Cardiac rehabilitation during COVID-19 pandemic – new challenges, new opportunities

2021 ◽  
Vol 14 (3) ◽  
pp. 215-221
Author(s):  
Maciej Janiszewski ◽  
Artur Mamcarz
Keyword(s):  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Second Phase ◽  
Mortality And Morbidity ◽  
Rehabilitation Programs ◽  
Rehabilitation Centers ◽  
New Challenges ◽  
Artery Disease

The role of comprehensive cardiac rehabilitation (CCR) is well established in the secondary prevention of cardiovascular diseases such as coronary artery disease and heart failure. Many clinical trials demonstrated effectiveness of CCR in improving exercise capacity, quality of life, and in reducing cardiovascular mortality and morbidity. However, even before the era of the COVID-19 pandemic comprehensive cardiac rehabilitation program’s implementation, especially the second phase, had many barriers. One of the main reasons for not attending in second phase of CCR was lack of transportation from patient’s home to rehabilitation centers. Additionally, in recent months COVID-19 pandemic has led to closure of many cardiac rehabilitation centres resulting in many eligible patients unable to participate in the optimisation of secondary prevention. During the coronavirus disease-2019 pandemic, hybrid telerehabilitation has become the leading solution in the cardiac rehabilitation programs. The present paper contains key information about structures, effectives and safety of hybrid telerehabilitation during the COVID-19 era.

scholarly journals Cardiac Rehabilitation in Patients with Peripheral Artery Disease—A Literature Review in COVID-19 Era

2022 ◽  
Vol 11 (2) ◽  
pp. 416
Author(s):  
Razvan Anghel ◽  
Cristina Andreea Adam ◽  
Dragos Traian Marius Marcu ◽  
Ovidiu Mitu ◽  
Florin Mitu
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Peripheral Artery Disease ◽  
Exercise Therapy ◽  
Peripheral Artery ◽  
Rehabilitation Programs ◽  
Supervised Exercise ◽  
Effective Manner ◽  
Artery Disease

Cardiac rehabilitation (CR) is an integral part of the management of various cardiovascular disease such as coronary artery disease (CAD), peripheral artery disease (PAD), or chronic heart failure (CHF), with proven morbidity and mortality benefits. This article aims to review and summarize the scientific literature related to cardiac rehabilitation programs for patients with PAD and how they were adapted during the COVID-19 pandemic. The implementation of CR programs has been problematic since the COVID-19 pandemic due to social distancing and work-related restrictions. One of the main challenges for physicians and health systems alike has been the management of PAD patients. COVID-19 predisposes to coagulation disorders that can lead to severe thrombotic events. Home-based walking exercises are more accessible and easier to accept than supervised exercise programs. Cycling or other forms of exercise are more entertaining or challenging alternatives to exercise therapy. Besides treadmill exercises, upper- and lower-extremity ergometry also has great functional benefits, especially regarding walking endurance. Supervised exercise therapy has a positive impact on both functional capacity and also on the quality of life of such patients. The most effective manner to acquire this seems to be by combining revascularization therapy and supervised exercise. Rehabilitation programs proved to be a mandatory part of the integrative approach in these cases, increasing quality of life, and decreasing stress levels, depression, and anxiety.

scholarly journals The future is now: a call for action for cardiac telerehabilitation in the COVID-19 pandemic from the secondary prevention and rehabilitation section of the European Association of Preventive Cardiology

2020 ◽  
pp. 204748732093967 ◽  
Author(s):  
Martijn Scherrenberg ◽  
Matthias Wilhelm ◽  
Dominique Hansen ◽  
Heinz Völler ◽  
Véronique Cornelissen ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Disease Patient ◽  
Mortality And Morbidity ◽  
Preventive Cardiology ◽  
Core Components ◽  
Artery Disease ◽  
Set Up ◽  
The Cost

The role of comprehensive cardiac rehabilitation is well established in the secondary prevention of cardiovascular diseases such as coronary artery disease and heart failure. Numerous trials have demonstrated both the effectiveness as well as the cost-effectiveness of comprehensive cardiac rehabilitation in improving exercise capacity and quality of life, and in reducing cardiovascular mortality and morbidity. However, the current COVID-19 pandemic has led to closure of many cardiac rehabilitation centres in Europe resulting in many eligible patients unable to participate in the optimisation of secondary prevention and physical performance. This elicits an even louder call for alternatives such as cardiac telerehabilitation to maintain the delivery of the core components of cardiac rehabilitation to cardiovascular disease patients. The present call for action paper gives an update of recent cardiac telerehabilitation studies and provides a practical guide for the setup of a comprehensive cardiac telerehabilitation intervention during the COVID-19 pandemic. This set up could also be relevant to any cardiovascular disease patient not able to visit cardiac rehabilitation centres regularly after the COVID-19 pandemic ceases.

scholarly journals Relevant problems of participation and education of patients in cardiac rehabilitation and secondary prevention programs

2020 ◽  
Vol 19 (6) ◽  
pp. 2649
Author(s):  
M. G. Bubnova
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
Drug Therapy ◽  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Prevention Programs ◽  
Rehabilitation Programs ◽  
Education Of Patients ◽  
Artery Disease

The review discusses the participation of patients with coronary artery disease after acute myocardial infarction and revascularization surgeries in cardiac rehabilitation (CR) and secondary prevention programs. The problems of patients not being included in rehabilitation programs and the reasons for low adherence to these programs are considered. The contribution of non-drug therapy to achievement of CR and secondary prevention goals is discussed. Various strategies are proposed for involving and increasing adherence of patients to CR programs.

Locally, together and close to the child - how the citizenship of school employees leads to the implementation of global standards of child protection

2021 ◽  
Vol 601 (7) ◽  
pp. 51-67
Author(s):  
Monika Czyżewska
Keyword(s):  
Domestic Violence ◽  
Child Protection ◽  
Interdisciplinary Teams ◽  
Legal Responsibility ◽  
Second Phase ◽  
School Employees ◽  
Social Pedagogy ◽  
Global Standards

For social pedagogy, it is important to answer the question whether the school and its surroundings are today a place where adults, aware of social and legal responsibility, adequately respond to suspicions of domestic violence against schoolchildren, and whether there is a dissemination of child protection standards, which are emphasized in international documents. Using the case study method, in Warsaw's Praga district (which was the Polish "cradle" of interdisciplinary work in the 1990s) I conducted two research (using an interview technique) on the role of schools in preventing child abuse. 10 respondents took part in the first phase of the study in 2009, while in the second phase (in the years 2019–2020) – 15 respondents. The aim of the study (in both phases) was to identify experiences regarding the quality of cooperation among school employees as members of interdisciplinary teams, in two periods of teams’ activity: before the introduction of the amendment to the Act on Counteracting Domestic Violence in 2010, and after its introduction – from 2011 (the aim of the article is to compare these experiences from both periods). The results of the research show that cooperation within the interdisciplinary teams established by the amendment is generally perceived positively by the members of these teams, although those who cooperated before the amendment, i.e., not obligatorily, define today's cooperation as too formalized and bureaucratic. The respondents' statements prove that currently interdisciplinary teams (from the perspective of a school employee in the Praga-Południe district) are less effective, and participation in their work, although obligatory, is relatively less frequent than when the meetings were voluntary.

The Effect of Cardiac Rehabilitation on Health-Related Quality of Life in Patients With Coronary Artery Disease: A Meta-analysis

2019 ◽  
Vol 35 (3) ◽  
pp. 352-364 ◽  
Author(s):  
Troy Francis ◽  
Nader Kabboul ◽  
Valeria Rac ◽  
Nicholas Mitsakakis ◽  
Petros Pechlivanoglou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Meta Analysis ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Artery Disease

Canakinumab for secondary prevention of coronary artery disease

2021 ◽  
Author(s):  
Luis Ortega-Paz ◽  
Davide Capodanno ◽  
Dominick J Angiolillo
Keyword(s):  
Secondary Prevention ◽  
Outcome Study ◽  
Prevention Strategies ◽  
Effective Prevention ◽  
New Era ◽  
Development Status ◽  
The Cantos ◽  
Artery Disease ◽  
Effective Prevention Strategies

Cardiovascular disease manifestations (CVD) are the world's leading cause of death, and their impact on morbidity requires effective prevention strategies of recurrent adverse events. For decades, inflammation has been proposed as a key promoter for atherosclerosis and its complications. However, studies on the use of drugs to target the excess inflammation in CVD are limited. In 2017, the Canakinumab Anti-inflammatory Thrombosis Outcome Study (CANTOS) trial confirmed the key role of inflammation on atherosclerotic disease. Canakinumab is a monoclonal antibody that blocks an inflammatory pathway mediated by IL-1β. The results of the CANTOS trial opened a new era of investigating new therapeutics targeting inflammation for CVD secondary prevention. This review presents the canakinumab's pharmacology, current clinical development status and regulatory perspectives.

HFrEF other treatment: revascularization

ESC CardioMed ◽  
2018 ◽  
pp. 1881-1884
Author(s):  
Eric Velazquez ◽  
Mark C. Petrie
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Coronary Artery Disease ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Common Cause ◽  
Reduced Ejection Fraction ◽  
Artery Disease

Although coronary artery disease is the most common cause of heart failure with reduced ejection fraction (HFrEF), the role of revascularization as a treatment strategy to improve survival, reduce morbidity, and enhance the quality of life has only begun to be investigated in recent years. To date, a sole randomized controlled clinical trial has been completed. This chapter summarizes what is currently known and what is unknown with respect to revascularization for the treatment of HFrEF.

scholarly journals The Role of the Stem Cells Therapy in the Peripheral Artery Disease

2019 ◽  
Vol 20 (9) ◽  
pp. 2233 ◽  
Author(s):  
Federico Biscetti ◽  
Nicola Bonadia ◽  
Elisabetta Nardella ◽  
Andrea Leonardo Cecchini ◽  
Raffaele Landolfi ◽  
...  
Keyword(s):  
Stem Cells ◽  
Vascular Complications ◽  
Arterial Disease ◽  
Definitive Treatment ◽  
Stem Cells Therapy ◽  
Artery Disease ◽  
The Moment ◽  
Peripheral Arterial

Vascular complications of diabetes mellitus are an important issue for all clinicians involved in the management of this complex pathology. Although many therapeutic advances have been reached, peripheral arterial disease is still an unsolved problem that each year compromises the quality of life and life span of affected patients. Oftentimes, patients, after ineffective attempts of revascularization, undergo greater amputations. At the moment, there is no effective and definitive treatment available. In this scenario, the therapeutic use of stem cells could be an interesting option. The aim of the present review is to gather all the best available evidence in this regard and to define a new role of the stem cells therapy in this field, from biomarker to possible therapeutic target.

scholarly journals How ‘Networked’ are Online Collaborative Concept-Maps? Introducing Metrics for Quantifying and Comparing the ‘Networkedness’ of Collaboratively Constructed Content

2020 ◽  
Vol 10 (10) ◽  
pp. 267
Author(s):  
Noa Sher ◽  
Carmel Kent ◽  
Sheizaf Rafaeli
Keyword(s):  
Network Analysis ◽  
Large Scale ◽  
Concept Maps ◽  
Quality Measures ◽  
Thought Process ◽  
Academic Settings ◽  
New Challenges ◽  
Complex Phenomena

With the growing role of online multi-participant collaborations in shaping the academic, professional, and civic spheres, incorporating collaborative online practices in educational settings has become imperative. As more educators include such practices in their curricula, they are faced with new challenges. Assessment of collaborations, especially in larger groups, is particularly challenging. Assessing the quality of the collaborative “thought process” and its product is essential for both pedagogical and evaluative purposes. While traditional quantitative quality measures were designed for individual work or the aggregated work of individuals, capturing the complexity and the integrative nature of high-quality collaborative learning requires novel methodologies. Network analysis provides methods and tools that can identify, describe, and quantify non-linear and complex phenomena. This paper applies network analysis to the content created by students through large-scale online collaborative concept-mapping and explores how these can be applied for the assessment of the quality of a collective product. Quantitative network structure measures are introduced for this purpose. The application and the affordances of these metrics are demonstrated on data from six large-group online collaborative discussions from academic settings. The metrics presented here address the organization and the integration of the content and enable a comparison of collaborative discussions.

Sign in / Sign up

Export Citation Format

Share Document