  
Yuri V. Dovgalyuk ◽  
Julia V. Chistyakova
Keyword(s):  
Physical Activity ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Ischemic Heart ◽  
Outpatient Rehabilitation ◽  
Walking Test ◽  
Absolute Value ◽  
The Absolute ◽  
Predicted Values

Background.Even though the six-minute walking test is a simple and widely available tool for the evaluation of the functional capacity of cardiac patients, its interpretation is associated with some difficulties and contradictions.Aims:To evaluate the dynamics of tolerance to physical activity during outpatient rehabilitation of patients with ischemic heart disease using predicted values of distance in the six-minute walking test.Materials and methods.97 patients (70 men and 27 women, average age 59.6 [50; 60] years) after acute coronary syndrome and after myocardial revascularization were included. The six-minute walking test was performed at the beginning of the 3-weeks stage of cardiac rehabilitation and before the patients discharge. The results of the test were reported as an absolute value, a change in absolute value, and the percentage of predicted values, estimated with the reference equation by Enright and colleagues.Results.The absolute value of distance in the six-minute walking test was increased significantly from 418 [385; 465] m to 485 [440; 525] m (p0.001). The number of patients with a distance less than 300 m was decreased significantly (12 patients, 12% vs 2 patients, 2%,p0.001). In most patients, the absolute increase in distance was 30 m and more (81 people, 84%). After comparing the perceived data with the calculated predicted values, it was revealed that the distance raised from 79 [71; 82]% to 92 [88; 96]% of the predicted values. And 56 patients (58%) had a distance equal to 90% or more from its predicted value.Conclusions.During the third stage of cardiac rehabilitation the significant increase of the absolute value of the six-minute walking test, the growth of the percentage of predicted values, and the decrease of patients with a distance less than 300 m were found. All these estimation methods may be used to demonstrate and prove favourable changes of tolerance to physical activity in patients with ischemic heart disease.

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