Journal of cardiopulmonary rehabilitation and prevention
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J Cardiopulm Rehabil Prev · May 2011
Comparative StudyComparison of cardiac rehabilitation and acute care nurses perceptions of providing sexual counseling for cardiac patients.
: The purpose of this study was to examine the differences between outpatient cardiac rehabilitation (CR) and acute care nurses perceived barriers and clinical practices of providing sexual counseling for myocardial infarction patients. ⋯ : Findings from this study further elucidate the influence of practice settings on the actual implementation of patient education and counseling of cardiac patients regarding sexual functioning. Outpatient CR nurses reported fewer barriers and reported higher rates of implementing sexual counseling into their practice. These findings support the importance of CR referral to provide both physical and psychosocial rehabilitation after a cardiac event. Findings bring to light the need to address the gap in practice to meet the perceived unmet needs of patients regarding their concerns of sexual functioning while hospitalized and for those patients who may not enroll in CR after hospital discharge.
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J Cardiopulm Rehabil Prev · May 2011
Prevalence of obstructive sleep apnea in a patient population undergoing cardiac rehabilitation.
: The primary objective of this study was to determine the prevalence of undiagnosed or untreated obstructive sleep apnea (OSA) in patients undergoing cardiac rehabilitation. ⋯ : Overall, the rate of preexisting and predicted OSA (53%) suggests a high prevalence of OSA in patients with cardiovascular diseases in a cardiac rehabilitation setting. Moreover, the high rate of undiagnosed OSA, as suggested by the Berlin Questionnaire, further adds to the growing literature that a large number of patients with significant cardiovascular disease carry the burden of sleep disordered breathing.
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J Cardiopulm Rehabil Prev · Jan 2011
Core competencies for cardiac rehabilitation/secondary prevention professionals: 2010 update: position statement of the American Association of Cardiovascular and Pulmonary Rehabilitation.
Cardiac rehabilitation/secondary prevention (CR/SP) services are typically delivered by a multidisciplinary team of health care professionals. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognizes that to provide high-quality services, it is important for these health care professionals to possess certain core competencies. This update to the previous statement identifies 10 areas of core competencies for CR/SP health care professionals and identifies specific knowledge and skills for each core competency. These core competency areas are consistent with the current list of core components for CR/SP programs published by the AACVPR and the American Heart Association and include comprehensive cardiovascular patient assessment; management of blood pressure, lipids, diabetes, tobacco cessation, weight, and psychological issues; exercise training; and counseling for psychosocial, nutritional, and physical activity issues.
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J Cardiopulm Rehabil Prev · Jan 2011
Randomized Controlled TrialThe addition of strength training to aerobic interval training: effects on muscle strength and body composition in CHF patients.
The loss of lean muscle mass and muscle strength is a common problem in chronic heart failure (CHF) patients. Endurance training is efficient in improving patient exercise capacity. This study sought to evaluate the additional effects of strength training on muscle strength and body composition in chf patients participating in an interval training program. ⋯ Combined aerobic interval and strength training induces a greater benefit than interval training alone on muscle strength in CHF patients. Adaptations other than hypertrophy, such as muscle fiber type alterations and/or neuromuscular adjustments, may account for these results.
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J Cardiopulm Rehabil Prev · Nov 2010
Lung function and cardiovascular risk: effect of cardiac rehabilitation.
Reduced lung function, as measured by the forced expiratory volume in 1 second (FEV1) and the forced vital capacity (FVC), is an independent risk factor for increased cardiovascular morbidity and mortality. Cardiac rehabilitation is known to reduce cardiovascular morbidity and mortality. We therefore investigated whether cardiac rehabilitation would lead to an improvement in lung function. ⋯ Lung function improves in association with cardiac rehabilitation only in those participants with a baseline bmi 30 kg/m or higher, and these changes are inversely correlated with loss of weight. this finding suggests that obesity partly explains the association between lung function and cardiovascular risk.