scholarly journals Coronary heart disease beliefs and misconceptions among cardiac patients and people with chronic illness

2012 ◽  
Vol 02 (01) ◽  
pp. 1-7 ◽  
Author(s):  
Yu-Ping Lin ◽  
Tsae-Jyy Wang ◽  
Heng-Hsin Tung ◽  
Gill Furze
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chronic Illness ◽  
Cardiac Patients

scholarly journals Diagnosis and treatment of depression following routine screening in patients with coronary heart disease or diabetes: a database cohort study

2012 ◽  
Vol 43 (3) ◽  
pp. 529-537 ◽  
Author(s):  
C. Burton ◽  
C. Simpson ◽  
N. Anderson
Keyword(s):  
Coronary Heart Disease ◽  
Cohort Study ◽  
Heart Disease ◽  
Chronic Illness ◽  
Antidepressant Treatment ◽  
Case Series ◽  
Routine Care ◽  
Diagnosis And Treatment ◽  
Number Needed To Screen ◽  
New Diagnosis

BackgroundDepression is common in chronic illness and screening for depression has been widely recommended. There have been no large studies of screening for depression in routine care for patients with chronic illness.MethodWe performed a retrospective cohort study to examine the timing of new depression diagnosis or treatment in relation to annual screening for depression in patients with coronary heart disease (CHD) or diabetes. We examined a database derived from 1.3 million patients registered with general practices in Scotland for the year commencing 1 April 2007. Eligible patients had either CHD or diabetes, were screened for depression during the year and either received a new diagnosis of depression or commenced a new course of antidepressant (excluding those commonly used to treat diabetic neuropathy). Analysis was by the self-controlled case-series method with the outcome measure being the relative incidence (RI) in the period 1–28 days after screening compared to other times.ResultsA total of 67358 patients were screened for depression and 2269 received a new diagnosis or commenced treatment. For the period after screening, the RI was 3.03 [95% confidence interval (CI) 2.44–3.78] for diagnosis and 1.78 (95% CI 1.54–2.05) for treatment. The number needed to screen was 976 (95% CI 886–1104) for a new diagnosis and 687 (95% CI 586–853) for new antidepressant treatment.ConclusionsSystematic screening for depression in patients with chronic disease in primary care results in a significant but small increase in new diagnosis and treatment in the following 4 weeks.

scholarly journals Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

2020 ◽  
Vol 42 (01) ◽  
pp. 19-26
Author(s):  
Simon Nichols ◽  
Gordon McGregor ◽  
Jeff Breckon ◽  
Lee Ingle
Keyword(s):  
Heart Failure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chronic Heart Failure ◽  
Exercise Training ◽  
Cardiac Rehabilitation ◽  
Behaviour Change ◽  
Cardiac Patients ◽  
Community Based ◽  
Cardiac Rehabilitation Programme

AbstractCardiac rehabilitation is a package of lifestyle secondary prevention strategies designed for patients with coronary heart disease and chronic heart failure. A community-based cardiac rehabilitation programme provides patients with a structured exercise training intervention alongside educational support and psychological counselling. This review provides an update regarding the clinical benefits of community-based cardiac rehabilitation from a psycho-physiological perspective, and also focuses on the latest epidemiological evidence regarding potential survival benefits. Behaviour change is key to long-term adoption of a healthy and active lifestyle following a cardiac event. In order for lifestyle interventions such as structured exercise interventions to be adopted by patients, practitioners need to ensure that behaviour change programmes are mapped against patient’s priorities and values, and adapted to their level of readiness and intention to engage with the target behaviour. We review the evidence regarding behaviour change strategies for cardiac patients and provide practitioners with the latest guidance. The ‘dose’ of exercise training delivered to patients attending exercise-based cardiac rehabilitation is an important consideration because an improvement in peak oxygen uptake requires an adequate physiological stimulus to invoke positive physiological adaptation. We conclude by critically reviewing the latest evidence regarding exercise dose for cardiac patients including the role of traditional and more contemporary training interventions including high intensity interval training.

scholarly journals Personality traits and chronic illness: a comparison of individuals with psychiatric, coronary heart disease, and HIV/AIDS diagnoses

2011 ◽  
Vol 24 (2) ◽  
pp. 74-81 ◽  
Author(s):  
Judith A. Erlen ◽  
Carol S. Stilley ◽  
Ann Bender ◽  
Mary Pat Lewis ◽  
Linda Garand ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chronic Illness ◽  
Personality Traits ◽  
Hiv Aids

Causal Attributions for Coronary Heart Disease Among Female Cardiac Patients

2005 ◽  
Vol 25 (3) ◽  
pp. 135-143 ◽  
Author(s):  
Barbara Murphy ◽  
Marian Worcester ◽  
Rosemary Higgins ◽  
Michael Le Grande ◽  
Pamela Larritt ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Causal Attributions ◽  
Cardiac Patients

scholarly journals Sexual health of male cardiac patients – present status and expectations of patients with coronary heart disease

2017 ◽  
Vol 2 ◽  
pp. 302-310 ◽  
Author(s):  
Dariusz Kałka ◽  
Łukasz Karpiński ◽  
Jana Gebala ◽  
Lesław Rusiecki ◽  
Anna Biełous-Wilk ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Sexual Health ◽  
Present Status ◽  
Cardiac Patients

Other cardiac problems

2020 ◽  
pp. 353-370
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Pericardial Effusion ◽  
Constrictive Pericarditis ◽  
Cardiac Patients ◽  
Pericardial Disease ◽  
Common Problems ◽  
Heart Disease In Pregnancy ◽  
Athlete's Heart ◽  
In Pregnancy

The most common problems that cardiac patients present with are related to coronary heart disease (CHD) and valvular disorders. However, there are various infections and malignancies that can affect the heart and this chapter outlines the main disorders that can affect the pericardium and myocardium that are not covered elsewhere in the book. This chapter covers pericardial disease (including pericardial effusion and acute and constrictive pericarditis), myocarditis, cardiac cancers, athlete’s heart, and heart disease in pregnancy.

scholarly journals Evaluation of a Web-Based Intervention for Multiple Health Behavior Changes in Patients With Coronary Heart Disease in Home-Based Rehabilitation: Pilot Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Yan Ping Duan ◽  
Wei Liang ◽  
Lan Guo ◽  
Julian Wienert ◽  
Gang Yan Si ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Cardiac Patients ◽  
Control Group ◽  
Web Based ◽  
Internal Resources ◽  
Randomized Controlled

BACKGROUND Web-based and theory-based interventions for multiple health behaviors appears to be a promising approach with respect to the adoption and maintenance of a healthy lifestyle in cardiac patients who have been discharged from the hospital. Until now, no randomized controlled trials have tested this assumption among Chinese rehabilitation patients with coronary heart disease using a Web-based intervention. OBJECTIVE The study aim was to evaluate the effect of an 8-week Web-based intervention in terms of physical activity (PA), fruit and vegetable consumption (FVC), lifestyle changes, social-cognitive outcomes, and health outcomes compared with a waiting control group in Chinese cardiac patients. The intervention content was theory-based on the health action process approach. Self-reported data were evaluated, including PA, FVC, healthy lifestyle (the synthesis of PA and FVC), internal resources (combination of intention, self-efficacy, and planning), and an external resource (social support) of PA and FVC behaviors, as well as perceived health outcomes (body mass index, quality of life, and depression). METHODS In a randomized controlled trial, 136 outpatients with coronary heart disease from the cardiac rehabilitation center of a hospital in China were recruited. After randomization and exclusion of unsuitable participants, 114 patients were assigned to 1 of the 2 groups: (1) the intervention group: first 4 weeks on PA and subsequent 4 weeks on FVC and (2) the waiting control group. A total of 2 Web-based assessments were conducted, including 1 at the beginning of the intervention (T1, N=114), and 1 at the end of the 8-week intervention (T2, N=83). The enrollment and follow-up took place from December 2015 to May 2016. RESULTS The Web-based intervention outperformed the control condition for PA, FVC, internal resources of PA and FVC, and an external resource of FVC, with an eta-squared effect size ranging from 0.06 to 0.43. Furthermore, the intervention effect was seen in the improvement of quality of life (F1,79=16.36, P<.001, η2=.17). When predicting a healthy lifestyle at follow-up, baseline lifestyle (odds ratio, OR 145.60, 95% CI 11.24-1886; P<.001) and the intervention (OR 21.32, 95% CI 2.40-189.20; P=.006) were found to be significant predictors. Internal resources for FVC mediated the effect of the intervention on the adoption of a healthy lifestyle (R2adj=.29; P=.001), indicating that if the intervention increased the internal resource of behavior, the adoption of a healthy lifestyle was more likely. CONCLUSIONS Patients’ psychological resources such as motivation, self-efficacy, planning, and social support as well as lifestyle can be improved by a Web-based intervention that focuses on both PA and FVC. Such an intervention enriches extended rehabilitation approaches for cardiac patients to be active and remain healthy in daily life after hospital discharge. CLINICALTRIAL ClinicalTrials.gov NCT01909349; https://clinicaltrials.gov/ct2/show/NCT01909349 (Archived by WebCite at http://www.webcitation.org/6pHV1A0G1)

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