International Journal of Environmental Research and Public Health

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Advances in Cardiac Rehabilitation Research

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Dr. Atsuko Nakayama

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Department of Cardiovascular Medicine, Sakakibara Heart Institute, Tokyo 183-0003, Japan
Interests: cardiology; cardiac rehabilitation; remote medicine; aortic aneurysm; cardiac hypertrophy; calcification; diversity and inclusion; preventive medicine; sports medicine

Special Issue Information

Dear Colleagues,

Cardiac rehabilitation to prevent the recurrence of heart disease and support patients’ return to society is becoming more important. Especially in the COVID-19 pandemic era, the risks of cardiovascular events increase in the case insufficient healthcare in cardiac rehabilitation programs after cardiac treatment. To avoid COVID-19 infection, various forms of cardiac rehabilitation are growing, such as the remote management of cardiovascular diseases and tele-cardiac rehabilitation.

Telemedicine utilizing IT is rapidly evolving; however, the evidence for this is still poor, which calls for robust academic verification.

Moreover, the joint work by the medical team, which consists of multiple occupations, is indispensable for treating and preventing the cardiovascular diseases such as the heart failure.

Different values supplied by diversity, in addition to expertise by multiple occupations, are reported to have a great impact on treatment and contributes to the improvement of the disease. The influences of ethnicity, age and gender diversity on medical fields should be well-argued. In this Special Issue, I wish to engage with the innovative findings from experts in the fields on the topics of cardiac rehabilitation, telemedicine, multiprofessional practitioners, and diversity and inclusion.

Dr. Atsuko Nakayama
Guest Editor

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Keywords

cardiac rehabilitation
remote medicine
multi-disciplinary team
diversity and inclusion
preventive medicine

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Research

13 pages, 1360 KiB

Open AccessArticle

Physicians’ Perceptions of and Barriers to Cardiopulmonary Rehabilitation for Heart Failure Patients in Saudi Arabia: A Cross-Sectional Study

by Abdulelah M. Aldhahir, Munyra Alhotye, Jaber S. Alqahtani, Saeed M. Alghamdi, Abdullah S. Alsulayyim, Abdullah A. Alqarni, Eidan M. Alzahrani, Rayan A. Siraj and Hassan Alwafi

Int. J. Environ. Res. Public Health 2022, 19(22), 15208; https://doi.org/10.3390/ijerph192215208 - 17 Nov 2022

Cited by 1 | Viewed by 1846

Abstract

Background: Cardiopulmonary rehabilitation (CR) serves as a core component of the management strategy for patients with heart failure (HF). CR is administered by multidisciplinary healthcare providers, but their perceptions toward delivering CR to HF patients, and the factors and barriers that might influence referral, have not been studied. This study aims to assess physicians’ perceptions toward delivering CR programs to HF patients and identify factors and barriers that might influence their referral decisions. Methods: Between 15 February and 5 June 2022, a cross-sectional online survey with ten multiple-choice items was distributed to all general and cardiac physicians in Saudi Arabia. The characteristics of the respondents were described using descriptive statistics. Percentages and frequencies were used to report categorical variables. The statistical significance of the difference between categorical variables was determined using the chi-square (2) test. Logistic regression was used to identify referral factors. Results: Overall, 513 physicians (general physicians (78%) and cardiac doctors (22%)) completed the online survey, of which 65.0% (n = 332) were male. Of the general physicians, 236 (59%) had referred patients with HF to CR. Sixty-six (58%) of the cardiac doctors had referred patients with HF to CR. A hospital-supervised program was the preferred mode of delivering CR programs among 315 (79%) general physicians, while 84 (74%) cardiac doctors preferred to deliver CR programs at home. Apart from the exercise component, information about HF disease was perceived by 321 (80%) general physicians as the essential component of a CR program, while symptom management was perceived by 108 (95%) cardiac doctors as the essential component of a CR program. The most common patient-related factor that strongly influenced referral decisions was “fatigue related to disease” (63.40%). The availability of CR centers (48%) was the most common barrier preventing the referral of patients to CR. Conclusions: CR is an effective management strategy for HF patients, but the lack of CR centers is a major barrier to the referral of patients. A hospital-supervised program is the preferred method of delivering CR from the general physicians’ perspective, while cardiac doctors prefer home-based CR programs. Apart from the exercise component, information about HF disease and symptom management is essential components of CR programs from general physicians’ and cardiac doctors’ perspectives, respectively. Full article

(This article belongs to the Special Issue Advances in Cardiac Rehabilitation Research)

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11 pages, 1269 KiB

Open AccessArticle

by Kotaro Hirakawa, Atsuko Nakayama, Masakazu Saitoh, Kentaro Hori, Tomoki Shimokawa, Tomohiro Iwakura, Go Haraguchi and Mitsuaki Isobe

Int. J. Environ. Res. Public Health 2022, 19(19), 12918; https://doi.org/10.3390/ijerph191912918 - 09 Oct 2022

Cited by 2 | Viewed by 1786

Abstract

The in-hospital mortality rate among patients after surgery for acute type A aortic dissection (ATAAD) has improved chronologically. However, the relationship between the incidence of hospitalisation-associated disability (HAD) and acute cardiac rehabilitation in patients after surgery for ATAAD has not been reported. Therefore, this study evaluated factors related to HAD in patients after surgery for ATAAD. This single-centre retrospective observational study included 483 patients who required emergency surgery for ATAAD. HAD occurred in 104 (21.5%) patients following cardiovascular surgery. Factors associated with HAD were age (odds ratio [OR], 1.05; 95% confidence interval [CI], 1.02–1.09; p = 0.001), noninvasive positive pressure ventilation (NPPV; OR, 2.15; 95% CI, 1.10–4.19; p = 0.025), postoperative delirium (OR, 2.93; 95% CI, 1.60–5.37; p = 0.001), and timing of walking onset (OR, 1.29; 95% CI, 1.07–1.56; p = 0.008). Furthermore, a late walking onset was associated with a higher risk of developing HAD and more severe functional decline. Early rehabilitation based on appropriate criteria has possibility of preventing HAD. Full article

(This article belongs to the Special Issue Advances in Cardiac Rehabilitation Research)

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