scholarly journals Impact of Outpatient-Based Exercise Prescription on Stable Rheumatic Heart Disease and Post Coronavirus Infection Individual- A Case Report

2021 ◽  
Vol 14 (4) ◽  
pp. 1417-1421
Author(s):  
Ismaa Rumani
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Case Report ◽  
Rheumatic Heart Disease ◽  
Exercise Tolerance ◽  
Walk Distance ◽  
Minute Walk Distance ◽  
Minute Walk ◽  
Rheumatic Heart

The outcome of covid-19 patients with co-morbidities has reported to be poor. Post covid exercise-based rehabilitation may have a major role in improving exercise tolerance and quality of life in post-covid-19 patients with co-morbidities. This case report discusses the clinical scenario of a 35-year-old person who is a known case of stable rheumatic heart disease since 29 years and recently diagnosed with covid-19 moderate pneumonia. He was referred to post covid outpatient department for post-covid physiotherapy rehabilitation. After one month of structured exercise-based rehabilitation, improvement recorded in his SF-12 and 6-minute walk distance. COVID-19 patients with co-morbidities seemed to have a poor prognosis, according to various studies. Post covid exercise-based rehabilitation may have a major role in improving exercise tolerance and quality of life in post-covid-19 patients with co-morbidities. There is no structured rehabilitative protocol designed for such unusual combination as of now hence our study focuses on this lacunae. This case report discusses the clinical scenario of a 35-year-old person who is a known case of stable Rheumatic heart disease in the last 29 years and recently diagnosed with COVID-19 moderate pneumonia. He was referred to post covid outpatient department for post-covid physiotherapy rehabilitation. The individual followed a structured exercise-based rehabilitation protocol for one month 6 times/week and improvement recorded in his SF-12 and 6-minute walk distance. There was improvement in six-minute walk distance by 150 meters and rate of perceived exertion was also improved from 9 score to 7 in 6-20 borg scale post one month. In comparison to pre-Rehabilitation, SF-12 improved the quality of life in both physical and mental sore. This case report concluded that there was a definite improvement in the walking distance and quality of life of the patient after post COVID physiotherapy rehabilitation.

scholarly journals Characteristics and health status of patients with and without confirmed HFpEF

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C Deaton ◽  
F Forsyth ◽  
J Mant ◽  
D Edwards ◽  
R Hobbs ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Cohort Study ◽  
Health Status ◽  
Functional Impairment ◽  
Funding Source ◽  
Walk Distance ◽  
Minute Walk Distance ◽  
Minute Walk

Abstract Aims Patients with heart failure with preserved ejection fraction (HFpEF) are usually older and multi-morbid and diagnosis can be challenging. The aims of this cohort study were to confirm diagnosis of HFpEF in patients with possible HFpEF recruited from primary care, to compare characteristics and health status between those with and without HFpEF, and to determine factors associated with health status in patients with HFpEF. Methods Patients with presumed HFpEF were recruited from primary care practices and underwent clinical assessment and diagnostic evaluation as part of a longitudinal cohort study. Health status was measured by Montreal Cognitive Assessment (MOCA), 6-minute walk test, symptoms, and the Kansas City Cardiomyopathy Questionnaire (KCCQ), and quality of life (QoL) by EQ-5D-5L visual analogue scale (VAS). Results 151 patients (mean age 78.5±8.6 years, 40% women, mean EF 56% + 9.4) were recruited and 93 (61.6%) were confirmed HFpEF (those without HFpEF had other HF and cardiac diagnoses). Patients with and without HFpEF did not differ by age, MOCA, blood pressure, heart rate, NYHA class, proportion with atrial fibrillation, Charlson Comorbidity Index, or NT-ProBNP levels. Patients with HFpEF were more likely to be women, overweight or obese, frail, and to be more functionally impaired by 6 minute walk distance and gait speed than those without. Although not statistically significant, patients with HFpEF had clinically significant differences (>5 points) on the physical limitations, symptom burden and clinical summary subscales of the KCCQ, but did not differ by other subscales or by EQ-5D-5L VAS (70±17 vs 73±19, p=0.385). More patients with HFpEF reported daytime dyspnoea (63% vs 46%, p=0.035) and fatigue (81% vs 61%, p=0.008), but not other symptoms compared to those without HFpEF. For both groups BMI was moderately negatively correlated with KCCQ subscale scores, and 6 minute walk distance was positively correlated with KCCQ subscales. Conclusions Nearly 40% were not confirmed as HFpEF indicating the challenges of diagnosis. Patients with confirmed HFpEF differed by sex, overweight/obesity, frailty, functional impairment, and symptoms but not by age or comorbidities from those without HFpEF. These differences were reflected in some subscale scores of the KCCQ, but not how patients reported their quality of life on the KCCQ QoL subscale and EQ-5D-5L VAS. Older patients with HFpEF reported relatively high QoL despite poor health status by functional impairment, frailty and symptoms. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): National Institute of Health Research School of Primary Care Research

scholarly journals Manfaat Tai chi terhadap Pasien Penyakit Paru Obstruksi Kronis

2019 ◽  
Vol 10 (3) ◽  
pp. 208
Author(s):  
Qurratu Iffoura ◽  
Agung Waluyo
Keyword(s):  
Quality Of Life ◽  
Tai Chi ◽  
Complementary Therapy ◽  
Chronic Obstructive ◽  
Walk Distance ◽  
The World ◽  
St George's Respiratory Questionnaire ◽  
Minute Walk Distance ◽  
Minute Walk

The prevalence of Chronic Obstructive Pulmonary Disease (COPD) continues to increase in the world and predicted in 2030 to rank third in the world. COPD causes people to have difficulty breathing, limit mobility and lifestyle, and can cause more serious complications and lead to a decrease in quality of life. One of the nonpharmacological treatments that can be done is Tai chi a traditional Chinese mind-body exercise. Objective: This literature study aims to describe benefits of Tai chi in improving the quality of life of patients with COPD. Literature review was conducted from various sources such as CINAHL, MEDLINE, science Direct and proquest. Tai chi was a meditative martial art consisting of three basic concepts namely physical exercise, breathing techniques, and full awareness. Tai chi movements that were practiced vary, such as 24 movements which were or 6 movements that have been modified and simplified. Some of the benefits of doing Tai chi include increased muscle strength, reduced tightness, improved pulmonary function, increased 6-minute walk distance (6MWD) and increased St. George’s Respiratory Questionnaire (SGRQ) scores. Tai chi can be used as a complementary therapy in COPD patients according to their preferences and values. In addition this exercise can be recommended in patients with other chronic diseases. Keywords: Tai chi; COPD; complementary therapy ABSTRAK Prevalensi Penyakit Paru Obstruksi Kronis (PPOK) terus meningkat di dunia dan diprediksikan pada tahun 2030 akan menempati urutan ketiga di dunia. PPOK menyebabkan penderita sulit bernafas, membatasi mobilitas dan gaya hidup, serta dapat menyebabkan komplikasi yang lebih serius dan mengarah kepada penurunan kualitas hidup. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan ialah Tai chi, latihan mind-body tradisional Tiongkok. Studi literatur ini bertujuan untuk menggambarkan manfaat Tai chi pada peningkatan kualitas hidup pada pasien PPOK. Penulusuran literature dilakukan dari berbagai sumber seperti CINAHL, MEDLINE, Science Direct dan proquest. Tai chi merupakan seni bela diri yang bersifat meditasi yang terdiri dari tiga konsep dasar yaitu latihan fisik, teknik pernapasan, dan kesadaran penuh. Gerakan Tai chi yang dipraktikkan bervariasi, seperti 24 gerakan Yang atau 6 gerakan yang telah dimodifikasi dan disederhanakan. Beberapa manfaat melakukan Tai chi seperti peningkatan kekuatan otot, mengurangi sesak, meningkatkan fungsi paru, meningkatkan 6-minute walk distance (6MWD) dan peningkatan skor St. George’s Respiratory Questionnaire (SGRQ). Tai chi dapat dijadikan terapi pelengkap pada pasien PPOK sesuai dengan preference dan nilai yang dimiliki individu. Latihan ini dapat direkomendasikan pada pasien penyakit kronis lainnya. Kata kunci: Tai chi; PPOK; terapi komplementer

The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life

2016 ◽  
Vol 175 ◽  
pp. 123-129 ◽  
Author(s):  
Tyler Bradley-Hewitt ◽  
Andrea Dantin ◽  
Michelle Ploutz ◽  
Twalib Aliku ◽  
Peter Lwabi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
The Impact ◽  
Rheumatic Heart

To assess the quality of life in patients with chronic rheumatic heart disease

2020 ◽  
Vol 13 (8) ◽  
pp. 3792
Author(s):  
Sabreena S Sheikh ◽  
Anwar H Ansari ◽  
Manoj K Mudigubba ◽  
Saurabh Dahiya
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Rheumatic Heart

scholarly journals Walking with controlled breathing improves exercise tolerance, anxiety, and quality of life in heart failure patients: A randomized controlled trial

2018 ◽  
Vol 17 (8) ◽  
pp. 717-727 ◽  
Author(s):  
Hsiu-Chin Teng ◽  
Mei-Ling Yeh ◽  
Mei-Hua Wang
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Heart Failure ◽  
Oxygen Saturation ◽  
Interoceptive Awareness ◽  
Walk Distance ◽  
Heart Failure Patients ◽  
Minute Walk Distance ◽  
Minute Walk

Background: Patients with heart failure experience not only impaired physical condition, but also their physical activity, moods, and quality of life may be diminished. Aims: The purpose of this study was to investigate the effects of 12-week walking with breathing program on physical activity tolerance considering time-dependent physiological factors and time-independent interoceptive awareness, as well as psychosocial factors. Methods: This randomized controlled trial recruited 90 heart failure patients and randomly assigned them. The walking with breathing group received the walking and breathing intervention for 12 weeks but the control group did not. Outcomes included activity tolerance measured by 6-minute walk distance, moods assessed by the Hospital Anxiety and Depression Scale, quality of life determined by the EuroQol 5-Dimensions, oxygen saturation by pulse oximetry, and interoceptive awareness by the Multidimensional Assessment of Interoceptive Awareness scale. Data were collected before the intervention at baseline and at Weeks 2, 4 and 12. Results: The results of the generalized estimating equation showed the 6-minute walk distance in the walking with breathing group was significantly different across time ( p<0.001) compared with the control group at baseline. Oxygen saturation by pulse oximetry ( p=0.04) and Trusting on the Multidimensional Assessment of Interoceptive Awareness scale ( p=0.001) significantly and positively correlated with results of the 6-minute walk distance. There were significant between-group differences at Week 12 in anxiety ( p=0.03) and quality of life ( p=0.02) but not depression ( p=0.06). Conclusions: Walking with breathing improved heart failure patients’ tolerance of physical activity, probably because of improved oxygen saturation and trusting interoceptive awareness. Walking with breathing also improved patients’ anxiety and quality of life.

scholarly journals Effect of Psychological Nursing on the Mental State and Quality of Life of Patients After Heart Valve Replacement for Rheumatic Heart Disease

2021 ◽  
Vol 5 (5) ◽  
pp. 142-146
Author(s):  
Lijuan Wu ◽  
Liping Feng ◽  
Hui Chen
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Valve Replacement ◽  
Heart Valve ◽  
Mental State ◽  
Research Group ◽  
Control Group ◽  
Rheumatic Heart

Objective: To explore the effect of psychological nursing on the mental state and quality of life of patients after heart valve replacement for rheumatic heart disease. Methods: Seventy-four patients with rheumatic heart disease that underwent heart valve replacement in Zhenjiang First People’s Hospital from January 2017 to May 2020 were selected as the research subjects. Thirty-seven patients that were treated from January 2017 to September 2018 were included in the control group. Routine care was provided for the patients in the control group. From October 2018 to May 2020, the Department of Cardiothoracic Surgery improved their preoperative and postoperative psychological care. Thirty-seven patients that were treated during this period were included in the research group. The research group received psychological nursing care in addition to routine care. The effects of different nursing modes on the quality of life and postoperative mental state of the patients were determined. Results: The scores for depression, anxiety, somatization, and compulsion in the research group were significantly lower than those in the control group (p < 0.05); the scores for the quality of life of patients in the research group were significantly higher than those in the control group (p < 0.05). Conclusions: Strengthening psychological nursing for patients with rheumatic heart disease is helpful to improve their quality of life and mental state after heart valve replacement.

scholarly journals Positive Outcomes of Goal Directed Cardiac Rehabilitation for a Patient Undergone Rheumatic Heart Disease Undergone Mitral Valve Replacement: A Case Study

2021 ◽  
pp. 798-802
Author(s):  
Grisha Ratnani ◽  
Rashmi Walke ◽  
Moli Jai Jain ◽  
Vishnu Vardhan ◽  
Vaishnavi Yadav ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Mitral Valve ◽  
Cardiac Rehabilitation ◽  
Rheumatic Heart Disease ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Rheumatic Heart

Rheumatic heart disease is one of the principal contributors that has a negative influence on a patient's quality of life and makes it challenging for them to perform their daily activities. The disorder predominantly impairs the function of heart valves, specifically the mitral valve, resulting in stenosis that can be managed by repair or replacement of the valve. The purpose of treatment is to improve the patient's quality of life. As an adjunct to that, cardiac rehabilitation and exercise therapy are used. This case study discusses a patient with mitral stenosis and mitral regurgitation, who underwent mitral valve replacement. She was given with physiotherapy for a week of phase I cardiac rehabilitation and was prescribed home exercise.

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