GENDER RESPONSE OF PATIENTS WITH ISCHEMIC HEART DISEASE FOLLOWING A SIX-WEEK CARDIAC REHABILITATION PROGRAM

1992 ◽  
Vol 24 (Supplement) ◽  
pp. S160
Author(s):  
L. Szmedra ◽  
D. Bacharach ◽  
D. Enrich ◽  
D. Hermann ◽  
L. LeMura ◽  
...  
2014 ◽  
Vol 9 (5) ◽  
pp. 360-369 ◽  
Author(s):  
Dariusz Kalka ◽  
Zygmunt A. Domagala ◽  
Piotr Kowalewski ◽  
Leslaw Rusiecki ◽  
Piotr Koleda ◽  
...  

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.


Complexity ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
María Dolores Peláez-Aguilera ◽  
Macarena Espinilla ◽  
María Rosa Fernández Olmo ◽  
Javier Medina

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).


2014 ◽  
Vol 1 (3) ◽  
pp. 20-31
Author(s):  
Reham AbdElmawla, ◽  
Sanaa Alaa Eldien ◽  
Amany Abd Ellateef, ◽  
Wafaa Sherief ◽  
Hanan Soliman

2021 ◽  
Vol 3 (1) ◽  
pp. 4-10
Author(s):  
Tatyana V. Mikhailovskaya ◽  
Irina E. Mishina ◽  
Olga A. Nazarova ◽  
Yuri V. Dovgalyuk ◽  
Julia V. Chistyakova

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.


Author(s):  
Ulla Bach Laursen ◽  
Martin Nygård Johansen ◽  
Albert Marni Joensen ◽  
Kim Overvad ◽  
Mogens Lytken Larsen

Sign in / Sign up

Export Citation Format

Share Document