Current Perspectives on the Use of Circulatory Assist Devices

1991 ◽  
Vol 2 (3) ◽  
pp. 488-499
Author(s):  
Richard G. Smith ◽  
Marilyn Cleavinger
Keyword(s):  
Implantable Devices ◽  
National Institutes Of Health ◽  
Assist Devices ◽  
Bridge To Transplant ◽  
Circulatory Assist Devices ◽  
Patients With Heart Failure ◽  
Reasonable Cost ◽  
Ongoing Development ◽  
Near Future

An overview of currently available circulatory assist devices (CADs) is presented with discussion of each system’s optimal use and limitations. Successful application of CAD technology for bridge to transplant or pending recovery of the natural heart requires understanding issues involving team readiness, patient selection, device limitations, patient management, and complications. Currently, many of these devices are in clinical trials with the Food and Drug Administration (FDA). The FDA and the National Institutes of Health play major roles in the ongoing development of this technology. In the near future the learning curve continues as totally implantable systems are used. The ultimate goal is to maintain patients with heart failure on implantable devices with a good quality of life at a reasonable cost

Mechanical Circulatory Assist Devices

2019 ◽  
pp. 424-428
Author(s):  
Ayan Sen ◽  
Bhavesh M. Patel
Keyword(s):  
Heart Failure ◽  
Heart Function ◽  
Decompensated Heart Failure ◽  
Destination Therapy ◽  
Bridge To Recovery ◽  
Assist Devices ◽  
Bridge To Transplant ◽  
Circulatory Assist Devices ◽  
Bridge To Decision ◽  
Tissue Circulation

Mechanical circulatory assist devices (MCADs) are used in patients with decompensated heart failure refractory to medical therapy. The devices are used as a bridge to transplant, as a bridge to recovery for reversible conditions, as a bridge to decision while a patient’s eligibility for transplant is determined, and as destination therapy to support left-sided heart function when a patient is not eligible for transplant. MCADs restore tissue circulation by increasing blood flow and, thereby, improving organ function.

Circulatory Assist Devices in Congestive Heart Failure

1994 ◽  
Vol 12 (1) ◽  
pp. 143-154 ◽  
Author(s):  
Timothy V. Votapka ◽  
D. Glenn Pennington
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Assist Devices ◽  
Circulatory Assist Devices

Telemonitoring in Heart Failure Rehabilitation

2011 ◽  
Vol 7 (1) ◽  
pp. 66 ◽  
Author(s):  
Ewa Piotrowicz ◽  
Ryszard Piotrowicz ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Ecg Monitoring ◽  
Heart Rate Monitoring ◽  
Electrocardiographic Monitoring ◽  
Number Of Patients ◽  
Patients With Heart Failure ◽  
Related Quality ◽  
Health Related

Exercise training (ET) is now recommended as an important component of a comprehensive approach to patients with heart failure (HF). Despite the existence of proven benefits of ET, many HF patients remain physically inactive. Introducing telerehabilitation (TR) may eliminate most of the factors that result in the currently low number of patients undergoing outpatient-based rehabilitation programmes and thus increase the percentage of those who will undergo cardiac rehabilitation. Despite the fact that TR is highly applicable and effective, there are few papers dedicated to the study of TR in HF patients. Until recently, only a couple of home rehabilitation-monitoring models have been presented, from the simplest, i.e. heart rate monitoring and transtelephonic electrocardiographic monitoring, through to the more advanced tele-electocardiogram (tele-ECG) monitoring (via a remote device) and realtime electrocardiographic and voice transtelephonic monitoring. It seems the last two are the most useful and reliable. Based on published studies, TR in HF patients could be equally effective as and provide similar improvements in health-related quality of life to standard outpatient cardiac rehabilitation. In addition, adherence to cardiac rehabilitation seems to be better during TR. Due to disease-related limitations, TR seems to be a viable alternative for comprehensive cardiac rehabilitation in HF patients. Further studies are needed to confirm the utility of this type of rehabilitation in routine clinical practice, including its cost-effectiveness. Because of the diversity of technological systems, it is necessary to create a platform to ensure compatibility between the devices used in telemedicine.

A Review of Recent Patents (2016-2019) on Plant Food Supplements with Potential Application in the Treatment of Neurodegenerative and Metabolic Disorders

2020 ◽  
Vol 11 (2) ◽  
pp. 145-153 ◽  
Author(s):  
Rosalba Leuci ◽  
Leonardo Brunetti ◽  
Antonio Laghezza ◽  
Paolo Tortorella ◽  
Fulvio Loiodice ◽  
...  
Keyword(s):  
Metabolic Disorders ◽  
Food Supplements ◽  
Plant Food ◽  
Fortified Foods ◽  
Patent Review ◽  
Novel Strategy ◽  
Lifestyle Related Diseases ◽  
Near Future ◽  
Prevention And Therapy

In the near future, it is expected that the prevalence of illnesses related to the increasing life expectancies and quality of life, such as neurodegenerative diseases and cardiovascular diseases related to metabolic disorders, will soar to unprecedented levels, leading to high socioeconomic costs. To address this rising threat, natural products are emerging as a novel strategy for the prevention and therapy of these ages- and lifestyle-related diseases, thanks to their high marketability and few side effects. In this patent review, we summarize selected patents for food supplements, functional and fortified foods, filed from 2016 to 2019, categorizing them based on the biological activity of their components.

Application of WHOQOL-BREF for the evaluation of the quality of life in elderly patients with heart failure

2016 ◽  
Vol 9 (4) ◽  
pp. 878-883 ◽  
Author(s):  
Mahshid Borumandpour Gholamabbas Valizadeh ◽  
Alizallah Dehghan ◽  
Alireza Poumarjani ◽  
Maryam Ahmadifar
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Elderly Patients ◽  
Patients With Heart Failure

Ever-Single Heterosexual Couples in Nonmarital Cohabitation: Spirituality, Connectedness, and Adjustment

2021 ◽  
pp. 106648072110239
Author(s):  
Samta P. Pandya
Keyword(s):  
Middle Class ◽  
Relationship Quality ◽  
Upper Class ◽  
Heterosexual Couples ◽  
Highly Qualified ◽  
Christian Couples ◽  
Work Intervention ◽  
Do It Yourself ◽  
Near Future

This article reports a study on the effectiveness of WhatsApp-based spiritual posts in promoting connectedness and adjustment among ever-single heterosexual couples in nonmarital cohabitation in four global cities. In comparison with trivia posts, the spiritual posts had greater impact and were more effective for Christian couples, middle class, highly qualified, and professionals-salaried cohabitants. This was in comparison with Hindu–Buddhist–Sikh dyads, upper class, with college degree, and entrepreneurs. However, cohabitation duration, initial cohabitation experience with other partners, having children/cohabitation dependents, and near future marriage plans were not significant predictors. Gender also did not significantly moderate spiritual intervention responses as proposed in the previous research. Couple intervention outcomes were mutually interdependent and intervention compliance in terms of number of posts read and do-it-yourself exercises posted were robust predictors of intervention success. With some subgroup-specific refinements, WhatsApp-based spiritual posts would be an effective spiritually sensitive social work intervention for improving relationship quality of nonmarital cohabitants.

scholarly journals Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

2021 ◽  
Vol 11 (2) ◽  
pp. 418-429
Author(s):  
Joana Pereira Sousa ◽  
Hugo Neves ◽  
Miguel Pais-Vieira
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Care Management ◽  
Controlled Trial ◽  
Self Care ◽  
Fluid Restriction ◽  
Symptom Recognition ◽  
Patients With Heart Failure ◽  
Randomised Controlled

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).

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