Cardiac Rehabilitation in Older Cardiac Patients

2005 ◽  
pp. 319-334 ◽  
Author(s):  
Philip A. Ades
Keyword(s):  
Cardiac Rehabilitation ◽  
Cardiac Patients

A Pilot Study Comparing Physiological Responses of Phase III Cardiac Patients to Recumbent and Upright Exercise Using the RPE Scale

2005 ◽  
Vol 100 (2) ◽  
pp. 357-361 ◽  
Author(s):  
Meir Magal ◽  
Robert F. Zoeller
Keyword(s):  
Heart Rate ◽  
Pilot Study ◽  
Cardiac Rehabilitation ◽  
Perceived Exertion ◽  
Physiological Responses ◽  
Cardiac Patients ◽  
Phase Iii ◽  
Ratings Of Perceived Exertion ◽  
Physiological Differences ◽  
Stepping Exercise

Ratings of perceived exertion (RPE) are used for exercise programming of cardiac rehabilitation patients, whenever it is difficult to use heart rate to set intensity due to medication or other factors. This investigation examined the physiological responses to two stepping exercise modes (upright and recumbent) at the same RPE. Analysis indicated significant physiological differences between the modes of exercise which may be mediated by postural differences. Specifically, the physiological responses to the recumbent exercise, but not the upright exercise, had the expected relationship with RPE, with recumbent stepping requiring less physiological effort than the upright stepping at the same RPE. As such, we cannot recommend with confidence that the prescription for upright exercise be made based on data from recumbent exercise or vice-versa.

scholarly journals The Impact Of Psychological Characteristics On The Effectiveness Of Motivational Interviewing Based Psychological Counseling

2016 ◽  
Vol 12 (15) ◽  
pp. 95
Author(s):  
Raimonda Petroliene ◽  
Liuda Sinkariova ◽  
Dalia Karpovaite ◽  
Loreta Zajanckauskaite-Staskeviciene ◽  
Jurga Misiuniene ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Cardiac Rehabilitation ◽  
Motivational Interviewing ◽  
Personality Traits ◽  
Emotional State ◽  
Cardiac Patients ◽  
Psychological Characteristics ◽  
Psychological Counseling ◽  
Counseling Intervention ◽  
Unhealthy Behavior

It is well known that in order to control the morbidity and mortality of cardiovascular disease patients, their lifestyle should be taken into account (American Heart Association, 2012; Klumbiene et al., 2002). Studies of various disease patients’ manners (Knight et al., 2006; Thompson et al., 2011) confirm that motivational interviewing (Miller & Rollnick, 2013) is an effective method for changing unhealthy behavior. Nevertheless, our practical experience of motivational interviewing based psychological counseling with rehabilitation hospitals’ cardiac patients’ (Sinkariova et al., 2015) revealed noteworthy observations about some participants lack of motivation to change unhealthy behavior. This observation encouraged us to start a study with the aim to find out if cardiac rehabilitation participants’ personality traits and emotional state are related to the effectiveness of motivational interviewing based psychological counseling. The study used a quasi-experiment where cardiac rehabilitation patients were assigned to control (regular rehabilitation, n=55) or experimental (rehabilitation plus motivational interviewing based psychological counseling intervention, n=64) groups. A total of 119 participants (male=83, female=36, M age=60.47, SD=8.762) attended a survey, which included NEO-FFI, HADs, and “Readiness to change questionnaire” at the beginning and end of cardiac rehabilitation. Nonparametric data analysis showed that patients’ personality traits are not related to the effectiveness of motivational interviewing based counseling, whereas depression is positively related to the effectiveness of intervention to change alcohol consumption. Conclusions/Implications: Depression as an expression of emotional state is an important feature for the effectiveness of motivational interviewing based counseling to change cardiac patients’ alcohol consumption. Further understanding of relationships between psychological characteristics and the effectiveness of intervention could help to improve cardiac diseases prevention, treatment, and rehabilitation.

Abstract P326: Impact of Cardiac Rehabilitation on Depressive Symptomatology in Female Cardiac Patients

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Bharathi Reddy ◽  
Kiseok Lee ◽  
Nancy Rullo ◽  
Donna Cheslik Candy ◽  
John P Nicholson
Keyword(s):  
New York ◽  
Depressive Symptoms ◽  
Cardiac Rehabilitation ◽  
Depressive Symptomatology ◽  
The United States ◽  
Cardiac Patients ◽  
Female Patients ◽  
Enrollment Rates ◽  
Male Patients ◽  
Artery Disease

BACKGROUND: Coronary artery disease (CAD) is the leading cause of mortality in women and is responsible for more than 500,000 lives each year in the United States. Depression and depressive symptomatology in healthy subjects increases cardiovascular mortality in both men and women and its prevalence is exponentially rising in women. Research suggests that participation in a cardiac rehabilitation (CR) program reduces depression. Unfortunately studies have shown that CR is widely underutilized, particularly with significantly lower CR enrollment rates among women. HYPOTHESIS: The aim of this study was to demonstrate the effect of CR in the improvement of depressive symptoms in female cardiac patients after a cardiovascular event enrolled at the Cardiac Health Center (CHC) New York Hospital Queens (NYHQ). METHODS: The study sample comprised of 295 patients who completed 36 visits of CR at CHC NYHQ from 2007-2009. Out of 295 patients (age 66.85 ±10.64), 214 are males (71%) and 81 are females (29%). Mood scores were assessed using the PHQ-9 at the initial visit and again upon completion of the CR program. Of the 81 female patients enrolled, 31 female patients had documented pre and post CR-PHQ scores and of the 214 male patients enrolled, 81male patients had documented pre and post CR-PHQ scores. Using paired t test average mean difference in mood scores was tested. RESULTS: There was a significant decrease in mood scores in female patients (7.57 ± 5.18 to 3.11 ± 4.00, Δ 4.45 p= 0.00) compared to male patients (5.72 ± 5.19 to 2.37 ± 3.95 Δ 3.34 p = 0.00) after the completion of CR. CONCLUSION: The result of this study confirms that both male and female cardiac patients demonstrated significant reduction in depressive symptoms upon completion of CR. Female cardiac patients reported higher levels of depressive symptoms than male cardiac patients at the beginning of CR and exhibited a significant decrease in mood scores at the end of CR. This evidence supports that CR is an effective treatment in the reduction of depressive symptoms among female cardiac patients. Future studies are needed to establish the relationship among gender, CR, and depression. Clearly this is a complex issue and further efforts are needed to institute strategies to increase participation rates among female cardiac patients.

scholarly journals 3086 Virtual World-based Cardiac Rehabilitation to Promote Healthy Lifestyle Among Cardiac Patients

2019 ◽  
Vol 3 (s1) ◽  
pp. 61-62
Author(s):  
LaPrincess Brewer ◽  
Brian Kaihoi ◽  
Shawn Leth ◽  
Ray Squires ◽  
Randal Thomas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Behaviors ◽  
Cardiac Rehabilitation ◽  
Fruits And Vegetables ◽  
Health Knowledge ◽  
Healthy Lifestyle ◽  
Cardiac Patients ◽  
Annual Household Income ◽  
Post Intervention ◽  
Coronary Syndrome

OBJECTIVES/SPECIFIC AIMS: Our aim was to assess the feasibility and acceptability of a VW-based cardiac rehabilitation (CR) program (Destination Rehab) as an extension of a face-to-face conventional CR program. We hypothesized that a VW-based CR program could be successfully implemented as an extension of conventional CR and would have high acceptability among cardiac patients. METHODS/STUDY POPULATION: We recruited 30 adult cardiac patients (10/site) hospitalized at Mayo Clinic Hospitals in Rochester, MN, Jacksonville, FL or Scottsdale, AZ with a diagnosis for CR (eg, acute coronary syndrome (ACS), heart failure, elective percutaneous coronary intervention (PCI)). Other inclusion criteria included at least 1 modifiable, lifestyle risk factor target: sedentary lifestyle (< 3 hours physical activity (PA)/week), unhealthy diet (< 5 servings fruits and vegetables/day) or current smoking (>1 year). Patients participated in an 8-week, health education program using a VW platform from a prior proof-of-concept study and provided intervention usability, usefulness and satisfaction feedback. We assessed cardiovascular (CV) health behaviors (diet, PA) and risk factors (eg, blood pressure (BP), lipids) at baseline and immediate post-intervention. RESULTS/ANTICIPATED RESULTS: Among 30 patients enrolled (mean age; 59 years; 50% women; 65% <college graduate; 32% annual household income <$50,000), 28 (98%) completed the study. The majority (64%) were enrolled in conventional CR with a high session completion rate (median 36 sessions, interquartile range 8-36). The most common CR indication was PCI (68%). There were statistically significant improvements in PA from baseline to post-intervention: vigorous PA, +10.7 (SD 11.7) minutes/day (p = 0.05) and flexibility exercises +0.9 (SD 0.9) days/week for men (p=0.05). There were favorable trends in risk factors: systolic BP (−6.8 mmHg, SD 29.8), total cholesterol (−31.6 mg/dL, SD 46.2) and LDL (−26 mg/dL, SD 44.8) from baseline to post-intervention, although not statistically significant. The majority reported that they would continue to use VW as a resource (76%) and agreed/strongly agreed that the program improved their heart health knowledge (86%) and assisted with adapting healthier lifestyle (100%). Overall, the VW CR program received a rating of 8 (scale 0-10). DISCUSSION/SIGNIFICANCE OF IMPACT: VW-based CR program is a feasible, highly acceptable and innovative platform to influence health behaviors and CV risk and can increase accessibility to disadvantaged populations with higher CVD burdens.

Oxford Handbook of Cardiac Nursing

2020 ◽  
Keyword(s):  
Cardiac Rehabilitation ◽  
Emergency Treatment ◽  
Clinical Information ◽  
Valvular Disease ◽  
Cardiac Patients ◽  
Evidence Based ◽  
Practical Advice ◽  
The Third ◽  
Book Covers ◽  
Evidence Based Guidelines

The Oxford Handbook of Cardiac Nursing is the indispensable companion for all those caring for cardiac patients. Fully revised and updated for the third edition and packed full of clinical information and practical advice, the book covers everything from assessment to cardiac rehabilitation. Each chapter has a list of pertinent evidence-based guidelines. This new edition contains the emergency treatment of stroke as well as a new section on genetics, and information on the management of valvular disease has been expanded.

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