Review
Cardiac & Cardiovascular Systems
Sueyeon Lee, Eileen G. Collins
Summary: The study identified facilitators and barriers influencing physical activity after cardiac surgery, including personal, social, and intervention-related factors. Male gender was the most common predictor of physical activity, while comorbidities were the most frequent barrier. Healthcare providers and exercise guideline developers should take these factors into account when devising strategies for postoperative cardiac patients.
Article
Psychiatry
Elisabetta Patron, Simone Messerotti Benvenuti, Andrea Ponchia, Franco Del Piccolo, Claudio Gentili, Daniela Palomba
Summary: Mandatory quarantine during the COVID-19 pandemic has negatively affected the psychological health of patients after cardiac interventions, increasing the risk of depression. This emphasizes the importance of integrating and improving targeted mental health support, especially for cardiac patients, as the pandemic continues.
TRANSLATIONAL PSYCHIATRY
(2022)
Article
Orthopedics
Hiral Master, Renan Castillo, Stephen T. Wegener, Jacquelyn S. Pennings, Rogelio A. Coronado, Christine M. Haug, Richard L. Skolasky, Lee H. Riley, Brian J. Neuman, Joseph S. Cheng, Oran S. Aaronson, Clinton J. Devin, Kristin R. Archer
Summary: The study found that the relationship between physical activity and physical function is stronger than the reverse relationship. Depression and fear of movement partially mediated the impact of physical activity on physical function, while pain self-efficacy was not a significant mediator. Further research is needed to explore other potential mediating factors such as pain catastrophizing, resilience, and exercise self-efficacy.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Review
Medicine, General & Internal
Janelle M. Wagnild, Enoch Akowuah, Rebecca H. Maier, Helen C. Hancock, Adetayo Kasim
Summary: The systematic review found limited evidence to suggest that prehabilitation is associated with increases in objectively measured physical activity, possibly due to most trials being small feasibility/pilot studies. However, significant beneficial associations were reported between objectively measured physical activity during the intervention period and health-related outcomes. Further large-scale studies with clear and consistent reporting of objective measures are needed to better understand the impact of changes in physical activity prior to surgery on surgical and health-related outcomes.
Review
Clinical Neurology
Liping He, Kim Lam Soh, Feifei Huang, Huzwah Khaza'ai, Soh Kim Geok, Ponpun Vorasiha, Aixiang Chen, Jiangping Ma
Summary: This study analyzed 35 studies and found that physical activity specifically targeted at pregnant women can reduce the incidence and severity of postpartum depression. Low-intensity physical activity can decrease depression severity in pregnant women with prenatal depression. In the general population, the risk of postpartum depression is lower when the duration of intervention is >= 12 weeks and the physical activity intensity is >= 450 METs-min/week. Both low and moderate-intensity physical activity are beneficial for improving depression severity among depressed women with postpartum depression.
JOURNAL OF AFFECTIVE DISORDERS
(2023)
Article
Biochemistry & Molecular Biology
Thomas Poschner, Anne-Kristin Schaefer, Doris Hutschala, Georg Goliasch, Julia Riebandt, Klaus Distelmaier, Martin H. Bernardi, Martin Andreas, Ruud Brands, Tandis Aref, Guenther Laufer, Dominik Wiedemann
Summary: In patients with VA-ECMO support, postoperative recovery of alkaline phosphatase (AP) is correlated with patient outcomes, with a greater AP drop leading to increased need for renal replacement therapy and impacting 1-year survival.
Article
Medicine, General & Internal
Keso Skhirtladze-Dworschak, Alessia Felli, Susanne Aull-Watschinger, Rebekka Jung, Mohamed Mouhieddine, Andreas Zuckermann, Edda Tschernko, Martin Dworschak, Ekaterina Pataraia
Summary: Neurological complications after heart surgery, such as nonconvulsive status epilepticus (NCSE), can lead to significant morbidity and mortality. This study aimed to determine the frequency and impact of NCSE after cardiac surgery. It found that NCSE occurred in a significant number of patients who underwent open heart surgery, and it was often associated with concurrent brain injury. Early EEG studies may be prudent to interrupt seizure activity and mitigate secondary cerebral injury.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Psychology, Multidisciplinary
Tanja Kajtna, Vojko Vuckovic
Summary: The study found that a decrease in physical activity during the COVID-19 lockdown was associated with increased levels of depression and anxiety. Women, singles, unemployed individuals, and those with lower levels of education were more vulnerable to these effects. On the other hand, individuals with a history of competitive sports were less likely to experience depression and anxiety.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Josef Madrigal, Zachary Tran, Joseph Hadaya, Yas Sanaiha, Peyman Benharash
Summary: This study aimed to assess the impact of CLL on clinical outcomes and resource utilization after cardiac operations. The results showed that patients with CLL generally have similar outcomes after cardiac operations but may more commonly require blood transfusion, and respiratory etiologies contribute significantly to rehospitalization.
ANNALS OF THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Lauren Kari Dixon, Ettorino Di Tommaso, Arnaldo Dimagli, Shubhra Sinha, Manraj Sandhu, Umberto Benedetto, Gianni D. Angelini
Summary: Females undergoing CABG and valve surgery with CABG have a higher risk for short-term mortality and post-operative stroke compared to males, while no difference is found for isolated AVR. Long-term mortality is equivalent for both sexes.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Valentino Bianco, Arman Kilic, Sarah Yousef, Derek Serna-Gallegos, Edgar Aranda-Michel, Yisi Wang, Floyd Thoma, Forozan Navid, Ibrahim Sultan
Summary: Postoperative atrial fibrillation has a significant impact on the long-term survival and hospital readmission of cardiac surgery patients, with higher perioperative morbidity and more readmissions for heart failure.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Louise Y. Sun, Sylvain Boet, Vincent Chan, Douglas S. Lee, Thierry G. Mesana, Anan Bader Eddeen, Cole Etherington
Summary: The study found that patient mortality and hospital length of stay after cardiac surgery may be influenced by the sex concordance of the attending surgeon-anaesthesiologist team, particularly for patients undergoing isolated CABG procedures. Further research is needed to examine the underlying mechanisms of these observed relationships.
Article
Multidisciplinary Sciences
Medbh Hillyard, Marlene Sinclair, Marie Murphy, Karen Casson, Ciara Mulligan
Summary: The survey revealed that sedentary time increased for 79% of pregnant women with gestational diabetes during the pandemic. Nearly half of the women (47%) were meeting the physical activity guidelines pre COVID-19, but this dropped to 23% during the pandemic. The fear of leaving the house due to COVID-19 was reported as the most common reason for the decline in physical activity levels.
Article
Multidisciplinary Sciences
Makoto Yoshida, Tetsuya Hiramoto, Atsushi Moriwaki, Hisayuki Osoreda, Tomoaki Iwanaga, Hiromasa Inoue
Summary: This study aimed to investigate the comprehensive effect of extrapulmonary comorbidities on physical activity in Japanese patients with chronic obstructive pulmonary disease. The results showed that factors such as lung function, muscle function, depressive symptoms, and nutritional state were associated with decreased physical activity level.
Article
Psychology, Multidisciplinary
Olivia Pastore, Taylor McFadden, Michelle Fortier
Summary: This study aimed to examine the impact of Physical Activity Counselling (PAC) on self-compassion (SC) and physical activity (PA) over time and whether improvements in SC and PA were sustained at 1-month follow-up. The study found that PAC led to significant increases in total SC, self-kindness, and total, moderate, and strenuous PA, as well as decreases in self-judgement and isolation. These improvements were sustained at 1-month follow-up. However, no significant relationship was found between SC and PA, possibly due to self-compassionate individuals prioritizing other health behaviors.
CURRENT PSYCHOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Yue Chang, Sandra M. Ragheb, Nebojsa Oravec, David Kent, Kristina Nugent, Alexandra Cornick, Brett Hiebert, James L. Rudolph, Alasdair M. J. MacLullich, Rakesh C. Arora
Summary: This study validated the 4 A's Test delirium screening tool and evaluated its accuracy when used by research assistants and subsequently implemented by nursing staff. The results showed that the 4 A's Test had moderate sensitivity and high specificity for detecting delirium among cardiac surgery patients on the postoperative ward.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Charles Yin, Hellmuth R. Muller Moran, Rakesh C. Arora
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Review
Cardiac & Cardiovascular Systems
Nebojsa Oravec, Rakesh C. Arora, Brian Bjorklund, April Gregora, Caroline Monnin, Mudra G. Dave, Todd A. Duhamel, David E. Kent, Annette S. H. Schultz, Anna M. Chudyk
Summary: In this study, patient and caregiver preferences and prioritized outcomes related to perioperative care in cardiac surgery were identified through a scoping review and validated through consultation workshops. The most common theme of patient and caregiver preferences was information and education, with improved quality of life being the most common patient-prioritized outcome. The findings have important implications for improving clinical practice in cardiac surgery.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
J. W. Awori Hayanga, Subhasis Chatterjee, Bo Soo Kim, HelenMari Merritt-Genore, Rita Carrie Karianna Milewski, Jonathan W. Haft, Rakesh C. Arora
Summary: The high transmissibility of SARS-CoV-2 and severity of COVID-19 have created a global health emergency. The virus enters host cells through the spike membrane protein, with angiotensin-converting enzyme 2 as the receptor. The pandemic has tested the global health infrastructure and led to the exploration of new strategies. ECMO has been used as a rescue option, but there is no consensus on a specific scoring system for its severity assessment.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Heather Rossong, Summer Debreuil, Weiang Yan, Brett M. Hiebert, Rohit K. Singal, Rakesh C. Arora, Michael H. Yamashita
Summary: This study examined the 5-year survival and health-related quality of life (HRQoL) of patients treated with venoarterial (VA)- or venovenous (VV)-ECMO. The study found that the 5-year survival rates for patients who survived the initial 30 days were 73% (VA-ECMO) and 71% (VV-ECMO). Some survivors had persistent HRQoL concerns, highlighting the importance of longer-term post-discharge follow-up.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Derrick Y. Tam, Jan O. Friedrich, Rakesh C. Arora, Bobby Yanagawa
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Nebojsa Oravec, Mackenzie A. M. King, Tyler Spencer, Rachel Eikelboom, David Kent, Kristin Reynolds, Renee El-Gabalawy, Anna M. Chudyk, Colleen Metge, Alexandra Cornick, Rohan M. Sanjanwala, Erika Lee, Brett Hiebert, Kristina Nugent, Mudra G. Dave, Todd A. Duhamel, Rakesh C. Arora
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Immunology
Arutha Kulasinghe, Ning Liu, Chin Wee Tan, James Monkman, Jane E. Sinclair, Dharmesh D. Bhuva, David Godbolt, Liuliu Pan, Andy Nam, Habib Sadeghirad, Kei Sato, Gianluigi Li Bassi, Ken O'Byrne, Camila Hartmann, Anna Flavia Ribeiro Dos Santos Miggiolaro, Gustavo Lenci Marques, Lidia Zytynski Moura, Derek Richard, Mark Adams, Lucia de Noronha, Cristina Pellegrino Baena, Jacky Y. Suen, Rakesh Arora, Gabrielle T. Belz, Kirsty R. Short, Melissa J. Davis, Fernando Souza-Fonseca Guimaraes, John F. Fraser
Summary: The study reveals distinct transcriptomic profiles in cardiac tissues of SARS-CoV-2 and pH1N1 influenza infection, with upregulation of genes associated with DNA damage and repair, heat shock, and macrophage infiltration in COVID-19 patients' cardiac tissues. In comparison, pH1N1 infection showed upregulation of interferon and complement pathways. This highlights the need for further understanding of the effects on extra-pulmonary organs, including the cardiovascular system, in COVID-19 patients.
Article
Cardiac & Cardiovascular Systems
Michel Pompeu Sa, Jef Van den Eynde, Matheus Simonato, Sameer Hirji, Ozgun Erten, Xander Jacquemyn, Panagiotis Tasoudis, Alexander Dokollari, Serge Sicouri, Alexander Weymann, Arjang Ruhparwar, Rakesh Arora, Marie- Annick Clavel, Philippe Pibarot, Basel Ramlawi
Summary: The study found that ViV-TAVI is associated with a decreased risk of all-cause mortality in the short term after the procedure compared to redo SAVR. However, over time, redo SAVR seems to be protective against all-cause mortality. These results should be interpreted with caution as they are based on pooled data from observational studies, and further clinical trials are needed.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Michael C. Grant, Desiree Chappell, Tong J. Gan, Michael W. Manning, Timothy E. Miller, Jessica L. Brodt
Summary: This article presents recommendations for optimal pain management and opioid stewardship for cardiac surgery patients based on literature appraisal and expert consensus. The recommendations include avoiding high-dose opioids, increasing the use of nonopioid medications and regional anesthesia techniques, enhancing patient and provider education, and implementing structured system-level opioid prescription practices.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Environmental Sciences
Dihogo Gama de Matos, Jefferson Lima de Santana, Asher A. Mendelson, Todd A. Duhamel, Rodrigo Villar
Summary: This study aims to investigate the impact of postural transitions on the autonomic and cardiovascular responses in older adults with different frailty statuses and perform a meta-analysis comparing responses during active postural transitions in non-frail, pre-frail, and frail older adults. This systematic review will provide critical information on how integrated dynamic autonomic and cardiovascular regulation occurs during postural transitions in older adults with different frailty statuses.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Varinder Kaur Randhawa, Sean van Diepen, Benjamin Hibbert, Andre Denault, Warwick Butt, Rakesh Arora
Summary: From the 1960s to the present, coronary care units (CCUs) have undergone advancements in technology and treatment protocols, resulting in improved care for patients with complex cardiovascular disease. The establishment of systems-of-care and referral networks has shifted the demographics and management of critically ill cardiovascular patients. Patients now have access to timely interventions and support devices, such as defibrillation, pacers, thrombolysis, and temporary mechanical circulatory support.
CANADIAN JOURNAL OF CARDIOLOGY
(2023)
Article
Critical Care Medicine
Jonathon Fanning, Natasha B. Weaver, Robert J. Fanning, Matthew Griffee, Sung-Min Cho, Mauro G. Panigada, Nchafatso M. Obonyo, Akram Zaaqoq, Hannah Rando, Yew Woon Chia, Bingwen Eugene Fan, Declan Sela, Davide Chiumello, Silvia Coppola, Ahmed Labib, Glenn J. R. C. Whitman, Rakesh S. Arora, Bo Kim, Anna Motos, Antoni Torres, Ferran Barbe, Giacomo Grasselli, Alberto Zanella, Eric Etchill, Asad Ali Usman, Maximilian M. Feth, Nicole Y. White, Jacky Suen, Gianluigi J. Li Bassi, Giles F. Peek, John Fraser, Heidi Dalton
Summary: A high prevalence of HECTOR complications (hemorrhage, disseminated intravascular coagulopathy, and thrombosis) was observed in ICU patients with severe COVID-19. Hemorrhagic complications were associated with increased ICU mortality, while thrombosis complications were associated with reduced mortality.
CRITICAL CARE MEDICINE
(2023)
Article
Nutrition & Dietetics
Christian Stoppe, Ellen Dresen, Sebastian Wendt, Gunnar Elke, Jayshil J. Patel, Liam McKeever, Michael Chourdakis, Bernard McDonald, Patrick Meybohm, Matthias Lindner, Rakesh C. Arora, Ben O'Brien, Vera von Dossow, Sergey Efremov, Vladimir Lomivorotov, Charlene Compher, Jill Yaung, Taryne Imai, Michael Nurok, Andrea Ho, Christian von Loeffelholz, Foong Pui Hing, Xuran Jiang, Daren K. Heyland
Summary: A study was conducted to describe the current nutrition practices in critically ill cardiac surgery patients worldwide. The study found that patients had significant delays in starting enteral nutrition and received low levels of energy and protein. There was also tremendous variability in site performance. However, achieving optimal nutrition performance is feasible.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Review
Cardiac & Cardiovascular Systems
Jeffrey Javidfar, Akram M. Zaaqoq, Ahmed Labib, Adrian G. Barnett, J. W. Awori Hayanga, Greg Eschun, Michael H. Yamashita, Jeffrey P. Jacobs, Silver Heinsar, Jacky Y. Suen, John F. Fraser, Gianluigi Li Bassi, Rakesh C. Arora, Giles J. Peek
Summary: Obesity is linked to a worse prognosis in COVID-19 patients with ARDS. It remains unclear how morbid obesity directly affects patients treated with V-V ECMO.
