AACVPR 34th Annual Meeting Scientific Abstract Presentations
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Association Annual Meeting Source Type: research

Dyspnea During In-Hospital Rehabilitation as a Predictor of Rehospitalization and Mortality in Patients With Acute Heart Failure
Purpose: Consensus articles that explore rehabilitation exercise for heart failure (HF) mainly focus on stable patients with chronic HF. Results from investigations that focus on the relationship between clinical outcomes and exercise during rehabilitation of patients with acute heart failure (AHF) have produced insufficient data. The aim of this study was to evaluate the correlation between clinical outcomes and dyspnea during in-hospital early rehabilitation in patients with AHF. Methods: Dyspnea was measured using a 5-point Likert scale (5PLS) during rest and at the initiation of upright sitting and standing. Dyspn...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Patient-Reported Psychological Distress After Spontaneous Coronary Artery Dissection: EVIDENCE FOR POST-TRAUMATIC STRESS
Conclusions: The prevalence of PTSD symptoms in this first-known assessment of post-traumatic stress among SCAD patients is concerning. The unexpected nature of SCAD and lack of known treatment options may play a role in patient distress. Future research is needed to accurately estimate rates of PTSD after SCAD and assess the benefits of treatment. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

“Let's Boogie”: FEASIBILITY OF A DANCE INTERVENTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Purpose: Exercise is an effective treatment for individuals with chronic obstructive pulmonary disease (COPD); however, lack of adherence to exercise programs is a common barrier. Innovative approaches to exercise are needed to increase patient engagement and adherence. Dance has been shown to benefit populations with neurological conditions. The aim of our study was to investigate the feasibility of a dance intervention in individuals with COPD. Methods: Twenty individuals with COPD participated in a 1-hr dance class delivered twice a week for 8 wk. The primary outcome measure of the study was the feasibility determi...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

The 6-Minute Walk Test: DIFFERENCE IN EXPLANATORY VARIABLES FOR PERFORMANCE BY COMMUNITY-DWELLING OLDER ADULTS AND PATIENTS HOSPITALIZED FOR CARDIAC DISEASE
Conclusions: The present findings indicated that the 6MWD was more strongly associated with 10-m usual walking speed in patients hospitalized for cardiac disease than in community-dwelling older adults. The predictive validity of 10-m walking speed for future adverse outcomes among cardiac patients is an issue for future research. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Inspiratory Muscle Training After Heart Valve Replacement Surgery Improves Inspiratory Muscle Strength, Lung Function, and Functional Capacity: A RANDOMIZED CONTROLLED TRIAL
Conclusions: IMT performed for 4 wk after HVRS was effective in restoring the values of inspiratory muscle strength and lung function to the pre-operative level and increasing the functional capacity assessed by the 6MWD. Furthermore, an association between lung function and functional capacity was observed, demonstrating the clinical relevance of the use of IMT in the rehabilitation process of these patients. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Selected Abstracts From Recent Publications in Cardiopulmonary Disease Prevention and Rehabilitation
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Literature Update Source Type: research

Adherence to Pulmonary Rehabilitation in COPD: A QUALITATIVE EXPLORATION OF PATIENT PERSPECTIVES ON BARRIERS AND FACILITATORS
Conclusion: Health limitations, social support, transportation and financial difficulties, and program features impact ability of patients to attend PR. Interventions addressing these interpersonal, intrapersonal, and structural barriers are needed to facilitate adherence to PR. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

People With COPD Who Respond to Ground-Based Walking Training Are Characterized by Lower Pre-training Exercise Capacity and Better Lung Function and Have Greater Progression in Walking Training Distance
Purpose: To investigate the characteristics that distinguish responders from nonresponders to ground-based walking training (GBWT) in people with chronic obstructive pulmonary disease (COPD). Methods: An analysis was undertaken of data collected during a trial of GBWT in people with COPD. Responders to GBWT were defined in 2 ways: (1) improved time on the endurance shuttle walk test of ≥190 sec (criterion A); or (2) improved ability to walk, perceived by the participant to be at least “moderate” (criterion B). Differences in participant characteristics, pre-training exercise capacity, health-related qua...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Translation and Psychometric Evaluation of the Chinese Version of the Information Needs in Cardiac Rehabilitation Tool
Conclusions: The Chinese version of INCR tool has strong psychometric properties, providing preliminary evidence of the reliability and validity of INCR tool to assess information needs in Chinese CR patients. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Arterial Stiffness is Associated With Moderate to Vigorous Physical Activity Levels in Post-Myocardial Infarction Patients
Purpose: Arterial stiffness has shown independent predictive value for all-cause and cardiovascular mortalities, as well as fatal and nonfatal coronary events. Physical activity (PA) is associated with reduced cardiovascular morbidity and mortality. The study aims to analyze the cross-sectional association of arterial stiffness with objectively measured PA in patients following acute myocardial infarction. Methods: One hundred patients were consecutively recruited after experiencing an acute myocardial infarction. Central arterial stiffness was measured through carotid-femoral pulse wave velocity (cf-PWV) and daily PA...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

A Motivational Telephone Intervention to Reduce Early Dropouts in Cardiac Rehabilitation: A FEASIBILITY PILOT STUDY
Conclusions: A nursing-based telephone intervention targeted to patients at risk for early dropout shortly after their CR orientation improved both on-time and eventual return rates. This straightforward strategy represents an attractive adjunct to improve adherence to outpatient CR. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Exercise Interventions in Patients With Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy: A SYSTEMATIC REVIEW AND META-ANALYSIS
Purpose: Physical activity improves outcomes across a broad spectrum of cardiovascular disease. The safety and effectiveness of exercise-based interventions in patients with implantable cardioverter-defibrillators (ICDs) including cardiac resynchronization therapy defibrillators (CRT-Ds) remain poorly understood. Methods: We identified clinical studies using the following search terms: “implantable cardioverter-defibrillators”; “ICD”; “cardiac resynchronization therapy”; “CRT”; and any one of the following: “activity”; “exercise”; “training&...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

Exercise Training in Adults With Congenital Heart Disease: A SYSTEMATIC REVIEW AND META-ANALYSIS
Background: Evidence from many studies demonstrates that regular exercise has a favorable effect on cardiovascular disease, but it is still unclear whether adults with congenital heart disease (ACHD) benefit from exercise training. The aim of this study was to assess the effects of exercise training on ACHD. Methods: PubMed, EMBASE, the Cochrane Library, Cumulative Index to Nursing and Allied Health, and Web of Science databases were searched. Differences were expressed using mean difference (MD) with 95% CI. The statistical analysis was performed using Review Manager (RevMan 5.3). Outcomes, including cardiorespirator...
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

Influence of High-Intensity Interval Training Versus Continuous Training on Functional Capacity in Individuals With Heart Failure: A SYSTEMATIC REVIEW AND META-ANALYSIS
Conclusion: High-intensity interval training and continuous training provide benefits for patients, however, the quality of evidence still does not allow us to indicate whether there is a superiority of HIIT over conventional continuous exercise training using the variables analyzed. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

Integrating Science, Practice, and Mentorship in Cardiac Rehabilitation: THE INAUGURAL TOTALCARDIOLOGY® RESEARCH NETWORK RETREAT
The evidence base supporting cardiac rehabilitation is substantial and overwhelmingly supports its utilization for all qualified patients. However, important lines of inquiry remain and require attention. This commentary provides a model for cardiac rehabilitation centers that provide patient care to meaningfully contribute to our scientific understanding of this lifestyle intervention. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: Invited Commentary Source Type: research

From the Editor
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - August 30, 2019 Category: Rehabilitation Tags: From the Editor Source Type: research

Effectiveness of Early Rehabilitation for Acute Heart Failure: A RETROSPECTIVE COHORT STUDY
This study sought to investigate the impact of early rehabilitation on activities of daily living in patients with acute heart failure. Methods: This retrospective cohort study utilized a hospital-based database created by the Japan Medical Data Center and contained Diagnosis Procedure Combination survey data from more than 100 participating acute care hospitals across Japan. Data were extracted on consecutive inpatients hospitalized because of acute heart failure from 2014 to 2017. The characteristics and outcomes between patients who underwent early rehabilitation (early rehabilitation group) were compared with those ...
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Abnormal Exercise Responses in Survivors of Acute Lung Injury During Cardiopulmonary Exercise Testing: AN OBSERVATIONAL STUDY
This study compared exercise responses in individuals who had recently survived an admission to the intensive care unit for acute lung injury (ALI) with healthy controls. Methods: Ten patients with ALI were recruited at 2 Australian hospitals. Six weeks after hospital discharge, participants completed lung function measures and a laboratory-based cardiopulmonary exercise test. Identical measures were collected in 21 healthy participants of similar age and gender distribution. Results: Compared with the healthy participants, the ALI participants were similar in age (51 ± 14 vs 50 ± 16 yr), with a lower p...
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Sharing the Story of the Cardiac Rehab Patient Experience: A QUALITATIVE STUDY
Conclusion: The narrative analysis comprehensively provides patients with an amalgam of patient experiences and can be used by providers to gain an understanding of CR patient experiences. Further research is needed to determine whether use of the resulting narrative analysis within the referral process and/or programming could increase participation and engagement. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

The Efficacy of Outpatient Pulmonary Rehabilitation After Bilateral Lung Transplantation
Purpose: Pulmonary rehabilitation (PR) is advocated in the pre- and post–lung transplantation (LTx) periods. However, there is limited literature on the benefit of PR post-LTx. The aim of this study was to investigate the efficacy of an outpatient, multidisciplinary, comprehensive PR program in bilateral LTx recipients in the early period after LTx. Method: Twenty-three LTx recipients were referred to the PR center. Change in incremental and endurance shuttle walk tests, hand and quadriceps strength, respiratory muscle strength (maximum inspiratory/expiratory pressure), dyspnea (Medical Research Council score), ...
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Depression, Socioeconomic Factors, and Ethnicity as Predictors of Cardiorespiratory Fitness Before and After Cardiac Rehabilitation
Conclusion: Education, attachment to the workforce, and ethnicity were all associated with lower JOURNAL/jcprh/04.02/01273116-201907000-00012/math_12MM7/v/2019-06-25T115352Z/r/image-png O2peak before CR, and the disparity was increased following CR. Having pre-existing depression and new-onset depression did not influence JOURNAL/jcprh/04.02/01273116-201907000-00012/math_12MM8/v/2019-06-25T115352Z/r/image-png O2peak either before or after CR. These results point to important subgroups in need of specially-tailored rehabilitation programs. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Selected Abstracts From Recent Publications in Cardiopulmonary Disease Prevention and Rehabilitation
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Literature Update Source Type: research

Home-Based Pulmonary Rehabilitation for Patients With Idiopathic Pulmonary Fibrosis: A PILOT STUDY
Conclusions: The home-based exergame intervention for patients with IPF did not show improvement in functional performance, dyspnea, or health-related quality of life at the completion of the 12-wk program in our 2 heterogeneous groups. In addition to the low adherence rate, insufficient frequencies and durations of exergaming may contribute to the lack of improvement. A lack of effectiveness of home-based pulmonary rehabilitation using exergaming for patients with IPF appears consistent with prior observational studies that used more traditional modes of home-based exercise. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Do London Chest Activity of Daily Living Scale and St George's Respiratory Questionnaire Reflect Limitations During Activities of Daily Living in Patients With COPD?
Conclusion: Activities of daily living lead to oxygen desaturation and high ventilatory demand. London Chest Activity of Daily Living Scale reflected 33% and SGRQ reflected 67% of the functional limitation during ADL simulation, such as dyspnea and the metabolic demand during ADL. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Clinical and Demographic Trends in Cardiac Rehabilitation: 1996-2015
Conclusions: Compared with 1996, participants entering CR in 2015 were older, more overweight, and had a higher prevalence of coronary risk factors. Lipid values improved substantially concurrent with increased statin use. While the percentage of female participants increased, they continue to be underrepresented. Patients with heart valve repair/replacement now constitute 10.6% of the patients enrolled. Clinical programs need to recognize changing characteristics of attendees to best tailor interventions. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Sex- and Gender-Related Factors Associated With Cardiac Rehabilitation Enrollment: A SECONDARY ANALYSIS AMONG SYSTEMATICALLY REFERRED PATIENTS
Conclusion: Factors related to CR enrollment in women and men are suggested. As women keep showing a lower rate of CR enrolment, the investigation of these factors in a larger sample of patients may hold valuable insights to improve CR enrolment. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

A Cross-Sectional Study of Return to Work Rate Following Heart Transplantation and the Contributing Role of Illness Perceptions
Conclusions: Psychological and demographic variables influence RTW after heart transplant. Knowledge and understanding of these variables facilitate the design of interventions and services to help promote RTW and social rehabilitation. Study limitations are discussed, and suggestions for similar research and the outpatient clinic are provided. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Muscle Dysfunction in Smokers and Patients With Mild COPD: A SYSTEMATIC REVIEW
Conclusion: Results concerning muscle dysfunction in smokers are divergent, since some studies have shown worse results in a variety of muscle strength variables in smokers compared with nonsmoking controls, whereas other studies have not. Moreover, there is rather preliminary evidence indicating worse muscle dysfunction and lower CSA in patients with mild COPD in comparison with healthy (or non-COPD) smokers. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Systematic Review Source Type: research

What Is the Optimal Exercise Prescription for Patients With Dilated Cardiomyopathy in Cardiac Rehabilitation? A SYSTEMATIC REVIEW
Conclusions: According to this systematic review of the literature, data related to exercise therapy specifically for patients with DCM are scarce and exercise interventions in articles reviewed were prescribed differently using the FITT (frequency, intensity, time, and type) principle. Exercise intensity tailored to individual exercise capacity should be used for optimal exercise prescriptions that are safe and efficacious in patients with DCM. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Systematic Review Source Type: research

Cardiac Rehabilitation Quality Improvement: A NARRATIVE REVIEW
Conclusions: Although not a lot is known about CR quality, gaps were identified. The quality improvement initiatives recommended herein require testing to ascertain whether quality can be improved. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Narrative Review Source Type: research

Home-Based Cardiac Rehabilitation: A SCIENTIFIC STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION, THE AMERICAN HEART ASSOCIATION, AND THE AMERICAN COLLEGE OF CARDIOLOGY
Cardiac rehabilitation (CR) is an evidence-based intervention that uses patient education, health behavior modification, and exercise training to improve secondary prevention outcomes in patients with cardiovascular disease. CR programs reduce morbidity and mortality rates in adults with ischemic heart disease, heart failure, or cardiac surgery but are significantly underused, with only a minority of eligible patients participating in CR in the United States. New delivery strategies are urgently needed to improve participation. One potential strategy is home-based CR (HBCR). In contrast to center-based CR services, which a...
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: Scientific Statement Source Type: research

From the Editor
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - June 26, 2019 Category: Rehabilitation Tags: From the Editor Source Type: research

Balance Measures Over 12 Months in Individuals With Chronic Obstructive Pulmonary Disease
Conclusions: Balance remained stable over 12 mo after completion of PR in those who remained exacerbation-free. The impact of an AECOPD on measures of balance persisted after 1 mo. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Echogenicity Is Related to Skeletal Muscle Strength in Patients With Acute Respiratory Failure
Conclusion: These results show skeletal muscle echogenicity to be significantly correlated with skeletal muscle strength in patients with ARF. As such, it may be useful in identifying muscle weakness in these patients when they are unable or unwilling to perform voluntary strength testing. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Predictors of Exercise Training and Physical Activity Adherence in People Recently Hospitalized With Heart Failure: A BRIEF REPORT
Conclusion: To improve adherence, specific strategies may be required for patients with decompensated HF and those physically inactive at time of referral. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Referral to Cardiac Rehabilitation and Outcomes for Patients With Takotsubo Cardiomyopathy
Purpose: The aim of this study was to determine participation rates and outcomes for patients with Takotsubo cardiomyopathy (TC) in a cardiac rehabilitation (CR) program. Methods: Patients at 2 academic medical centers with a discharge diagnosis of TC from January 2008 to March 2015 were retrospectively identified. Patients meeting the Mayo Clinic criteria for TC were cross-matched to the CR center affiliated with the hospitals to determine the referral rate and outcomes after completion of the program. Results: In total, 380 unique patients were identified who survived the index hospitalization. Eighteen patients ...
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Validity of the Incremental Shuttle Walk Test to Assess Exercise Safety When Initiating Cardiac Rehabilitation in Low-Resource Settings
Purpose: To evaluate the validity of the Incremental Shuttle Walk Test (ISWT) for determining risk stratification in cardiac rehabilitation (CR). Methods: This is a cross-sectional study at a major CR center in a middle-income country. Clinically stable adult cardiac patients underwent an ISWT and an exercise test (ET), wore a pedometer for 7 d, and completed the Godin-Shepherd Leisure-Time Physical Activity Questionnaire. Metabolic equivalents of task (METs) achieved on the ISWT were calculated. Results: One hundred fifteen patients were evaluated. The mean ± standard deviation distance on the ISWT was 372....
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Selected Abstracts From Recent Publications in Cardiopulmonary Disease Prevention and Rehabilitation
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Literature Update Source Type: research

Feasibility and Outcomes of an Exercise Intervention for Chemotherapy-Induced Heart Failure
Conclusions: Results suggest that exercise rehabilitation interventions are feasible in terms of safety, retention, and satisfaction and have the potential to improve JOURNAL/jcprh/04.02/01273116-201905000-00011/math_11MM2/v/2019-04-25T021416Z/r/image-png O2max. To maximize adherence and benefits while minimizing participant burden, an ideal intervention may incorporate elements of both clinic-based supervised exercise sessions and a home-based program. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Exercise Physiology Source Type: research

Physiological Responses and Prognostic Value of Common Exercise Testing Modalities in Idiopathic Pulmonary Fibrosis
Purpose: This pilot study aimed to compare physiological responses between cycle cardiopulmonary exercise tests (CPETs) and 6-min walk tests (6MWTs) and to assess their prognostic value among patients with idiopathic pulmonary fibrosis (IPF). Methods: Thirty-four patients with IPF (68 ± 8 yr) underwent CPETs and 6MWTs and were followed up for 40 mo. Differences, levels of agreement, and relative risks for mortality were analyzed between measured and estimated peak responses for the 2 tests. Results: Compared with the CPET, oxygen uptake ( JOURNAL/jcprh/04.02/01273116-201905000-00010/math_10MM1/v/2019-04-25T...
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Dynamic Hyperinflation Impairs Cardiac Performance During Exercise in COPD
Purpose: To investigate the correlation between a plateau in minute ventilation JOURNAL/jcprh/04.02/01273116-201905000-00009/math_9MM1/v/2019-04-25T021416Z/r/image-png E during cardiopulmonary exercise tests (CPETs) and its impact on cardiac performance. Methods: This retrospective study analyzed 2575 CPETs of patients with chronic obstructive pulmonary disease. The study randomly selected 10 patients with a plateau in the JOURNAL/jcprh/04.02/01273116-201905000-00009/math_9MM2/v/2019-04-25T021416Z/r/image-png E curve, suggesting dynamic hyperinflation, 10 patients with normal pattern for the JOURNAL/jcprh/04.0...
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization
Purpose: Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, a patient's decision to attend CR was influenced by his or her tobacco use post-discharge. Methods: We surveyed smokers during their hospitalization for a cardiac condition. Four to 8 wk after discharge, a follow-up survey assessed self-reported CR attendance, smoking cessation (SC), and patient opinion of how their smoking status influenced CR attendance. Results: Of the 81 patients who completed t...
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

A Standard Form of Cardiac Rehabilitation Can Improve Self-Reported Positive Behavior Changes in the Short- to Medium-Term
Conclusions: A standard form of CR can result in positive self-reported behavior change in the short- to medium-term. Further trials are needed to determine whether a standard form of rehabilitation is sufficient to change health behaviors at sufficient levels to result in long-term health benefits. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Cost-Effectiveness of Exercise-Based Cardiac Rehabilitation in Chilean Patients Surviving Acute Coronary Syndrome
Conclusion: Considering a cost-effectiveness threshold of 1 unit of gross domestic product per capita (∼$19 000), CR is highly cost-effective for the public health system in Chile. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

The Effectiveness of Interventions to Maintain Exercise and Physical Activity in Post-Cardiac Rehabilitation Populations: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS
Conclusion: There is evidence to support the effectiveness of interventions aimed at maintaining physical activity and exercise among adults who have completed cardiac rehabilitation. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

Zumba Fitness and Women's Cardiovascular Health: A SYSTEMATIC REVIEW
Conclusions: Data describe ZF as feasible for healthy women and a promising fitness option for those with CVRF. Because of the low quality of the studies on women with CVRF and the overall small sample size along with discrepancies such as the average length of the studies on healthy women, cautious interpretation of the findings is recommended. Further investigations with a standardized design are needed to verify whether ZF may be considered as an alternative fitness option in primary prevention of CV disease in women. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

Role of Yoga in Cardiac Disease and Rehabilitation
Conclusions: Yoga has shown promise as a useful lifestyle intervention that can be incorporated into cardiovascular disease management algorithms. Although many investigators have reported the clinical benefits of yoga in reducing cardiovascular events, morbidity, and mortality, evidence supporting these conclusions is somewhat limited, thereby emphasizing the need for large, well-designed randomized trials that minimize bias and methodological drawbacks. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Scientific Review Source Type: research

A Review of Exercise Interventions in Pulmonary Arterial Hypertension and Recommendations for Rehabilitation Programing
Pulmonary arterial hypertension (PAH) is characterized by impaired pulmonary vascular structure and function and is commonly associated with symptoms of dyspnea, fatigue, and potentially syncope. With chronic exposure to elevated pulmonary pressures, dramatic right ventricular dysfunction is common, thereby compromising cardiorespiratory fitness and increasing the risk of mortality. Collective investigative efforts, both at the preclinical and clinical levels, have established the safety and efficacy of regular exercise training in improving quality of life, cardiorespiratory fitness, and the physiologic profile of patient...
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: Invited Review Source Type: research

From the Editor
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - April 26, 2019 Category: Rehabilitation Tags: From the Editor Source Type: research