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Cardiac Rehabilitation in Frail Older Adults With Cardiovascular Disease: A NEW DIAGNOSTIC AND TREATMENT PARADIGM
Older adults with cardiovascular disease (CVD) pose challenges to cardiac rehabilitation (CR) clinicians because their disease is often coupled to physical frailty. Older patients with CVD and frailty may be less likely to tolerate conventional CR exercise training due to multidimensional (ie, strength, mobility, and balance) physical impairments. Furthermore, conventional CR typically emphasizes endurance training without addressing the intrinsic skeletal muscle impairments of frail patients that often manifest as deficits in strength, mobility, and balance, undercutting feasibility and any likely benefits. However, if ap...
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Invited Review Source Type: research

Rehabilitation Is a Global Health Priority
No abstract available (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Guest Editorial Source Type: research

The Journal of Cardiopulmonary Rehabilitation and Prevention at 40 Years and Its Role in the Evolution of Pulmonary Rehabilitation
While the roots of pulmonary rehabilitation (PR) date back to the 1950s, the advent of modern-day PR began in the early 1970s. This commentary describes the important role the Journal of Cardiopulmonary Rehabilitation and Prevention (JCRP) had in the development of PR. Originally, launched as the Journal of Cardiac Rehabilitation in 1981, with the formation of the American Association of Cardiovascular and Pulmonary Rehabilitation, the journal's name was changed to the Journal of Cardiopulmonary Rehabilitation in 1986. This commentary summarizes key publications reported in the journal broken down into 3 time periods, as w...
Source: Journal of Cardiopulmonary Rehabilitation - March 1, 2020 Category: Rehabilitation Tags: Invited Commentary Source Type: research

Role of Left Ventricle Function in Cardiac Rehabilitation Outcomes in Stage B Heart Failure Patients
Conclusion: Exercise-based CRP yields notable benefits to mrEF and rEF groups and the magnitude of its benefits is, at least, similar to that found in pEF patients. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Cardiac Rehabilitation for Adults and Adolescents With Congenital Heart Disease: EXTENDING BEYOND THE TYPICAL PATIENT POPULATION
Purpose: Cardiac rehabilitation (CR) effectively decreases morbidity and mortality in adults after cardiovascular events. Cardiac rehabilitation has been underutilized for patients with congenital heart disease (CHD). The primary objective was to evaluate the inclusion of adolescents and adults with CHD in a CR program by analyzing data from our single-center CR program. The secondary objectives were to evaluate the efficacy and safety of CR as well as referral barriers. Methods: This was a retrospective study of patients aged ≥15 yr who were referred to regional CR centers. Data on efficacy and safety were collecte...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 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 - December 27, 2019 Category: Rehabilitation Tags: Literature Update Source Type: research

Physiological Responses to the 6-min Step Test in Patients With Chronic Obstructive Pulmonary Disease
Purpose: To describe physiological responses during the 6-min step test (6MST) in patients with chronic obstructive pulmonary disease (COPD), to investigate whether COPD severity and test interruptions could determine different physiological responses, and to test the reproducibility of 6MST performance. Methods: Cross-sectional study. Patients with moderate to very severe COPD underwent lung function assessment and 2 6MSTs, with physiological responses measurement by a gas analyzer and a near-infrared spectroscopy device. Results: Thirty-six patients (29 men; forced expiratory volume in the first second of expirat...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Pulmonary Rehabilitation Source Type: research

Low-Volume High-Intensity Aerobic Interval Training Is an Efficient Method to Improve Cardiorespiratory Fitness After Myocardial Infarction: PILOT STUDY FROM THE INTERFARCT PROJECT
Purpose: To analyze the changes in cardiorespiratory fitness (CRF) and body composition following 2 different (low-volume vs high-volume) high-intensity aerobic interval training (HIIT) programs with Mediterranean diet (Mediet) recommendations in individuals after myocardial infarction (MI) and compared with an attention control group (AC). Methods: Body composition and CRF were assessed before and after a 16-wk intervention in 70 participants (58.4 ± 8.5 yr) diagnosed with MI. All participants received Mediet recommendations and were randomly assigned to the AC group (physical activity recommendations, n = 14) or on...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Effects of a Cardiac Rehabilitation Program Versus Usual Care on Cardiopulmonary Function in Patients With Cardiac Syndrome X
This study was performed on 30 patients with effort-induced angina pectoris using a positive exercise test and/or myocardial perfusion scan in the absence of obvious stenosis or a stenosis of (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Medical and Psychosocial Factors Associated With Low Physical Activity and Increasing Exercise Level After a Coronary Event
Conclusions: Daily smoking, obesity, unhealthy diet, and depression were the major potentially modifiable factors associated with insufficient PA, whereas high motivation and risk and illness perceptions were associated with increasing PA level. Further research on the effect of interventions tailored to the reported significant factors of failure is needed to improve PA level in CHD patients. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Effect of Home-Based Cardiac Rehabilitation in a Lower-Middle Income Country: RESULTS FROM A CONTROLLED TRIAL
Conclusions: In the context of a single-center LMIC setting, this study demonstrated the feasibility of home-based CR programs and offers a model of service delivery that could be replicated on a larger scale. (Source: Journal of Cardiopulmonary Rehabilitation)
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Functional and Cardiovascular Measurements in Patients With Peripheral Artery Disease: COMPARISON BETWEEN MEN AND WOMEN
Purpose: To compare functional and cardiovascular variables of men and women with peripheral artery disease (PAD). Methods: This observational, cross-sectional study included 67 women and 144 men (age 66 ± 9 and 67 ± 10 yr, respectively) with PAD. Patients were submitted to a clinical evaluation, 6-min walk test (6MWT) and cardiovascular evaluation, including blood pressure, arterial stiffness variables, and heart rate variability. Results: Women had lower claudication onset distance (P = .033) and 6MWT distance (P .05). Women had higher pulse pressure (P = .002), augmentation index (P (Source: Journal of Cardiop...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Interval Endurance and Resistance Training as Part of a Community-Based Secondary Prevention Program for Patients With Diabetes Mellitus and Coronary Artery Disease
Purpose: High-intensity interval training (HIIT) has been observed to improve health and fitness in patients with cardiovascular disease. High-intensity interval training may not be appropriate in community-based settings. Moderate-intensity interval training (MIIT) and resistance training (RT) are emerging as effective alternatives to HIIT. These have not been well investigated in a community-based cardiac maintenance program. Methods: Patients with coronary artery disease and/or diabetes mellitus participated in clinical examinations and a 6-mo exercise program. Center-based MIIT and home-based moderate continuous i...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Cardiac Rehabilitation Source Type: research

Pathophysiology of Exercise Intolerance and Its Treatment With Exercise-Based Cardiac Rehabilitation in Heart Failure With Preserved Ejection Fraction
Heart failure with preserved ejection fraction (HFpEF) is the fastest growing form of heart failure in the United States. The cardinal feature of HFpEF is reduced exercise tolerance (peak oxygen uptake, JOURNAL/jcprh/04.02/01273116-202001000-00003/math_3MM1/v/2019-12-22T141301Z/r/image-png O2peak) secondary to impaired cardiac, vascular, and skeletal muscle function. There are currently no evidence-based drug therapies to improve clinical outcomes in patients with HFpEF. In contrast, exercise training is a proven effective intervention for improving JOURNAL/jcprh/04.02/01273116-202001000-00003/math_3MM2/v/2019-12-22T1...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Invited Review Source Type: research

The Journal of Cardiopulmonary Rehabilitation and Prevention at 40 Years and Its Role in the Evolution of Cardiac Rehabilitation
The maturing of a clinical discipline necessitates the ability to document scientific advancements and state-of-the-art reviews with a focus on clinical practice. Such was the case for the field of cardiac rehabilitation in 1981. Whereas a growing body of literature was demonstrating benefits of exercise in cardiac patients with regard to clinical, psychologic, and quality-of-life outcomes,1,2 there were still concerns about the safety of exercise and whether it could be widely adapted in clinical care. Since this was a time period when searches of online databases such as PubMed had not yet been established (began in 1996...
Source: Journal of Cardiopulmonary Rehabilitation - December 27, 2019 Category: Rehabilitation Tags: Invited Commentary Source Type: research