Role of the Multidisciplinary Healthcare Management in Cardiovascular Diseases

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Epidemiology, Lifestyle, and Cardiovascular Health".

Deadline for manuscript submissions: closed (28 February 2023) | Viewed by 7137

Special Issue Editors

1. Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy
2. School of Medicine, Vita-Salute San Raffaele University, 20132 Milan, Italy
3. Myocarditis Disease Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy
Interests: multidisciplinary workup; myocarditis; cardiomyopathies; ventricular arrhythmia; immunology; genetics; imaging; histology
1. Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy
2. Myocarditis Disease Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy
Interests: arrhythmias; myocarditis; implantable cardioverter defibrillator; sudden cardiac death; ablation

Special Issue Information

Dear Colleagues,

We are proud to serve as Guest Editors for this Special Issue in JCDD entitled “Role of Multidisciplinary Healthcare Management in Cardiovascular Diseases”. In recent years, multidisciplinary healthcare teams have been introduced to manage a number of cardiac diseases constituting a leading cause of mortality and morbidity. In particular, due to the incessant progress of knowledge and technologies in different medical areas, the expertise required to provide patients with the best care is too advanced to be efficiently dealt with by a single specialist. This is the case of the “Heart Team”, favoring the discussion between interventional cardiologists and cardiac surgeons, and currently recommended by international guidelines for the best management of ischemic and valvular heart diseases. The issue is even more relevant for diseases requiring expertise beyond cardiological competence, including infectious disease specialists for endocarditis and neurologists for muscle dystrophies. More recently, a “Myocarditis Disease Unit” composed of cardiologists, imaging specialists, pathologists, and immunologists has been presented to improve the management of inflammatory heart disease. The ultimate goal of such multidisciplinary networks is to identify optimal patient-tailored diagnostic and therapeutic strategies based on a complex holistic approach to the patient.

In light of the above, we are confident that many brilliant scientists involved in this emerging research field will valuably contribute to this Special Issue!

Dr. Giovanni Peretto
Dr. Simone Sala
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Cardiovascular Development and Disease is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • multidisciplinary healthcare
  • disease unit
  • heart team
  • multimodality
  • multiparametric

Published Papers (4 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review, Other

11 pages, 295 KiB  
Article
Determining the Acceptance of Digital Cardiac Rehabilitation and Its Influencing Factors among Patients Affected by Cardiac Diseases
by Alexander Bäuerle, Charlotta Mallien, Tienush Rassaf, Lisa Jahre, Christos Rammos, Eva-Maria Skoda, Martin Teufel and Julia Lortz
J. Cardiovasc. Dev. Dis. 2023, 10(4), 174; https://doi.org/10.3390/jcdd10040174 - 17 Apr 2023
Cited by 4 | Viewed by 1271
Abstract
Background: Cardiac diseases are a major global health issue with an increasing prevalence of affected people. Rehabilitation following cardiac events is underutilized, despite its proven effectiveness. Digital interventions might present a useful addition to traditional cardiac rehabilitation. Aims: This study aims to assess [...] Read more.
Background: Cardiac diseases are a major global health issue with an increasing prevalence of affected people. Rehabilitation following cardiac events is underutilized, despite its proven effectiveness. Digital interventions might present a useful addition to traditional cardiac rehabilitation. Aims: This study aims to assess the acceptance of mobile health (mHealth) cardiac rehabilitation and to investigate the underlying factors of acceptance in patients with ischemic heart disease and congestive heart failure. Methods: A cross-sectional study was conducted from November 2021 to September 2022 with N = 290 patients. Sociodemographic, medical, and eHealth-related data were assessed. The Unified Theory of Acceptance and Use of Technology (UTAUT) was applied. Group differences in acceptance were examined and a multiple hierarchical regression analysis was conducted. Results: The overall acceptance of mHealth cardiac rehabilitation was high (M = 4.05, SD = 0.93). Individuals with mental illness reported significantly higher acceptance (t(288) = 3.15, padj = 0.007, d = 0.43). Depressive symptoms (β = 0.34, p < 0.001); digital confidence (β = 0.19, p = 0.003); and the UTAUT predictors of performance expectancy (β = 0.34, p < 0.001), effort expectancy (β = 0.34, p < 0.001), and social influence (β = 0.26, p < 0.001) significantly predicted acceptance. The extended UTAUT model explained 69.5% of the variance in acceptance. Conclusions: As acceptance is associated with the actual use of mHealth, the high level of acceptance found in this study is a promising basis for the future implementation of innovative mHealth offers in cardiac rehabilitation. Full article

Review

Jump to: Research, Other

19 pages, 21806 KiB  
Review
Practical Guide to Interpreting Cardiac Magnetic Resonance in Patients with Cardiac Masses
by Giulia Grazzini, Silvia Pradella, Alice Rossi, Rocco Pio Basile, Matteo Ruggieri, Daniele Galli, Anna Palmisano, Pierpaolo Palumbo, Antonio Esposito and Vittorio Miele
J. Cardiovasc. Dev. Dis. 2023, 10(6), 229; https://doi.org/10.3390/jcdd10060229 - 24 May 2023
Cited by 1 | Viewed by 1186
Abstract
It is common for a cardiac mass to be discovered accidentally during an echocardiographic examination. Following the relief of a cardiac mass, being able to evaluate and characterize it using non-invasive imaging methods is critical. Echocardiography, computed tomography (CT), cardiac magnetic resonance imaging [...] Read more.
It is common for a cardiac mass to be discovered accidentally during an echocardiographic examination. Following the relief of a cardiac mass, being able to evaluate and characterize it using non-invasive imaging methods is critical. Echocardiography, computed tomography (CT), cardiac magnetic resonance imaging (CMR), and positron emission tomography (PET) are the main imaging modalities used to evaluate cardiac masses. Although multimodal imaging often allows for a better assessment, CMR is the best technique for the non-invasive characterization of tissues, as the different MR sequences help in the diagnosis of cardiac masses. This article provides detailed descriptions of each CMR sequence employed in the evaluation of cardiac masses, underlining the potential information it can provide. The description in the individual sequences provides useful guidance to the radiologist in performing the examination. Full article
Show Figures

Figure 1

16 pages, 668 KiB  
Review
The Heart–Brain Interplay in Multiple Sclerosis from Pathophysiology to Clinical Practice: A Narrative Review
by Matteo Zavarella, Andrea Villatore, Maria Assunta Rocca, Giovanni Peretto and Massimo Filippi
J. Cardiovasc. Dev. Dis. 2023, 10(4), 153; https://doi.org/10.3390/jcdd10040153 - 01 Apr 2023
Viewed by 3129
Abstract
Multiple sclerosis (MS) is a chronic neurological disorder characterized by inflammation in the central nervous system (CNS) that leads to neurodegeneration. The clinical course is highly variable, but its prevalence is rising worldwide, partly thanks to novel disease-modifying therapies. Additionally, the lifespan of [...] Read more.
Multiple sclerosis (MS) is a chronic neurological disorder characterized by inflammation in the central nervous system (CNS) that leads to neurodegeneration. The clinical course is highly variable, but its prevalence is rising worldwide, partly thanks to novel disease-modifying therapies. Additionally, the lifespan of people with MS is increasing, and for this reason, it is fundamental to have a multidisciplinary approach to MS. MS may be associated with cardiovascular diseases (CVD), but there is scarce attention on this issue. In particular, CNS is essential in regulating the autonomic system and heart activity. Moreover, cardiovascular risk factors show a higher prevalence in MS patients. On the other hand, conditions like Takotsubo syndrome are rare complications of MS. The parallelism between MS and myocarditis is also interesting. Finally, cardiac toxicity represents a not infrequent adverse reaction to MS drugs. This narrative review aims to provide an overview of cardiovascular complications in MS and their management to prompt further clinical and pre-clinical research on this topic. Full article
Show Figures

Figure 1

Other

Jump to: Research, Review

10 pages, 779 KiB  
Perspective
Challenges of Health Data Use in Multidisciplinary Chronic Disease Care: Perspective from Heart Failure Care
by Pupalan Iyngkaran, Wania Usmani, Fahad Hanna and Maximilian de Courten
J. Cardiovasc. Dev. Dis. 2023, 10(12), 486; https://doi.org/10.3390/jcdd10120486 - 05 Dec 2023
Cited by 1 | Viewed by 1238
Abstract
The healthcare sector generates approximately 30% of all the world’s data volume, mostly for record keeping, compliance and regulatory requirements, and patient care. Healthcare data often exist in silos or on different systems and platforms due to decentralised storage and data protection laws, [...] Read more.
The healthcare sector generates approximately 30% of all the world’s data volume, mostly for record keeping, compliance and regulatory requirements, and patient care. Healthcare data often exist in silos or on different systems and platforms due to decentralised storage and data protection laws, limiting accessibility for health service research. Thus, both the lack of access to data and more importantly the inability to control data quality and explore post-trial (phase IV) data or data with translational relevance have an impact on optimising care and research of congestive heart failure (CHF). We highlight that for some diseases, such as CHF, generating non-traditional data has significant importance, but is hindered by the logistics of accessing chronic disease data from separate health silos and by various levels of data quality. Modern multidisciplinary healthcare management of cardiovascular diseases—especially when spanning across community hubs to tertiary healthcare centres—increases the complexities involved between data privacy and access to data for healthcare and health service research. We call for an increased ability to leverage health data across systems, devices, and countries. Full article
Show Figures

Figure 1

Back to TopTop