Relationships between Psychoeducational Rehabilitation and Health Outcomes—A Systematic Review Focused on Acute Coronary Syndrome

(1) Background: Cardiac rehabilitation is a multidisciplinary program that includes psychoeducational support in addition to physical exercise. Psychoeducational intervention is a component that has had accelerated interest and development in recent decades. The aim was to analyze the current evidence on the effectiveness of psychoeducational interventions for patients with acute coronary syndrome (ACS). (2) Methods: We conducted a systematic search of the literature via four databases: PubMed, CENTRAL, PsycINFO, and EMBASE. We included randomized controlled trials that evaluated the effectiveness of a psychoeducational intervention compared to usual care in ACS patients. We assessed the risk of bias using a modified version of the Cochrane tool. We analyzed data regarding the population, intervention, comparator, outcomes, and timing. (3) Results: We identified 6248 studies. After a rigorous screening, we included in the analysis 11 articles with a total of 3090 participants. Major adverse cardiovascular events, quality of life, hospitalizations, lipidogram, creatinine, NYHA class, smoking, physical behavior, and emotional state were significantly improved. In addition, illness perception, knowledge, and beliefs were substantially ameliorated (all p < 0.001). All this was related to the type and dose of psychological intervention. (4) Conclusions: Patients with ACS can receive significant benefits through individualized psychoeducation sessions. The cardiac rehabilitation program should include personalized psychological and educational intervention by type and dose.

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In-hospital psychological intervention in cardiac rehabilitation following acute coronary syndrome: Brief is better than nothing

Revista Portuguesa de Cardiologia (English Edition) ◽

10.1016/j.repce.2019.06.008 ◽

2019 ◽

Vol 38 (5) ◽

pp. 369-372

Author(s):

Ana Abreu

Keyword(s):

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Psychological Intervention ◽

Coronary Syndrome ◽

Better Than

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Impact of a brief psychological intervention on lifestyle, risk factors and disease knowledge during phase I of cardiac rehabilitation after acute coronary syndrome

Revista Portuguesa de Cardiologia ◽

10.1016/j.repc.2018.09.009 ◽

2019 ◽

Vol 38 (5) ◽

pp. 361-368 ◽

Cited By ~ 4

Author(s):

Ana Cláudia Fernandes ◽

Teresa McIntyre ◽

Rui Coelho ◽

Joana Prata ◽

Maria Júlia Maciel

Keyword(s):

Risk Factors ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Phase I ◽

Psychological Intervention ◽

Disease Knowledge ◽

Lifestyle Risk Factors ◽

Coronary Syndrome ◽

Lifestyle Risk

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Cardiac rehabilitation program after an acute coronary syndrome in the elderly population: benefits and safety

European Heart Journal ◽

10.1093/eurheartj/eht310.p5806 ◽

2013 ◽

Vol 34 (suppl 1) ◽

pp. P5806-P5806

Author(s):

D. Gemma ◽

S. O. Rosillo Rodriguez ◽

F. De Torres Alba ◽

S. Del Prado Diaz ◽

A. M. Iniesta Manjavacas ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Elderly Population ◽

The Elderly ◽

Rehabilitation Program ◽

Cardiac Rehabilitation Program ◽

Coronary Syndrome

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Cardiorehabilitation of Patients with Acute Coronary Syndrome Who Were Performed Coronary Arteries Revascularization

Galician Medical Journal ◽

10.21802/gmj.2017.4.9 ◽

2017 ◽

Vol 24 (4) ◽

Author(s):

Mykola Shved ◽

Lesja Tsuglevych ◽

Iryna Kyrychok ◽

Tetiana Boiko ◽

Larysa Levutska

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Acute Coronary Syndrome ◽

Coronary Artery ◽

Cardiac Rehabilitation ◽

Rehabilitation Program ◽

Left Ventricular ◽

Cardiac Rehabilitation Program ◽

Coronary Artery Revascularization ◽

Coronary Syndrome

In patients with acute coronary syndrome who were performed coronary arteries’ revascularization, in the postoperative period disorders of hemodynamics and heart rate variability often develop. The aim of our work was to optimize the cardiac rehabilitation of such patients by individualization of physical activity depending on the state of systolic and diastolic left ventricular dysfunction and heart rate variability. 40 patients with acute coronary syndrome and coronary artery revascularization were included into the experimental group. The control group consisted of 20 patients of the same age, clinical and laboratory manifestations of ACS who were treated according to the protocol of Ministry of Health of Ukraine. In both groups of patients clinical efficacy of cardiac rehabilitation process was evaluated according to the dynamics of clinical symptoms, systolic and diastolic left ventricular function and heart rate variability. In patients with acute coronary syndrome and coronary artery revascularization in the initial state the clinical and laboratory signs of myocardial ischemia disappear, but subclinical and clinical manifestations of heart failure remain. During the first month of training, the original accelerated cardiac rehabilitation program leads to the decrease of systolic and diastolic signs of cardiac dysfunction and improves heart rate variability, which significantly improves the quality of life of these patients. For monitoring the efficacy and safety of the performance of cardiac rehabilitation program in patients with acute coronary syndrome and coronary artery revascularization, in addition to conventional methods (determination of heart rate, blood pressure, 6-minute test), it is useful to diagnose subclinical stage of heart failure by examination of systolic, diastolic function and vegetative regulation.

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Gender differences in risk profile and response to a cardiac rehabilitation program after an acute coronary syndrome

European Heart Journal ◽

10.1093/eurheartj/eht310.p5802 ◽

2013 ◽

Vol 34 (suppl 1) ◽

pp. P5802-P5802

Author(s):

F. De Torres Alba ◽

S. Rosillo Rodriguez ◽

D. Gemma ◽

A. Iniesta Manjavacas ◽

S. Valbuena Lopez ◽

...

Keyword(s):

Gender Differences ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Rehabilitation Program ◽

Risk Profile ◽

Cardiac Rehabilitation Program ◽

Coronary Syndrome

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Impact of an online cardiac rehabilitation program after an acute coronary syndrome during SARS-CoV-2 pandemic

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.331 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

A Severo Sanchez ◽

B Rivero Santana ◽

E Arbas Redondo ◽

VM Juarez Olmos ◽

D Poveda Pinedo ◽

...

Keyword(s):

Health Care ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Mediterranean Diet ◽

Cardiovascular Health ◽

New Technologies ◽

Rehabilitation Program ◽

Prevention Measures ◽

Coronary Syndrome ◽

The Impact

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Hospital Universitario La Paz Introduction The SARS-CoV-2 pandemic has overloaded health care systems at several fields. Spanish COVID-19 first wave led to the interruption of most cardiac rehabilitation (CRH) programs in our country. Resume activity without compromising patient"s safety has been a challenge. At our centre (a third-level hospital), we modified our routine clinical practice from face-to-face interviews to a complete online CRH program since July 1st 2020. Purpose The aim of this study is to analyse the impact of an online CRH program after hospital discharge for an acute coronary syndrome in health goals and adherence to secondary prevention measures at the end of the program. Methods This is a retrospective study made up of patients who, after suffering an acute myocardial infarction, followed an online CRH program from June to November 2020. A first online assessment is made by a cardiology consultant. Then, it is followed by ten online group interviews of up to three patients and a health care proffesional: either a nurse or a physiotherapist. These interviews last around ninety minutes. Four weeks after, an online follow-up interview is made by a cardiology consultant. These interviews focus either on physical exercise instructions (aerobical exercise and endurance exercise) or educational interviews (ischemic cardiomyopathy, Mediterranean diet, pharmacological treatment, sexual dysfunction, stress management techniques and solution of questions). Results Up to eighty-four patients were included in our CRH program (this means 83% of patients discharged from our hospital after an acute coronary event). Median of time from discharge to first online interview was 8"79 days and from this last one to program beginning, 3"67 days. Four weeks after the beginning of the program, 82% of the patients presented with a LDL-cholesterol level below aim level (< 55 mg/dL). Workout, Mediterranean diet and tobacco abstinence observance rates were over 90%. There were just three patients who gave up or did not complete the program. Conclusion Despite the fact that SARS-CoV-2 pandemic has arisen a huge challenge for ongoing CRH programs in Spain, the benefit that has been showed by them on cardiovascular health, makes it necessary to develop new tools to allow them going on. New technologies are an opportunity for us to keep on following these patients, moreover showing good results as for adherence, availability and patient and operator assesssment.

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