Cardiac Rehabilitation Component Attendance and Impact of Intervening Clinical Events, as Well as Disease Severity and Risk Factor Burden
Conclusions: In one-sixth of patients, CR attendance and completion are impacted by clinical factors beyond their control. Many patients are taking advantage of components specific to their risk factors, buttressing the value of individually tailored, menu-based programming. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Reduced Parasympathetic Activity in Patients With Different Types of Congenital Heart Disease and Associations to Exercise Capacity
This study evaluated the parasympathetic activity by means of HRV in patients with CHD, regarding diagnostic subgroups and CHD severity, and the association to exercise capacity. Methods: From July 2016 to August 2018, a total of 222 patients with different types of CHD (28.4 ± 10.1 yr; 44% female) received breathing-controlled HRV measurement in the supine position. Based on 130 adjacent heartbeats, the root mean square of successive differences (RMSSD), a parasympathetic activity surrogate was estimated and log-transformed. Additionally, all patients underwent a cardiopulmonary exercise test. For comparison, a co...
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Cardiac Rehabilitation Knowledge and Attitudes of Cardiology Fellows
Conclusion: This study revealed perceptions of cardiology fellows at one institution regarding CR that have not been considered previously. Key barriers to endorsement and referral to CR were exposed as well as opportunities to overcome them. Fellowship training affords an important opportunity to improve CR education, and to potentially improve participation of eligible patients for this important aspect of care. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Long-term Cardiac Maintenance Programming: A SINGLE-SITE ANALYSIS OF MORE THAN 200 PARTICIPANTS
Purpose: Greater than 65% of all cardiac mortality is related to coronary artery disease (CAD). Cardiac rehabilitation (CR) aims to reduce cardiovascular risk and number of hospital readmissions. Cardiac maintenance programs (CMPs) are designed to sustain or improve health after completing early CR. Although CMPs are supported by most national health guidelines, few long-term studies on these diverse programs have been performed. Methods: This was a retrospective repeated-measures analysis with case-controlled subanalysis. Within-subject differences for CMP participants were examined between enrollment and last ...
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

A Comparison of Exercise Intensity in Hybrid Versus Standard Phase Two Cardiac Rehabilitation
Conclusion: This study showed that hybrid-CR delivered using remote TH results in exercise training intensities that are not significantly different from S-CR. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Effect of Exercise on Cardiovascular Function Following Spinal Cord Injury: A REVIEW
Spinal cord injury (SCI) is associated with a reduced level of physical activity, deterioration of patient body composition, metabolic profile, quality of life, and psychological functioning. As a result, risk of cardiovascular disease (CVD) increases and CVD-related death occurs at an earlier age than in individuals without SCI. Regular participation in exercise has been shown to exert beneficial effects also in patients with SCI. In this review, we analyze and discuss the effects of regular exercise training in SCI on cardiovascular function, autonomic function of the cardiovascular system, arterial stiffness, metabolism...
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Scientific Review Source Type: research

Cardiac, Autonomic, and Cardiometabolic Impact of Exercise Training in Spinal Cord Injury: A QUALITATIVE REVIEW
Introduction: Direct and indirect effects of spinal cord injury lead to important cardiovascular (CV) complications that are further increased by years of injury and the process of “accelerated aging.” The present review examines the current evidence in the literature for the potential cardioprotective effect of exercise training in spinal cord injury. Review Methods: PubMed and Web of Science databases were screened for original studies investigating the effect of exercise-based interventions on aerobic capacity, cardiac structure/function, autonomic function, CV function, and/or cardiometabolic markers. We...
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Invited Review Source Type: research

The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation
Conclusions: Masking during daily activities, exercise, and rehabilitation is safe in both healthy individuals and those with underlying cardiopulmonary disease. Rehabilitation participants should be reassured that the benefits of masking during COVID-19 far outweigh the risks, and increased frequency of mask use invokes adaptive responses that make long-term masking tolerable. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 25, 2020 Category: Rehabilitation Tags: Brief Report Source Type: research

CACPR 2020 Annual Meeting Abstracts
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: CACPR 2020 Annual Meeting Abstracts 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 - October 29, 2020 Category: Rehabilitation Tags: Literature Update Source Type: research

Oxygen Indications and Utilization in a Diverse, Urban Community Setting
Purpose: Long-term oxygen therapy (LTOT) is widely used to treat chronic obstructive pulmonary disease (COPD) and other conditions with severe hypoxemia, imposing a large financial burden on the American health care system. Methods: To better understand oxygen prescription and its use in a multiethnic community hospital, we completed a prospective, observational study with a survey design in our multicultural population to better recognize patient understanding of oxygen indications and utilization. Results: The survey was conducted at three outpatient pulmonary clinics. Among the 94 respondents (42% men and 58% wo...
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: Brief Report: Pulmonary Rehabilitation Source Type: research

Peak Oxygen Uptake Recovery Delay After Maximal Exercise in Patients With Heart Failure
Purpose: Peak oxygen uptake recovery delay (RD), measured as the time until post-exercise oxygen uptake () decreases below following maximal cardiopulmonary exercise testing (CPX), has been recognized as an abnormal response, associated with reduced cardiac output reserve during exercise in patients with heart failure (HF). In the current study we examined the association of RD during routine CPX testing of patients with symptomatic HF across a wide range of left ventricular ejection fraction (LVEF) values with clinical biomarkers. Methods: In this retrospective study, 80 clinically stable symptomatic HF patients acro...
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: Brief Report: Cardiac Rehabilitation Source Type: research

Exercise Training Effects on the Relationship of Physical Function and Health-Related Quality of Life Among Older Heart Failure Patients With Preserved Ejection Fraction
Conclusions: While endurance ET improved both physical function and some domains of HRQOL, the lack of significant correlations between changes in these measures suggests the effects of ET on physical function and HRQOL are largely independent of one another. Since these measures assess important and unique patient-centered outcomes in HFpEF patients, both physical function and HRQOL should be assessed in exercise-based programs and clinical trials. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: Pulmonary Rehabilitation and Heart Failure Source Type: research

Evaluating the Benefits of Exercise Training in HFrEF or COPD Patients: ISO-LEVEL COMPARISON CAN ADD VALUABLE INFORMATION TO
Conclusion: The findings of this study show that exercise training in severely affected patient groups with HFrEF or COPD led to an increase in maximal exercise capacity, a more favorable breathing pattern, and a diminished during exercise. Therefore, comparisons of and breathing pattern at ISO-levels of or before and after training are valuable and underutilized outcome measures in treatment studies. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: Pulmonary Rehabilitation and Heart Failure Source Type: research

Noninvasive Ventilation Accelerates Oxygen Uptake Recovery Kinetics in Patients With Combined Heart Failure and Chronic Obstructive Pulmonary Disease
Purpose: Oxygen uptake () recovery kinetics appears to have considerable value in the assessment of functional capacity in both heart failure (HF) and chronic obstructive pulmonary disease (COPD). Noninvasive positive pressure ventilation (NIPPV) may benefit cardiopulmonary interactions during exercise. However, assessment during the exercise recovery phase is unclear. The purpose of this investigation was to explore the effects of NIPPV on , heart rate, and cardiac output recovery kinetics from high-intensity constant-load exercise (CLE) in patients with coexisting HF and COPD. Methods: Nineteen males (10 HF/9 age- a...
Source: Journal of Cardiopulmonary Rehabilitation - October 29, 2020 Category: Rehabilitation Tags: Pulmonary Rehabilitation and Heart Failure Source Type: research