Review
Medicine, General & Internal
Nicolo Sisti, Serafina Valente, Giulia Elena Mandoli, Ciro Santoro, Carlotta Sciaccaluga, Federico Franchi, Paolo Cameli, Sergio Mondillo, Matteo Cameli
Summary: The combination of COVID-19 and cardiovascular diseases can lead to poor prognosis, requiring special care and monitoring for heart failure patients during viral infection.
POSTGRADUATE MEDICAL JOURNAL
(2021)
Article
Cardiac & Cardiovascular Systems
Alexander T. Sandhu, Jimmy Zheng, Neil M. Kalwani, Anshal Gupta, Jamie Calma, Megan Skye, Roy Lan, Brian Yu, John A. Spertus, Paul A. Heidenreich
Summary: This study examined whether collecting patient-reported health status improves the accuracy of clinician assessments in heart failure clinic. The results showed that using the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) improved clinicians' accuracy of health status assessment and patients felt that their clinicians better understood their symptoms.
CIRCULATION-HEART FAILURE
(2023)
Article
Medicine, General & Internal
Aikeliyaer Ainiwaer, Kaisaierjiang Kadier, Anniwaer Abulizi, Wen Qing Hou, Rena Rehemuding, Halimulati Maimaiti, Mubalake Yakufu, Xiang Ma, Yi-Tong Ma
Summary: This study investigates the association between red cell distribution width (RDW) and the RDW to platelet count ratio (RPR) with cardiovascular diseases (CVDs). The study also examines the population differences and dose-response relationships in this association. There are statistical heterogeneities in the association between RDW, RPR distributions, and the prevalence of CVDs across sex, smoking status, and age groups.
Article
Medicine, General & Internal
Sandra Skogby, Eva Goossens, Bengt Johansson, Philip Moons, Ewa-Lena Bratt
Summary: Young adults with congenital heart disease perceive and experience various factors influencing continued follow-up care. Motivation, sense of connectedness with healthcare providers, and care accessibility are key factors affecting their decision to continue follow-up. Holistic approaches, improved skills among healthcare providers, and person-centered care are essential in developing preventive strategies to prevent discontinuation.
Article
Medicine, General & Internal
Karan Rao, Kunwardeep Bhatia, Bernard Chan, Mitchell Cowan, Natasha Saad, Alexandra Baer, Hari Sritharan, Ingrid Bromhead, David Whalley, Usaid K. Allahwala, Peter Hansen, Ravinay Bhindi
Summary: Aortic stenosis is a common and life-threatening heart valve disease. Transcatheter aortic valve implantation (TAVI) is a less invasive treatment option. However, high-grade atrioventricular conduction block (HGAVB) is a common post-TAVI complication that can lead to syncope or sudden death. This study aims to improve the prediction of HGAVB after TAVI.
Article
Medicine, General & Internal
Abukar Mohamed Ali, Daanyaal Wasim, Kjetil Halvorsen Loland, Svein Rotevatn, Oyvind Bleie, Sahrai Saeed
Summary: This study focuses on the impact of TAVI on cardiac structure and function in patients with severe AS, aiming to identify echocardiographic predictors of reverse LV remodeling, assess survival benefits based on baseline risk profile, evaluate long-term therapeutic success reflected by reduction in valvular-arterial impedance and investigate the impact of different types of blood pressure response immediately after TAVI on clinical outcome.
Review
Sport Sciences
Nathan R. Riding, Dan-Mihai Dorobantu, Craig A. Williams, Graham Stuart, Peter Fritsch, Mathew G. Wilson, Elias Mossialos, Guido Pieles
Summary: This article systematically reviews and evaluates the quality of cardiovascular screening policies for athletes in the context of pediatric population. It finds that there is a lack of specific recommendations for pediatric athletes and the overall quality of the policies is moderate.
BRITISH JOURNAL OF SPORTS MEDICINE
(2023)
Article
Medicine, General & Internal
Fumiaki Yashima, Masahiko Hara, Taku Inohara, Masahiro Jinzaki, Hideyuki Shimizu, Keiichi Fukuda, Makoto Tanaka, Masanori Yamamoto, Yusuke Watanabe, Toru Naganuma, Shinichi Shirai, Masahiro Yamawaki, Norio Tada, Futoshi Yamanaka, Kazuki Mizutani, Hiroshi Ueno, Minoru Tabata, Kensuke Takagi, Kentaro Hayashida
Summary: The study suggests that statin can reduce all-cause mortality and cardiovascular mortality in TAVI patients, especially in octogenarians. Additionally, statin is essential for TAVI patients with coronary artery disease (CAD). Further research is needed to validate and generalize the findings.
Article
Medicine, General & Internal
Astrid Holm, Matilda Jerkeman, Pedram Sultanian, Peter Lundgren, Annica Ravn-Fischer, Johan Israelsson, Jasna Giesecke, Johan Herlitz, Araz Rawshani
Summary: The study found that during the COVID-19 pandemic, the proportion of COVID-19 positive patients among IHCA cases fluctuated, with COVID-19 positive cases having only half the survival rate of COVID-19 negative cases, and female patients displaying the worst outcomes.
Review
Medicine, General & Internal
Julian Hoevelmann, Elani Muller, Ameer Hohlfeld, Michael Bohm, Karen Sliwa, Mark E. Engel, Charle Andre Viljoen
Summary: Peripartum cardiomyopathy (PPCM) is a significant cause of maternal morbidity and mortality worldwide, with complications including heart failure, thromboembolic events, arrhythmias, and death. This study aims to systematically review and meta-analyze data on the complications and outcomes of women with PPCM from 2000 to June 2021.
Review
Medicine, General & Internal
Lingjun Jiang, Ruixuan Wan, Bohan Li, XuHui Huang, Yaning Xu, Kaisong Wu, Jie Xu, Yan Lu
Summary: This study aims to use network meta-analysis to investigate the relative efficacy and safety of different modes of exercise-based cardiac rehabilitation delivery for individuals with heart failure. The study will assess primary outcomes such as functional capacity and health-related quality of life, as well as secondary outcomes including hospital admissions, mortality, and adverse events.
Article
Public, Environmental & Occupational Health
Hadley W. Reid, Victoria Parente, Maya Das Gupta, Sarah Hantzmon, Maren K. Olsen, Hongqiu Yang, Larry R. Jackson, Kimberly S. Johnson, Kathryn Pollak
Summary: This study examined the association between patient participation in cardiology encounters and coder ratings of cardiologist behaviors and global scores of cardiologist communication style. The results showed that certain behaviors by cardiologists, such as reflective statements and empathic statements, were associated with higher patient participation. These findings suggest that communication training for cardiologists should focus on improving these specific behaviors to increase patient engagement.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Medicine, General & Internal
Mirvat Alasnag, Fayez Bokhari, Abdulrahman Almoghairi, Khaled Marri, Abdullah Alenezi, Waleed Alharbi, Nouf Alanazi, Haitham Amin, Hussam Noor, Shereen Al-Shaikh, Fawaz Bardowli, Hatim Al Lawati, Khalid Alfaraidy, Mohammed Alshehri, Adel Tash, Waleed Alhabeeb, Mohammed Balghith, Michael Thabane, Lehana Thabane, Khaled Al-Shaibi
Summary: The Gulf MTEER registry is the first registry in the Gulf region to define the patient population receiving MTEER therapies and evaluate 1-year outcomes. This study shows that patients undergoing transcatheter mitral valve repair have a low risk of adverse events at 1 year, with a high rate of immediate procedural success. A larger effective regurgitant orifice is associated with a higher risk of death or rehospitalizations.
Review
Medicine, General & Internal
Yashendra Sethi, Neil Patel, Nirja Kaka, Oroshay Kaiwan, Jill Kar, Arsalan Moinuddin, Ashish Goel, Hitesh Chopra, Simona Cavalu
Summary: Cardiac diseases have become a major global health issue, with increasing prevalence and a shift towards non-infectious diseases. Precision medicine offers new opportunities for individually personalized management of cardiac diseases.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Lian Qin, Quan Qi, Ainiwaer Aikeliyaer, Wen Qing Hou, Chang Xin Zuo, Xiang Ma
Summary: The aim of this study was to improve the diagnostic accuracy of non-ST-elevation myocardial infarction (NSTEMI) by using constructed machine learning (ML) models as auxiliary diagnostic tools. The clinical and biochemical characteristics of the patients were used to construct an initial attribute set, and feature engineering was used to create new features strongly correlated with training ML models. Six ML models, including extreme gradient boosting, support vector machine, random forest, naive Bayesian, gradient boosting machines, and logistic regression, were constructed and their diagnostic performance was comprehensively evaluated.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Carley Turner, Felicity Astin
Summary: Grounded theory is both a research method and methodology with different approaches. It can be confusing for newcomers. The literature review plays a significant role in GT methods.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2021)
Review
Environmental Sciences
Amineh Rashidi, Lisa Whitehead, Lisa Newson, Felicity Astin, Paramjit Gill, Deirdre A. Lane, Gregory Y. H. Lip, Lis Neubeck, Chantal F. Ski, David R. Thompson, Helen Walthall, Ian D. Jones
Summary: ACT is considered a valuable intervention to improve outcomes in patients with CVD or T2DM. Studies have shown that ACT is seen as an acceptable and effective intervention in several studies.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Psychology, Clinical
Jaime Delgadillo, Dean McMillan, Simon Gilbody, Kim de Jong, Mike Lucock, Wolfgang Lutz, Julian Rubel, Elisa Aguirre, Shehzad Ali
Summary: Feedback-informed treatment (FIT) increases the probability of reliable improvement in routine clinical practice and may be associated with a small (but uncertain) incremental cost. FIT is likely to be a cost-effective strategy for mental health services.
BEHAVIOUR RESEARCH AND THERAPY
(2021)
Article
Multidisciplinary Sciences
Tianhua Chen, Mike Lucock
Summary: The mental health of higher education students has become a growing concern, even prior to the COVID-19 pandemic. The stresses and restrictions brought on by the pandemic have increased the risk of mental health issues for university students, which can have significant impacts on their academic success, social interactions, and future opportunities. This study aimed to examine the mental health status of university students during the early stages of the pandemic and identify factors associated with higher levels of distress. Findings from an online survey of 1173 students in a university in the north of England revealed high levels of anxiety and depression, with over 50% of participants scoring above clinical cut-offs, and females scoring significantly higher than males. The survey also indicated relatively low levels of resilience, which can be attributed to the limitations and isolation imposed by the pandemic, rather than enduring personality traits. Higher levels of distress were associated with lower levels of exercise, higher levels of tobacco use, and various life events related to the pandemic and lockdown measures. The study emphasizes the importance of long-term monitoring and mental health support for university students.
Article
Medical Informatics
Emma Harris, Dwayne Conway, Angel Jimenez-Aranda, Jeremy Butts, Philippa Hedley-Takhar, Richard Thomson, Felicity Astin
Summary: This study developed and tested a digital patient decision aid (CONNECT) to facilitate shared decision-making for people with stable angina considering elective percutaneous coronary intervention (PCI). The results showed that CONNECT was generally acceptable, usable, and desirable, and had the potential to improve care quality and patient safety. Future research is needed to evaluate the effectiveness of CONNECT in a clinical trial and to address accessibility issues for underserved communities.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Cardiac & Cardiovascular Systems
C. S. Jennings, F. Astin, E. Prescott, T. Hansen, P. Gale Chris, D. De Bacquer
Summary: This study aimed to describe the sociodemographic and risk factor profiles of patients with coronary disease, and to explore the associations between illness perceptions and health literacy with sociodemographic characteristics, risk factors, health-related quality of life (HRQoL), anxiety, and depression. The results showed that more threatening illness perceptions were associated with female gender, lower income, lower education, obesity, sedentary behavior, and diabetes. Poorer health literacy was associated with obesity and sedentary behavior. Threatening illness perceptions and poor health literacy were strongly associated with anxiety, depression, and lower ratings of HRQoL. These findings were consistent across different regions of Europe and various demographic groups.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2023)
Article
Cardiac & Cardiovascular Systems
Lis Neubeck, Catherine Ross, Jennifer Jones, Maggie Simpson, Richard Mindham, Tiny Jaarsma, Izabella Uchmanowicz, Lynne Hinterbuchner, Felicity Astin
Summary: The 2023 update of the Core Curriculum in Cardiovascular Nursing (2015) incorporates the establishment of the Association of Cardiovascular Nursing and Allied Professionals and acknowledges the diverse professional backgrounds of its members, including nurses, allied health professionals, and healthcare scientists (referred to collectively as Nurses and Allied Professionals in this document).
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2023)
Article
Rehabilitation
Helen Carruthers, David Derry, Felicity Astin
Summary: This study examines the experiences and interpretations of physiotherapists delivering person-centred rehabilitation in Intensive Care. The findings suggest that physiotherapists strive to develop a partnership with their patients by connecting on a human level and addressing their biopsychosocial needs, thus promoting person-centred care.
DISABILITY AND REHABILITATION
(2023)
Article
Psychology, Clinical
Rachel Lee, Dean Mcmillan, Jaime Delgadillo, Rachael Alexander, Mike Lucock
Summary: This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder. The results indicated that participants who experienced sudden gains showed more improvement in panic symptoms and had significantly higher cognitive change scores in the pre-gain session compared to the control session.
BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY
(2023)
Review
Psychology, Social
Louisa Anne Peters, Tim Gomersall, Andrew Booth, Mike Lucock
Summary: Identity is an important factor in the recovery process from serious mental illness (SMI), and community arts interventions have shown potential in facilitating identity change recovery. The review highlights the significance of a safe and empowering intervention context, which activates three key mechanisms: feeling in control of SMI through coping, achieving acceptance through connectedness, and overcoming personal challenges. The outcome is the development of positive self-awareness, allowing individuals to redefine their identity beyond SMI through both social and personal identities.
JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Dirk De Bacquer, Felicity Astin, Kornelia Kotseva, Nana Pogosova, Delphine De Smedt, Guy De Backer, Lars Ryden, David Wood, Catriona Jennings
Summary: Despite the high use of cardioprotective medications, many patients with coronary heart disease still have inadequate risk factor control due to poor adherence to healthy lifestyles. Factors contributing to this include smoking habits, obesity, lack of physical activity, and patients' perception of illness. Patients who participated in cardiac rehabilitation programs showed more successful lifestyle modifications. Lack of self-confidence was identified as a major barrier to behavior change for healthier lifestyles.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Article
Rehabilitation
David Nolan, Nicky Sharpe, Kieran O'Sullivan, John Stephenson, Peter O'Sullivan, Mike Lucock
Summary: This study found that NHS employees hold many outdated views on back pain, and manual handling training had a small negative effect by exacerbating negative beliefs regarding vulnerability of the back and the relationship between pain and injury.
EUROPEAN JOURNAL OF PHYSIOTHERAPY
(2022)
Article
Medicine, Research & Experimental
Justin Lee Mifsud, John Stephenson, Felicity Astin, Joseph Galea
Summary: The study aims to test the feasibility and effectiveness of a preventative intervention, including components such as goal reinforcement calls, risk communication, and motivational interviewing. The research hypothesizes improvements in cardio-protective lifestyle among relatives of patients with premature coronary heart disease and will conduct feasibility and risk factor change assessments.
PILOT AND FEASIBILITY STUDIES
(2021)
Article
Nursing
Abedalmajeed Shajrawi, Malcolm Granat, Ian Jones, Felicity Astin
Summary: This study found that patients recovering from AMI in Jordan did not increase their physical activity levels during the early recovery phase, although cardiac self-efficacy scores improved. This discrepancy may be due to the fact that the increase in cardiac self-efficacy was not accompanied by the necessary practical skills and knowledge to translate it into behavioral changes. This research provides a first step towards understanding the complex relationship between cardiac self-efficacy and physical activity in this population, aiming to support the development of culturally appropriate interventions to promote physical activity levels.
JOURNAL OF NURSING RESEARCH
(2021)
Review
Critical Care Medicine
Andrew Lockey, Patricia Conaghan, Andrew Bland, Felicity Astin
Summary: The knowledge, skills, and attitudes taught on Advanced Life Support (ALS) courses are essential for healthcare professionals caring for acutely unwell patients. The application of educational theory has positively influenced the evolution of ALS courses from predominantly lecture-based and behaviorist approaches to more participative and social constructivist methods. The ALS course is now influenced by a combination of theoretical approaches and diverse teaching strategies to cater for individual learning styles.
RESUSCITATION PLUS
(2021)