Telemedicine Home-Based Cardiac Rehabilitation: A CASE SERIES
Discussion: The two cases discussed herein are examples of individuals who likely would not have fully participated in CR if the only option available was a facility-based program. While HBCR is not an option for all patients, it does address several barriers that are known to limit participation in facility-based CR for some individuals. Summary: Technology has made it possible to provide the key components of a facility-based CR program through a TM-HBCR model using a secure connection to the patients via their personal mobile device. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - July 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

The Effects of Maintenance Cardiac Rehabilitation: A SYSTEMATIC REVIEW
Conclusion: Quality of included trials was low because it is not possible to double-blind in M-CR trials and also due to the heterogeneity of M-CR interventions. Understanding, availability, and use of M-CR programs should be increased. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - July 1, 2020 Category: Rehabilitation Tags: Scientific Review Source Type: research

Aortic Aneurysm: DIAGNOSIS, MANAGEMENT, EXERCISE TESTING, AND TRAINING
This article reviews the epidemiology, diagnostic process, medical issues, and the available exercise training literature, and provides recommendations for performing regular exercise. Clinical Considerations: Patients with aortic abnormalities are at risk for enlargement, aneurysm development, dissection, and rupture. During exercise, individuals with large aneurysms may be at greater risk of an adverse event. The available literature suggests little increased risk of complications when training at low and moderate intensities in those with an AAA, and exercise may be protective for aneurysm expansion. There is little ...
Source: Journal of Cardiopulmonary Rehabilitation - July 1, 2020 Category: Rehabilitation Tags: Invited Review Source Type: research

The Journal of Cardiopulmonary Rehabilitation and Prevention at 40 yr and Its Role in Promoting Preventive Cardiology: Part 2
Aggressive risk factor modification, including smoking cessation, blood pressure management, and more intensive efforts to control hyperlipidemia, as well as stress management training, are associated with improved cardiovascular outcomes and impressive mortality reductions. This commentary addresses these topics, with specific reference to lifestyle modification and complementary cardioprotective medications. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - July 1, 2020 Category: Rehabilitation Tags: Invited Commentary Source Type: research

Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center: CASE REPORT OF A YOUNG PATIENT DEVELOPING SEVERE COVID-19 ACUTE RESPIRATORY DISTRESS SYNDROME
Discussion: Providing RRP in patients with severe COVID-19 ARDS involves risks for operators and organizational difficulties, especially in rehabilitation centers; nevertheless, its continuity is important to prevent the development of permanent disabilities in previously healthy subjects. Limited to the experience of only one patient, we were able to carry out a safe RRP during the COVID-19 pandemic, promoting the complete functional recovery of a COVID-19 young patient. Summary: Most patients who develop serious consequences of COVID-19 infection risk a reduction in their quality of life. However, by organizing and ...
Source: Journal of Cardiopulmonary Rehabilitation - July 1, 2020 Category: Rehabilitation Tags: Case Study Source Type: research

Early Termination of Cardiac Rehabilitation Is More Common With Heart Failure With Reduced Ejection Fraction Than With Ischemic Heart Disease
Purpose: Despite known benefits of cardiac rehabilitation (CR), early termination (failure to complete>1 mo of CR) attenuates these benefits. We analyzed whether early termination varied by referral indication in the context of recent growth in patients referred for heart failure with reduced ejection fraction (HFrEF). Methods: We reviewed records from 1111 consecutive patients enrolled in the NYU Langone Health Rusk CR program (2013-2017). Sessions attended, demographics, and comorbidities were abstracted, as well as primary referral indication: HFrEF or ischemic heart disease (IHD; including post-coronary revascular...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Brief Reports Source Type: research

Factors Associated With Attendance at a 1-yr Post–Cardiac Rehabilitation Risk Factor Check
Conclusions: Providing a stronger recommendation to attend, enhancing patient awareness, highlighting potential benefits, and supporting self-efficacy might increase 1-yr follow-up appointment attendance and, in turn, support long-term adherence to cardiovascular risk reduction behaviors. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Brief Reports 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 - May 1, 2020 Category: Rehabilitation Tags: Literature Update Source Type: research

High Submaximal Exercise Heart Rate Impacts Exercise Intolerance in the Postural Orthostatic Tachycardia Syndrome
Purpose: Exercise intolerance is a hallmark of the postural orthostatic tachycardia syndrome (POTS). However, no data are available on the implications of an exaggerated submaximal heart rate (HR) on exercise intolerance in patients. We investigated whether exaggerated HR responses occurring early on during incremental stress testing relate with increased odds of POTS and exercise intolerance. Methods: Clinical characteristics and stress test HRs were compared between adults with POTS achieving ≥85% predicted metabolic equivalents (METs) (EX-TL, n = 101; body mass index [BMI] 24 ± 5 kg·m−2; 95% women) or (Source...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Exercise Testing Source Type: research

Diagnostic Validity of Cardiopulmonary Exercise Testing for Screening Pulmonary Hypertension in Patients With Chronic Obstructive Pulmonary Disease
Conclusion: The present study validates the use of CPX parameters such as JOURNAL/jcprh/04.02/01273116-202005000-00010/math_10MM11/v/2020-04-30T103411Z/r/image-png O2peak and JOURNAL/jcprh/04.02/01273116-202005000-00010/math_10MM12/v/2020-04-30T103411Z/r/image-png O2/HR as a diagnostic tool for correctly identifying PH in COPD patients. Therefore, CPX may be used as an adjunct to echocardiographic measurement of PH where there is unavailability of equipment and expertise. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Pedometer Feedback Interventions Increase Daily Physical Activity in Phase III Cardiac Rehabilitation Participants
Purpose: To determine the effects of individually tailored interventions designed to increase physical activity (PA) in cardiac patients. Methods: A total of 99 (77 men and 22 women, 61.5 ± 10.7 yr) patients entering a phase III cardiac rehabilitation program completed a 12-wk PA intervention. Patients were randomized to usual care (UC, time-based recommendation), pedometer feedback (PF), newsletter-based motivational messaging (MM), or PF + MM. Both PF groups were given a goal of increasing steps/d by 10% of individual baseline value each week. If the goal for the week was not reached, the same goal was used for the...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

The Effect and Safety of Aerobic Interval Training According to Exercise Intensity in Acute Coronary Syndrome
Purpose: To evaluate the effect of increasing the maximal oxygen uptake ( JOURNAL/jcprh/04.02/01273116-202005000-00008/math_8MM1/v/2020-04-30T103411Z/r/image-png O2max) and the safety of maximal-intensity aerobic interval training (MAIT) compared with high-intensity aerobic interval training (HAIT). Methods: Forty-seven patients with first-ever acute coronary syndrome were assigned to MAIT or HAIT. Subjects underwent adaptation period during the first 2 wk of cardiac rehabilitation and then MAIT at 95-100% of the heart rate reserve or HAIT at 85% of the heart rate reserve, 3 d/wk for 4 wk. The primary outcome was ...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Impact of β-Blockers on Heart Rate and Oxygen Uptake During Exercise and Recovery in Older Patients With Heart Failure With Preserved Ejection Fraction
Purpose: The study aimed to investigate the differences in oxygen uptake ( JOURNAL/jcprh/04.02/01273116-202005000-00007/math_7MM1/v/2020-04-30T103411Z/r/image-png O2) and heart rate (HR) (at rest, submaximal exercise, peak exercise, and recovery) in patients with heart failure with preserved ejection fraction (HFpEF) with β-blockers (BB) or without BB treatment (NBB) and to analyze the relationship between HR reserve (HRresv) and peak JOURNAL/jcprh/04.02/01273116-202005000-00007/math_7MM2/v/2020-04-30T103411Z/r/image-png O2 ( JOURNAL/jcprh/04.02/01273116-202005000-00007/math_7MM3/v/2020-04-30T103411Z/r/image-png ...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Type 2 Diabetes Mellitus, Glycated Hemoglobin Levels, and Cardiopulmonary Exercise Capacity in Patients With Ischemic Heart Disease
Purpose: Diabetes mellitus (DM) is associated with long-term cardiovascular complications, including ischemic heart disease (IHD). Nonetheless, DM may directly impair myocardial and lung structure and function. The aim of this study was to assess the impact of type 2 DM (T2DM) and glycemic control on cardiopulmonary exercise capacity in patients with IHD. Methods: The study involved a cross-sectional analysis of 91 consecutive patients (57 ± 10 yr, 90% men) who underwent a cardiopulmonary exercise test at the beginning of an exercise-based standard phase-II cardiac rehabilitation program, 2 to 3 mo after an acute cor...
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Physical Activity in Adults With Wearable Cardioverter Defibrillators in the Post–Myocardial Infarction Period
Conclusions: PA in adults early after hospital discharge is modest and improves over the course of the 90-d WCD prescription in regular wearers. Improved health status may account for this change. The WCD accelerometer may have value in future clinical care and research by providing a window into daily patient PA levels via remote monitoring. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - May 1, 2020 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research