Evaluation of the description of active mobilisation protocols for mechanically ventilated patients in the intensive care unit: A systematic review of randomized controlled trials
The complete description of exercise interventions is essential to allow for the replication of clinical trials and to the correct application in clinical practice. (Source: Heart and Lung)
Source: Heart and Lung - March 30, 2018 Category: Intensive Care Authors: Rodrigo Santos de Queiroz, Micheli Bernardone Saquetto, Bruno Prata Martinez, Edil Alves Andrade, Paula Aracoeli Miranda Pimentel da Silva, Mansueto Gomes-Neto Source Type: research

The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure
African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the USA. (Source: Heart and Lung)
Source: Heart and Lung - March 29, 2018 Category: Intensive Care Authors: Ubolrat Piamjariyakul, Noreen C. Thompson, Christy Russell, Carol E. Smith Source Type: research

Nurses' decision making in heart failure management based on heart failure certification status
Research findings on the value of nurse certification were based on subjective perceptions or biased by correlations of certification status and global clinical factors. In heart failure, the value of certification is unknown. (Source: Heart and Lung)
Source: Heart and Lung - March 29, 2018 Category: Intensive Care Authors: Nancy M. Albert, James F. Bena, Denise Buxbaum, Linda Martensen, Shannon L. Morrison, Marilyn A. Prasun, Kelly D. Stamp Source Type: research

The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure
African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the USA. (Source: Heart and Lung)
Source: Heart and Lung - March 29, 2018 Category: Intensive Care Authors: Ubolrat Piamjariyakul, Noreen C. Thompson, Christy Russell, Carol E. Smith Source Type: research

Nurses' decision making in heart failure management based on heart failure certification status
Research findings on the value of nurse certification were based on subjective perceptions or biased by correlations of certification status and global clinical factors. In heart failure, the value of certification is unknown. (Source: Heart and Lung)
Source: Heart and Lung - March 29, 2018 Category: Intensive Care Authors: Nancy M. Albert, James F. Bena, Denise Buxbaum, Linda Martensen, Shannon L. Morrison, Marilyn A. Prasun, Kelly D. Stamp Source Type: research

A case report of breathlessness on exertion with an asymptomatic honeymoon period
Chronic thromboembolic pulmonary hypertension (CTEPH) results from fibrous organization of incomplete pulmonary emboli resolution which leads to increased pulmonary vascular resistance and promotes adverse pulmonary vascular remodeling. CTEPH develops after acute or recurrent pulmonary emboli, but a majority of CTEPH cases may originate from asymptomatic chronic thromboembolic disease (CTED). Here, we report the 6-year clinical journey of a patient from acute pulmonary thromboembolism to chronic thromboembolic pulmonary hypertension. (Source: Heart and Lung)
Source: Heart and Lung - March 22, 2018 Category: Intensive Care Authors: Lei Ma, Jun An, Yingqun Ji Source Type: research

Diabetes mellitus prevalence in patients with takotsubo syndrome: the case of the brain-heart disconnect
Hyperactive autonomic nervous system (ANS) is among the postulated pathophysiologic mechanisms of takotsubo syndrome (TTS). Diabetes mellitus (DM) with its associated ANS peripheral neuropathy could exert a “protective” influence for the emergence of TTS. (Source: Heart and Lung)
Source: Heart and Lung - March 22, 2018 Category: Intensive Care Authors: John E. Madias Source Type: research

A case report of breathlessness on exertion with an asymptomatic honeymoon period
Chronic thromboembolic pulmonary hypertension (CTEPH) results from fibrous organization of incomplete pulmonary emboli resolution which leads to increased pulmonary vascular resistance and promotes adverse pulmonary vascular remodeling. CTEPH develops after acute or recurrent pulmonary emboli, but a majority of CTEPH cases may originate from asymptomatic chronic thromboembolic disease (CTED). Here, we report the 6-year clinical journey of a patient from acute pulmonary thromboembolism to chronic thromboembolic pulmonary hypertension. (Source: Heart and Lung)
Source: Heart and Lung - March 22, 2018 Category: Intensive Care Authors: Lei Ma, Jun An, Yingqun Ji Source Type: research

Diabetes mellitus prevalence in patients with takotsubo syndrome: the case of the brain-heart disconnect
Hyperactive autonomic nervous system (ANS) is among the postulated pathophysiologic mechanisms of takotsubo syndrome (TTS). Diabetes mellitus (DM) with its associated ANS peripheral neuropathy could exert a “protective” influence for the emergence of TTS. (Source: Heart and Lung)
Source: Heart and Lung - March 22, 2018 Category: Intensive Care Authors: John E. Madias Source Type: research

Quality of life with an LVAD: A misunderstood concept
The present study aims to synthesize current evidence on the impact of LVAD implantation on quality of life. Current evidence was systematically reviewed to obtain relevant quantitative and qualitative articles published after 2007. Sandelowski's recommended steps for meta-summary were used to analyze the 19 studies that met the inclusion criteria. LVADs can improve HF symptoms and some aspects of QoL. Emotional and physical adaptation involves many changes and learning to manage the device takes time. (Source: Heart and Lung)
Source: Heart and Lung - March 15, 2018 Category: Intensive Care Authors: Emily E. Adams, Morgan L. Wrightson Tags: Care of People With Cardiovascular Disorders Source Type: research

Comparison of drug eluting stents (DESs) and bare metal stents (BMSs) with STEMI: who received BMS in the era of 2nd generation DES?
Previous studies have indicated that drug eluting stents (DESs) are associated with better outcomes than bare metal stents (BMSs); however, a debate exists among physicians when selecting the optimal stent for certain high-risk patients.1 –3 The early successes of 1st generation DESs over BMSs have been curtailed by frequently encountered long term adverse events, which often result in hypersensitivity reactions associated with the polymer coating or delayed stent endothelialization.4 The usage of BMSs has continuously declined fol lowing the initial approval of 2nd generation DESs. (Source: Heart and Lung)
Source: Heart and Lung - March 12, 2018 Category: Intensive Care Authors: Rajkumar Doshi, Jay Shah, Varun Jauhar, Dean Decter, Rajiv Jauhar, Perwaiz Meraj Source Type: research

Intramural atrial hematoma complicating transesophageal echocardiography during cardiac arrest
Adequate strategies using either transthoracic (TTE) or transesophageal (TEE) echocardiography in patients receiving cardiopulmonary resuscitation (CPR) is an ongoing area of research. (Source: Heart and Lung)
Source: Heart and Lung - March 2, 2018 Category: Intensive Care Authors: Benjamin Marchandot, Fran çois Levy, Nicola Santelmo, Paul-Michel Mertes, Olivier Morel Source Type: research

Table of Contents
(Source: Heart and Lung)
Source: Heart and Lung - March 1, 2018 Category: Intensive Care Source Type: research

Board of Directors
(Source: Heart and Lung)
Source: Heart and Lung - March 1, 2018 Category: Intensive Care Source Type: research

Information for Readers
(Source: Heart and Lung)
Source: Heart and Lung - March 1, 2018 Category: Intensive Care Source Type: research

Information for Authors
(Source: Heart and Lung)
Source: Heart and Lung - March 1, 2018 Category: Intensive Care Source Type: research

Increased neutrophil to lymphocyte ratio predicts myocardial injury in patients undergoing non-cardiac surgery
The neutrophil to lymphocyte ratio (NLR), has been proposed as potential indicator of cardiovascular events. Our aim was to determine the relationship between NLR and development of myocardial injury after non-cardiac surgery (MINS). (Source: Heart and Lung)
Source: Heart and Lung - February 27, 2018 Category: Intensive Care Authors: G ündüz Durmuş, Erdal Belen, Mehmet Mustafa Can Source Type: research

Predictors of health-related quality of life in korean patients with myocardial infarction: a longitudinal observational study
Experience of myocardial infarction (MI) negatively affects different aspects of health-related quality of life (HRQoL). (Source: Heart and Lung)
Source: Heart and Lung - February 21, 2018 Category: Intensive Care Authors: Kyoungrim Kang, Leila Gholizadeh, Hae-Ra Han, Sally C. Inglis Source Type: research

The American Association of Heart Failure Nurses (AAHFN) certification review course: the impact on heart failure nurses' knowledge
Heart failure (HF) is a complex, chronic cardiovascular condition with an estimated prevalence of 6.5 million Americans aged 20 years or older.1 HF is associated with morbidity that often results in hospitalization for disease instability and nurses are a critical component of the healthcare team promoting quality care for patients during both acute crisis and periods of stability. In the hospital setting, nurses are the primary providers of patient discharge instructions, including education on HF self-care. (Source: Heart and Lung)
Source: Heart and Lung - February 15, 2018 Category: Intensive Care Authors: Kelley M. Anderson, Cynthia Bither, Natalie Andon Source Type: research

Right atrium enlargement predicts clinically significant supraventricular arrhythmia in patients with pulmonary arterial hypertension
Right atrial (RA) enlargement is a common finding in patients with pulmonary arterial hypertension (PAH) and an important predictor of mortality, however its relation to the risk of atrial arrhythmias has not been assessed. (Source: Heart and Lung)
Source: Heart and Lung - February 14, 2018 Category: Intensive Care Authors: Marcin Walig óra, Anna Tyrka, Tomasz Miszalski-Jamka, Małgorzata Urbańczyk-Zawadzka, Piotr Podolec, Grzegorz Kopeć Source Type: research

Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness
There is no insomnia screening tool validated in intensive care unit (ICU) survivors. (Source: Heart and Lung)
Source: Heart and Lung - February 12, 2018 Category: Intensive Care Authors: Elizabeth C. Parsons, Catherine L. Hough, Michael V. Vitiello, Brian Palen, Douglas Zatzick, Dimitry S. Davydow Source Type: research

Nursing research in heart failure care: a position statement of the american association of heart failure nurses (AAHFN)
Heart Failure (HF) is a public health problem globally affecting approximately 6 million in the United States. (Source: Heart and Lung)
Source: Heart and Lung - February 3, 2018 Category: Intensive Care Authors: Kelly D. Stamp, Marilyn Prasun, Christopher S. Lee, Tiny Jaarsma, Mariann R. Piano, Nancy M. Albert Source Type: research

Effect of symptoms on physical performance in COPD
Chronic obstructive pulmonary disease (COPD) patients experience multiple symptoms including dyspnea, anxiety, depression, and fatigue, which are highly correlated with each other. Together, those symptoms may contribute to impaired physical performance. (Source: Heart and Lung)
Source: Heart and Lung - February 3, 2018 Category: Intensive Care Authors: Jungeun Lee, Huong Q. Nguyen, Monica E. Jarrett, Pamela H. Mitchell, Kenneth C. Pike, Vincent S. Fan Source Type: research

Comparison of nasal and forehead oximetry accuracy and pressure injury in critically ill patients
In critically ill patients, clinicians can have difficulty obtaining accurate oximetry measurements. (Source: Heart and Lung)
Source: Heart and Lung - February 2, 2018 Category: Intensive Care Authors: Marilyn Schallom, Donna Prentice, Carrie Sona, Cassandra Arroyo, John Mazuski Source Type: research

AAHFN leadership message
The Silence Breakers were the TIME Magazine people of the year in 2017. I would like to challenge heart failure nurses to be the silence breakers for 2018. It is time that Heart failure nurses break the silence about the impact of heart failure. With 6 million current Americans having a diagnosis of heart failure and a projected 8 million by 2030, we need to raise awareness. The costs to the health care system, (14.3 Billion) and to society for lost wages, care giver stress and pre-mature death are continuing to rise (8.2 billion). (Source: Heart and Lung)
Source: Heart and Lung - February 2, 2018 Category: Intensive Care Authors: Linda Wick Tags: AAHFN Leadership Article Source Type: research

An investigation of factors influencing self-care behaviors in young and middle-aged adults with hypertension based on a health belief model
To explore whether five variables of the health belief model were factors influencing self-care behaviors in young and middle-aged adults with hypertension. (Source: Heart and Lung)
Source: Heart and Lung - January 23, 2018 Category: Intensive Care Authors: Chunhua Ma Source Type: research

Assessment of the charlson comorbidity index score, CHADS2 and CHA2DS2-VASc scores in predicting death in patients with thoracic empyema
Patients with thoracic empyema have an increased risk of mortality, but their absolute rate of mortality depends on age and comorbidities. (Source: Heart and Lung)
Source: Heart and Lung - January 19, 2018 Category: Intensive Care Authors: Jengyuan Wu, Chienming Liu, Shangsen Lee, Yuhung Kuo, Tengfu Hsieh Source Type: research

Quality of life and psychological symptoms in patients with pulmonary hypertension
Pulmonary arterial hypertension (PAH) is a rare and severe clinical condition affecting approximately 15 individuals per million annually.1 According to the largest national data registry, the average time from onset of symptoms to diagnosis was 2.8 years.1 The delay in diagnosis makes time since diagnosis a factor of interest in this population. So, also are depression and anxiety disorders. The prevalence of depression and anxiety disorders is higher in patients with PAH compared to patients with inflammatory rheumatic disease and patients seen in primary care settings, and depression and anxiety in patients with PAH inc...
Source: Heart and Lung - January 18, 2018 Category: Intensive Care Authors: Tania T. Von Visger, Kristin K. Kuntz, Gary S. Phillips, Vedat O. Yildiz, Namita Sood Source Type: research

Poor oral intake in a late preterm twin – usual symptom with an unusual diagnosis
At three weeks of age, a previous 34 weeks' gestation male infant (twin A) was transferred to our regional perinatal center (RPC) with complaints of poor oral feeding and intermittent tachypnea. Twin B was discharged at 37 weeks with an uneventful course. (Source: Heart and Lung)
Source: Heart and Lung - January 10, 2018 Category: Intensive Care Authors: Ajay Pratap Singh, Rula Balluz, Praveen Chandrasekharan Source Type: research

A mixed methods study of symptom perception in patients with chronic heart failure
Early heart failure (HF) symptoms are frequently unrecognized for reasons that are unclear. We explored symptom perception in patients with chronic HF. (Source: Heart and Lung)
Source: Heart and Lung - January 3, 2018 Category: Intensive Care Authors: Barbara Riegel, Victoria Vaughan Dickson, Christopher S. Lee, Marguerite Daus, Julia Hill, Elliane Irani, Solim Lee, Joyce W. Wald, Stephen T. Moelter, Lisa Rathman, Megan Streur, Foster Osei Baah, Linda Ruppert, Daniel R. Schwartz, Alfred Bove Source Type: research

Factors associated with inter-arm blood pressure differences in patients admitted to critical care units
Experts recommend obtaining one-time dual- (inter)-arm blood pressure (BP) measurements to predict cardiovascular morbidity risk. (Source: Heart and Lung)
Source: Heart and Lung - December 13, 2017 Category: Intensive Care Authors: Jayne Rosenberger, Susan McCrudden, Carol McCullough, Lu Wang, Joni Kime, Nancy M. Albert Source Type: research

When is it safe to exercise mechanically ventilated patients in the intensive care unit? An evaluation of consensus recommendations in a cardiothoracic setting
Consensus recommendations have been developed to guide exercise rehabilitation of mechanically ventilated patients in the intensive care unit. (Source: Heart and Lung)
Source: Heart and Lung - December 12, 2017 Category: Intensive Care Authors: Jemima Boyd, Jenny Paratz, Oystein Tronstad, Lawrence Caruana, Paul McCormack, James Walsh Source Type: research

Coronary ectasia in amyloid cardiomyopathy and neuropathy due to the transthyretin mutation c.323A > G
atrial fibrillation(AF) is a frequent manifestation of cardiac involvement in genetic and wild-type transthyretin-related familial amyloidosis(TTR-FA). However, ectasia of coronary arteries and ablation for AF have not been reported in TTR-FA. (Source: Heart and Lung)
Source: Heart and Lung - December 12, 2017 Category: Intensive Care Authors: Josef Finsterer, Claudia St öllberger, Helmut Rauschka, Edmund Gatterer Source Type: research

Opioid withdrawal and takotsubo syndrome: how can we study further the underpinnings of their connection?
I read with interest the contribution by Olson et  al, published in the Journal,1 about the 66 year-old woman who suffered takotsubo syndrome (TTS), following withdrawal of her maintenance oxycodone therapy (30 to 60 mg/day) for her rheumatoid arthritis, and I concur with the authors that health care professionals should exercise a high index of suspicion, “given the prevalence of opiate use both recreational and iatrogenic (80% of world's consumption of the opiate analgesics supply” in the United States. (Source: Heart and Lung)
Source: Heart and Lung - December 8, 2017 Category: Intensive Care Authors: John E. Madias Source Type: research

Influence of muscle strength on early mobility in critically ill adult patients: Systematic literature review
Muscle strength may be one indicator of readiness to mobilize that can be used to guide decisions regarding early mobility efforts and to progressively advance mobilization. (Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Authors: Audrey R. Roberson, Angela Starkweather, Catherine Grossman, Edmund Acevedo, Jeanne Salyer Tags: Care of Critically Ill Patients Source Type: research

A novel mortality prediction model for the current population in an adult intensive care unit
The accurate and reliable mortality prediction is very useful, in critical care medicine. There are various new variables proposed in the literature that could potentially increase the predictive ability for death in ICU of the new predictive scoring model. (Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Authors: Sofia Fika, Serafeim Nanas, Georgios Baltopoulos, Efstratia Charitidou, Pavlos Myrianthefs Tags: Care of Critically Ill Patients Source Type: research

Table of Contents
(Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Source Type: research

Board of Directors
(Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Source Type: research

Information for Readers
(Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Source Type: research

Information for Authors
(Source: Heart and Lung)
Source: Heart and Lung - December 5, 2017 Category: Intensive Care Source Type: research

Prognostic significance of late gadolinium enhancement on cardiac magnetic resonance in patients with hypertrophic cardiomyopathy
The objective of this study was to perform a meta-analysis to systematically evaluate the predictive value of LGE on cardiac magnetic resonance (CMR) for future adverse cardiac events. (Source: Heart and Lung)
Source: Heart and Lung - November 21, 2017 Category: Intensive Care Authors: Dongmei He, Min Ye, Liwen Zhang, Binghu Jiang Source Type: research

Rupture of sinus of Valsalva aneurysm: Two case reports and a  concise review of the literature
In this report, we discuss two cases of RSoVA that we encountered and review similar cases reported in the literature. (Source: Heart and Lung)
Source: Heart and Lung - November 21, 2017 Category: Intensive Care Authors: Tariq S. Marroush, Andrew R. Boshara, Bassent Botros, Philip Vendittelli, Zohaib Ahmed, Luay Dawood, Howard S. Rosman Source Type: research

Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads
Patient's knowledge about heart failure (HF) contributes to successful HF self-care, but less is known about shared patient-caregiver knowledge. (Source: Heart and Lung)
Source: Heart and Lung - November 15, 2017 Category: Intensive Care Authors: Julie T. Bidwell, Melinda K. Higgins, Carolyn M. Reilly, Patricia C. Clark, Sandra B. Dunbar Source Type: research

Team based care
Over the past few years, heart failure clinics have evolved into a strong example of team work but it was not always this way. The traditional clinic, where the nurse took the vital signs and escorted patients into the exam room is rapidly disappearing in the heart failure arena. Many studies have shown the value of nurses in dealing with this patient population and especially in the area of preventing readmissions. By letting nurses do what they do best, everyone benefits. Education of patients is our forte and this has shown to be one of the main ways to encourage self-care and improve outcomes. (Source: Heart and Lung)
Source: Heart and Lung - November 15, 2017 Category: Intensive Care Authors: Cynthia Bither Tags: AAHFN Leadership Article Source Type: research

Development of the Chinese-version of the exercise self-regulatory efficacy scale for patients with chronic obstructive pulmonary disease
A valid and reliable instrument for assessing exercise self-regulatory efficacy (Ex-SRE) is lacking in Taiwan. (Source: Heart and Lung)
Source: Heart and Lung - November 10, 2017 Category: Intensive Care Authors: Yu-Han Tsai, Jyu-Lin Chen, Amy H.T. Davis, Wen-Jiuan Yen, Yen-Ju Lin, Li-Chi Chiang, Yu-Ju Chen Source Type: research