Life In Cardiovascular Patients Research Articles

Identification of DRPs and Assessment of Health-Related Quality of Life in Cardiovascular Patients in Tertiary Care Teaching Hospital

Identification of DRPs and Assessment of Health-Related Quality of Life in Cardiovascular Patients in Tertiary Care Teaching Hospital

Enhancing Quality of Life in Cardiovascular Patients: The Role of Comprehensive Interventions and Cardiac Rehabilitation

Abstract Introduction Cardiac rehabilitation is an established strategy to improve cardiovascular outcomes in patients with Acute Coronary Syndrome (ACS) and Heart Failure (HF). However, not all patients can participate in such programs. Intermediate interventions focused on lifestyle modification may be a potential strategy to improve outcomes. Depression and anxiety are common in patients with CVD and are linked to increased mortality. The Hospital Anxiety and Depression Scale (HADS) is a 14-item tool used to measure anxiety and depression symptoms and has been shown to be useful in assessing the psychological well-being of patients undergoing cardiac rehabilitation. Objective The objective of this retrospective study was to evaluate the impact of different levels of intervention on the quality of life of patients after cardiovascular events - ACS and CHF - in terms of depressive and anxious outcomes. Materials and Methods The study analyzed 56 patients who were previously hospitalized in the Cardiology department within one year: 47 for ACS and 9 for decompensated HF. After discharge, 19 patients attended a cardiac rehabilitation program (group 1), 19 had regular cardiovascular risk appointments and educational sessions conducted by psychiatrists, nutritionists, physiatrists, and cardiologists, but without participating in a physical rehabilitation program (group 2), and 18 patients were selected as controls without any of previous strategies (group 3). The group 1 intervention include also the measures implemented in group 2. All participants signed informed consent and completed the HADS questionnaire. Results The average age of the participants was 54.9 ± 9.9 years, with 29% females, and an average of 2.7 ± 0.6 cardiovascular risk factors. There were no significant differences in the distribution of ACS or decompensated heart failure between the groups. Group 1 predominantly presented a normal pattern of HADS scores (56% vs 40% vs 4%), respectively for group 1, 2 and 3. Conversely, in group 3 compared with group 1 and 2, there was a predominance of the abnormal score, respectively (50% vs 17% vs 33.3%); p <0.01. Conclusion The results suggest that patients who underwent regular appointments/education and cardiac functional rehabilitation exhibited lower levels of anxiety and depressive symptoms. In conclusion, the study indicates that a comprehensive intervention continuum, including cardiac rehabilitation and regular appointments/education, can significantly improve patients' quality of life and reduce their cardiovascular risk. Patients who undergo cardiac rehabilitation may experience the greatest benefits. The findings support the potential value of intermediate interventions focused on lifestyle modification as a strategy to improve outcomes for patients who cannot participate in a rehabilitation program.

Sexual Satisfaction and Quality of Life in Cardiovascular Patients: The Mediating Role of Anxiety.

Cardiovascular diseases represent one of the most important problems for public health. Research indicates that elderly patients consider sexual satisfaction as a fundamental aspect of their quality of life and a better sexual function is related to higher general wellbeing. The main objective of this study was to investigate the mediating role of anxiety and depression in the relationship between quality of life and sexual satisfaction in cardiovascular (CVD) patients. The sample comprised 128 adult patients, males and females, hospitalized in a Cardiology Rehabilitation clinical center. To collect data, the following were used: a demographic information sheet, the left ventricular ejection fraction (EF) to evaluate cardiac function, cardiovascular diagnosis type, the HADS scale to evaluate anxiety and depression states, a test for sexual satisfaction evaluation (SAS) and the SF-36 survey to measure quality of life. The results indicated that only SF-36 physical health is indirectly related to SAS through its relationship with anxiety. A mediating model was proposed to explore the underlying association between sexual satisfaction and quality of life. We recommend investigating perceived general health and sexuality as clinical indicators for therapeutic decisions and risk evaluation for the management of cardiovascular diseases.

Effect of modified Wenyang Buxin decoction and routine therapy on cardiac function and serum levels of H-FABP, cTnI and Ang-2 in chronic heart failure patients

Purpose: To investigate the effect of modified Wenyang Buxin decoction and routine therapy on cardiac function and serum levels of heart-type fatty acid binding protein (H-FABP), cardiac troponin-1 (cTnI) and angiopoietin-2 (Ang-2) in chronic heart failure (CHF) patients.Methods: A total of 120 CHF patients admitted to Zhejiang Province Rongjun Hospital (from January2019 - January 2020) were selected for this study. They were randomly but equally distributed into groups A and B. All patients were given routine therapy such as diuretic treatment and detumescence, while those in group A received 150 mL of modified Wenyang Buxin decoction daily, in addition to routine therapy. At 2 months after therapy, cardiac function indices, serum H-FABP, cTnI and Ang-2 levels, hemorheology indices, traditional Chinese medicine (TCM) syndrome scores, and Chinese questionnaire of quality of life in cardiovascular patients (CQQC) scores of the two groups were evaluated.Results: After therapy, cardiac function indices, serum H-FABP, cTnI and Ang-2 levels, hemorheology indices as well as TCM syndrome score and CQQC score were significantly improved in group A, when compared with corresponding values in group B (p < 0.05).Conclusion: Modified Wenyang Buxin decoction and routine therapy improves serum biomarker levels, cardiac function and quality of life, and relieves clinical symptoms of CHF in patients. Therefore, this treatment approach may be useful in the management of CHF patients.

The Mediating Role of Perceived Stress in the Relationship Between Psychological Hardiness and Quality of Life in Cardiovascular Patients

Background: Cardiovascular disease (CVD), a chronic and debilitating physical condition, is one of the most common causes of death. Complications of CVD, such as decreased physical and mental health along with its chronic, progressive, and irreversible nature have numerous negative consequences for patients. This study aimed to investigate the mediating role of perceived stress in the relationship between psychological hardiness and quality of life (QoL) in cardiovascular patients. Methods: The present study was a descriptive-correlational and structural equation modeling. The statistical population included all patients with CVD referred to heart hospitals and cardiac rehabilitation centers in Tehran, Iran in 2019. Using purposeful sampling method, a total of 151 individuals were selected. Data collection tools included a Kobasa Psychological Hardiness Questionnaire, Cohen’s Perceived Stress Questionnaire, and Quality of Life Scale (SF-36). To analyze the data, Pearson’s correlation coefficient and path analysis with SPSS.22 and Amos.22 software were used. Results: The results showed that negative perception of stress and positive perception of stress had a significant negative and positive relationship with dimensions of QoL, respectively (P<0.001). Psychological hardiness had a significant positive relationship with dimensions of QoL (P<0.001). Also, perceived stress had a mediating role in the relationship between psychological hardiness and QoL dimensions (P<0.001). Conclusion: The results of the present study indicated a correlation between psychological hardiness and increased QoL and the inverse relationship between perceived stress and QoL in cardiovascular patients.

Positivity and Self-Efficacy Beliefs Explaining Health-Related Quality of Life in Cardiovascular Patients.

Psychological well-being and health-specific self-regulation have been associated with cardiovascular health. This study aimed to examine the longitudinal relationship of positivity and health-specific self-regulatory variables to health-related quality of life in patients with cardiovascular disease. A sample of 550 cardiac patients completed a number of instruments (positivity, regulatory emotional self-efficacy, and cardiac self-efficacy scales, and the general health questionnaire SF-12) on two occasions 9 months apart, assessing their level of positivity, health-specific self-efficacy beliefs, and health-related quality of life. Mediational analyses demonstrated that health-specific self-efficacy beliefs mediate the relationship between positivity and health-related quality of life. In terms of self-efficacy in managing negative affect, the despondency-distress factor showed both direct and indirect effects on health, while the anger factor showed only an indirect effect. The results of the structural equation model demonstrated suitable indices of fit. Positivity may act as a disposition helps patients to use motivational strategies related to health, be more confident in their ability to regulate their emotions, and follow the recommendations of their cardiac medical team, enabling them to perceive a higher quality of life. These findings indicate the need to promote psychosocial interventions that include these variables.

Kuanxiong Aerosol () in Treatment of Angina Pectoris: A Literature Review and Network Pharmacology.

Angina pectoris (AP) is the most common symptom of cardiovascular diseases, which seriously affects the quality of life in cardiovascular patients. Kuanxiong (KX) Aerosol (), a compound preparation that consists of 5 traditional Chinese medicines: Herba Asari , Rhizoma Alpiniae Officinarum, Lignum Santali Albi, Fructus Piperis Longi, and Borneolum, has been used in the treatment of AP for many years, exhibiting a significant curative effect and less side-effect. For the convenience and comprehensive understanding of KX Aerosol, this review systematically summarizes evidence on KX Aerosol in the treatment of AP including the pharmacological effects of its composition, clinical research, animal experiments, and network pharmacology prediction. Meanwhile, we highlight the research limitation of KX Aerosol at present. This review may guide the clinical application of KX Aerosol and further provide a reference for the research of AP.

"The Relationships between Coping Mechanisms, Depression, Anxiety and Sleep Disorders in Cardiovascular Patients"

"Depression, anxiety and sleep disorders are psychological risk factors that could impact the quality of life in cardiovascular patients. In this study, a theoretical model on the complex relationships between coping mechanisms, depression, anxiety and sleep disorders was studied in a sample of 274 cardiovascular patients. The maladaptive cognitive-emotional coping strategies that appeared to be correlated with these negative emotional pathologies were self-blaming, ruminating and catastrophizing, and the adaptive ones were positive refocusing, refocusing on planning and positive reassessment. A theoretical model that explains these relationships at a process level appears to have statistical significance and to have adequate goodness of fit. In this model, there are statistically significant direct effects of maladaptive and adaptive coping mechanisms on depression and anxiety, a significant effect of anxiety on depression, as well as statistically significant positive effects of depression and anxiety on sleep disorders. The age has been controlled for in the model and the severity of the illness appears to have a moderating role in this context, with a stronger effect of anxiety on depression for patients with more severe illnesses. The practical implications of these results in psychological counselling addressed to cardiovascular patients are discussed."

Comparison of the Effectiveness of Acceptance and Commitment Therapy and Guided Imagery on the Resilience of Cardiac Disease Patients Referring to the Heart Rehabilitation Department

Aims: One of the most essential causes of mortality in the world is cardiovascular disease. Biological backgrounds and physical risk factors, types of stress and distress, ineffective interaction strategies, stressful life events, as well as low levels resiliency contribute to the start and severity of the disease are some features of this disease. The present research tends to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Guided Mental Imagery (GSI) on the resiliency in cardiovascular patients referring to cardiac rehabilitation ward through 2018-2019. Methods & Materials: This study is a quasi-experimental with pretest-posttest and follow-up with control group. The research samples were 45 participants selected using available method and completed the Conner-Davidson Resiliency Scale (CD-RIS). Interventions consisted of 8 sessions of 60 minutes each (ACT group) and 10 sessions of 45 minutes each (GSI group). Data analysis was performed using repeated measurement covariance analysis and Bonferroni test in SPSS v. 22 software. Findings: The research findings showed the effectiveness of the two treatments of ACT and GSI on the increase in resiliency of cardiovascular patients. In other words, the results of Bonferroni test indicate the more effectiveness of ACT than GSI in increasing resiliency is in cardiovascular patients (P<0.005). Therefore, it can be concluded that ACT, by focusing on psychological flexibility, is more effective than GSI on Resilience. Conclusion: According to the results of this study, the ACT with the main acceptance factor, may expand the concept of acceptance by believing in lack of control over life in cardiovascular patients, and increase their resiliency. A one-month follow-up of the results showed its sustainability and strength.

Interplay of Self-efficacy and Social Support in Predicting Quality of Life in Cardiovascular Patients in Pakistan.

The primary objective of the present study was to assess independent and interactive relations of perceived social support and self-efficacy with four quality of life (QOL) domains namely physical, psychological, social, and environmental in cardiovascular disease (CVD) patients from a South Asian region. Participants were 172 (age 22-60years) patients recruited from three major government sector hospitals from the fifth biggest city of South Asia. It was found that overall CVD patients had a better QOL in psychological and environmental domains compared to social and psychological. Furthermore, findings from hierarchical regression analyses indicated that perceived social support and self-efficacy were positively associated with the four QOL domains. Besides main effects, a synergistic interaction between social support and self-efficacy emerged indicating that perceived social support was strongly associated with physical and social QOL in CVD patients who had higher self-efficacy levels, while, perceived social support was weakly associated with the physical and social QOL in CVD patients who had lower self-efficacy levels.

The Effect of Participatory Care Model on Sleep Quality and Quality of Life in Cardiovascular Patients

Background: In the last century, according to previous studies, aging has led to a growing trend. Among the problems created for this group, it is possible to increase the number of cardiovascular patients. Participatory care model is one of the nursing models that has been used in various studies and has had positive effects. Considering that this model is a native model of Iran. For this reason, the researcher conducted a study to determine the impact of participatory care model on the quality of sleep and quality of life in patients with cardiovascular disease. Materials and method: The present study was a quasi-experimental study in patients with cardiovascular diseases hospitalized in Ilam in 2016. PCM was implemented for patients. After completing the training provided to the patients according to the model of PCM, the collected questionnaires were entered into the SPSS software. Then the data entered was analyzed. Results: According to the findings, after implementing the PCM, the status of quality of sleep and quality of life of the patients increased significantly. Conclusions: It seems that in previous studies, the implementation of this model has been very useful and effective. © 2018, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

GW27-e0162 The survey Quality of life in cardiovascular patients after heart surgery

It is predicted that 44/8% of deaths in 2030 from cardiovascular disease will be in Iran; Coronary artery bypass surgery is one of the most common surgical procedures for the treatment of heart disease that can improve cardiovascular symptoms, improve performance, reduce mortality and improve

Wybrane czynniki psychologiczne i medyczne a jakość życia chorych na choroby układu krążenia

Wybrane czynniki psychologiczne i medyczne a jakość życia chorych na choroby układu krążenia

‘Health-related quality of life in cardiovascular patients’

‘Health-related quality of life in cardiovascular patients’

Quality of life in cardiovascular patients in iran and factors affecting it: a systematic review.

Cardiovascular diseases are always one of the major causes of mortality in the world affecting all aspects of patients' lives. Therefore, this study was conducted to summarize and provide a clear view of quality of life in these patients in Iran through a systematic review on the results of previously conducted studies. In a systematic review, required information was collected by searching keywords of Iran, quality of life, heart failure, cardiac, heart, and their Persian equivalents in databases of Science Direct, Pubmed, IRAN doc, SID, Medlib and Magiran. The selected time period for searching articles was since 2000 to 2012. Inclusion criteria were: releasing of article during 2000 to 2012, articles reporting patients' quality of life in any domains of heart diseases, and articles published in Persian and English. Extracted results first were summarized in Extraction Table, and then analyzed manually. Finally 18 of 1592 found articles were included in the study. A total of 3,797 cardiac patients' quality of life was measured using six different tools, the most important one of which was SF36 questionnaire. Among eight dimensions of SF36 questionnaire, the highest mean was for social role functioning with average score of 58.37 and the lowest for physical limitation (physical role functioning) with score of 42.95. Overall, mean of eight dimensions was 53.19. Among 4 general domains of quality of life, physical activity had the lowest average of 43.63 and average of general dimensions of quality of life was 47.65. The most important factors affecting quality of life were sex, age, education, marital status, occupational status, suffering duration, number of hospitalizations etc. The results of the studies showed relatively low quality of life of cardiovascular patients in general. Therefore, according to the introduced effective factors in this study, it is necessary to consider regular programs for improving quality of life in these patients and providing suitable and qualitative services.

Evaluation of arterial propagation velocity based on the automated analysis of the Pulse Wave Shape

This paper proposes the automatic estimation of the arterial propagation velocity from the pulse wave raw records measured in the region of the radial artery. A fully automatic process is proposed to select and analyze typical pulse cycles from the raw data. An adaptive neuro-fuzzy inference system, together with a heuristic search is used to find a functional approximation of the pulse wave. The estimation of the propagation velocity is carried out via the analysis of the functional approximation obtained with the fuzzy model. The analysis of the pulse wave records with the proposed methodology showed small differences compared with the method used so far, based on a strong interaction with the user. To evaluate the proposed methodology, we estimated the propagation velocity in a population of healthy men from a wide range of ages. It has been found in these studies that propagation velocity increases linearly with age and it presents a considerable dispersion of values in healthy individuals. We conclude that this process could be used to evaluate indirectly the propagation velocity of the aorta, which is related to physiological age in healthy individuals and with the expectation of life in cardiovascular patients.

Abstract P207: Determinants of Individual Differences in Patient-Centered Outcomes: A Meta-analysis of Type D Personality and Health Status

Background. Knowledge of the determinants of individual differences in patient-centered outcomes is essential to identify high-risk patients and improve secondary prevention. We evaluated the evidence on the distressed (Type D) personality as a potential determinant of patient-reported physical and mental health status in cardiovascular patients. Methods. A computerized search of the literature through PUBMED and PsychINFO (1995-October 2010) was performed and studies were selected that analyzed the association between Type D personality and health status or health-related quality of life in cardiovascular patients. Two separate meta-analyses were performed for the effect of Type D personality on physical and mental health status. Results. Of all identified studies, 23 met the selection criteria; 9 studies were excluded from the meta-analyses as they originated from the same dataset or had limited methodological quality. The meta-analyses showed that Type D personality was associated with a 2-fold increased odds for impaired physical health status (n=3865 patients, OR=2.04; 95%CI:1.67-2.48) and a 3-fold increased odds for impaired mental health status (n=3043 patients, OR=3.02; 95%CI:2.09-4.36). Subgroup analyses showed that the association between Type D personality and mental health status decreased when adjusting for baseline health status and/or depression. All but one of the nine studies not included in the meta-analyses confirmed an association between Type D personality and impaired health status. Conclusions . Type D personality was shown to be an independent associate of impaired physical and mental health status across various cardiovascular conditions. Physicians should be aware of Type D personality as a potential determinant of patient-reported health status in cardiovascular outcomes research.