bluuebunny/crossref_metadata_2025_split huggingface dataset:
Body image concerns in patients with an implantable cardioverter defibrillator: associations with other patient-reported outcomes
Authors: Frydensberg V S , Moller S , Johansen J B , Stroemberg A , Pedersen S S 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background/Introduction
Implantation with an implantable cardioverter defibrillator (ICD) is for some patients associated with body image concerns (BICs). The associations of BICs with other patient-reported outcomes (PROs) have not yet been investigated.

Purpose
The purpose of this study was to investigate the associations between BICs and other PROs in a cohort of ICD-recipients.

Methods
A cross-sectional survey design was used. Patients who had the ICD in minimum 3 months up to 2 years, age &gt;18 years, implanted with a first-time ICD (both VVI-ICD, DDD-ICD and CRT-D) completed the 39-item ICD Body Image Concerns Questionnaire (ICD-BICQ) together with the Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire (PHQ-9), Type D Scale (DS14) and the Florida Patient Acceptance Survey (FPAS). Data were analyzed using linear regression to compare personality constructs between patients with and without BICs. Logistic repression and Reciever Operating Characteristic (ROC) curves were used to predict patients with BICs based on other PROs.

Results
In total 331 patients completed the ICD-BICQ and other PRO questionnaires. Five patients were excluded due to re-operations, and one patient did not complete the ICD-BICQ, leaving 325 patients in the analyses. As anticipated 20% of patients reported body image concerns with a cut-off at the recommended 36 points. We found that patients with BICs reported higher anxiety and depression levels, lower device acceptance using the FPAS, and lower health status, while they were more likely to have a Type D personality as compared to patients without BICs. We observed that FPAS was moderately able to predict BICs, while other PROs only had limited ability to predict BICs in patients, hence indicating that the ICD-BICQ provides relevant clinical information.

Conclusion(s)
In this study, we found that patients with BICs generally reported worse PRO scores. The included PRO instruments were not able to predict BICs the ICD recipients, hence in clinical practice, health care professionals can use the ICD-BICQ to identify and obtain a nuanced picture of patients with BICs. In case of implementing new operation techniques, the ICD-BICQ can be used as a tool for evaluation.
11-years of a nurse-led follow-up service for patients who have undergone percutaneous coronary intervention
Authors: Harrison S , Bellchambers J , Byrne R , Deane S , Dent N , Mackay N , Pottle A 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
The nurse-led follow-up service for patients who have undergone percutaneous coronary intervention (PCI) was established in 2001 to standardise post procedural care for this patient group. The appointment focusses on symptom assessment, medication review and optimisation, and risk factor modification and secondary prevention. Timing of appointments is dependent on the procedure the patient has undergone (primary/elective PCI) and the format of the service has changed several times since its inception in response to changes in the PCI service within the hospital. Clinic appointments were carried out face to face or via the telephone until 2020, when all clinics changed to virtual appointments (video or telephone).

Methods
Data for all patients reviewed in the clinic was collected prospectively and retrospectively analysed. This report covers the period 2010-2021.

Results
A total of 21,465 appointments were carried out in the above audit period. Most appointments were carried out in the first-year post PCI in accordance with the follow-up protocol (81.7%). Patients reviewed after 1-year were usually referred to the clinic by their GP due to recurrence of symptoms. 71.3% of patients reviewed within the first year were free of any symptoms of angina or had no limitation to physical activity, and 71.2% were not limited by breathlessness at any follow-up appointment. 33.6% patients reviewed within the first year were either attending or had attended a cardiac rehabilitation programme, with fewer patients declining referral in more recent years. 19.3% patients reviewed within the first year were diabetic, with 5.4% diagnosed on admission. 8.5% patients were still smoking, 41.0% had stopped smoking, and less than 1.0% patients had restarted smoking within the first year. 49.2% patients reviewed within the first year had a systolic blood pressure below 140mmHg, and 56.0% patients had a diastolic blood pressure below 90mmHg, however this data was not available for all patients. The data suggests that lipid management has improved within recent years with more patients achieving LDL levels below 2.0mmol/L, however, this data is also incomplete. Over 92.0% patients were taking Aspirin at 1-month and 1-year, with 95.0% patients taking a second antiplatelet agent at 1 month, and 76.6% at 1-year. Beta blocker, ACE inhibitor and statin use has been relatively consistent at 71.6%, 66.1% and 82.5% respectively at all appointment times.

Conclusion
This nurse-led follow-up service provides consistency of care for patients who have undergone PCI. The nurses in the clinic are able to optimise risk factors and medication, although further work needs to be done to achieve guideline directed targets. Collaboration with primary care is required to ensure secondary prevention is continued.
The value of Cystatin C and NT-proBNP in the diagnosis of type 1 cardiorenal syndrome
Authors: Phan H A O 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
The presence of acute kidney injury in the setting of acute heart failure (AHF) is common occurrence and was termed type 1 cardiorenal syndrome (CRS1). Cystatin C has a role in the diagnosis renal dysfunction. NT-proBNP has a role in the diagnosis of acute heart failure. Whether the combination of Cystatin C and NT-proBNP increase diagnostic value of CRS1? This study was aimed to evaluate the diagnostic value of Cystatin C and NT-ProBNP in diagnosis of CRS1.

Methods
there were 139 patients with AHF in the department of Cardiovascular resuscitation and Interventional cardiology Ho Chi Minh City Vietnam 115 People Hospital from September 2018 to March 2019. This was a prospective cohort study.

Results
the optimal cut-off Cystatin C to diagnosing CRS1 was 1.81 mg/l, AUC 0.787 (95% CI 0.71-0.852, p &lt; 0.001), sensitivity 75%, specificity 83.5%, positive predictive value 70.6%, negative predictive value 86.4%. The optimal cut-off NT-proBNP to diagnosing CRS1 was 17681 pg/ml, AUC 0.710 (95% CI 0.627-0.784, p &lt; 0.001), sensitivity 54.2%, specificity 80.2%, positive predictive value 59.1%, negative predictive value 76.8%. Combination of Cystatin C and NT-proBNP in diagnosing CRS1 with AUC 0.788 (95% CI 0.71-0.852, p &lt; 0.001), sensitivity 70.8%, specificity 85.7%, positive predictive value 72.3%, negative predictive value 84.9%.

Conclusions
Combination of Cystatin C and NT-proBNP in the diagnosis of type 1 cardiorenal syndrome with higher specificity than each biomarker.
Cardiotoxicity and cancer care: scoping review exploring current home-based, self-management cancer care interventions
Authors: Morris R , Talty A , Deighan C , Cameron S , Taylor L 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: Public Institution(s). Main funding source(s): NHS Lothian

Background/Introduction
Cardiotoxicity is heart damage that occurs as consequence of some cancer treatments and drugs. Gaining a better understanding of current cancer prehabilitation and rehabilitation programmes, specifically facilitated, home-based programmes, can better illuminate how interventions can aid patients in their cancer, and possible cardiac journey. This scoping review sets out to explore the provision of multimodal, cancer prehabilitation and rehabilitation programmes available to patients.
Home-based, self-management, multidimensional cancer interventions (HSMCIs) are increasing in number, due to the growing population of people living with and beyond cancer. These multimodal programmes target a range of physical and psychosocial factors to improve self-management and quality of life amongst cancer patients during prehabilitation and rehabilitation. However, preliminary searches indicate that the interventions vary significantly in their definitions of key terms, target demographics, implementation success and evidence-base.

Purpose
This scoping review aims to assess the nature, extent and remit of existing HSMCIs, identify their strengths, limitations, potential barriers to access and obstacles to their implementation, and clarify key terms and concepts within the field.

Methods
Key word searches were performed in AMED, Cochrane, PsychInfo, Medline, CINAHL and Embase databases from 2010 to 2022 to identify papers relevant to HSMCIs. Study characteristics for inclusion were home-based, multimodal, non-centre based interventions that dealt with prehabilitaton and/or rehabilitation for cancer patients, while incorporating psychological, physical and nutritional components.

Results
The search gleaned a total of 302 results. These results were screened independently by two investigators with a third member conducting spot checks to ensure rigor. Early findings were then cross-referenced and irrelevant papers and duplicates were removed. A total of 38 results remained that fulfilled inclusion criteria. The scoping review found that few programmes were truly multimodal taking a general approach to cancer, instead targeted one or two specific cancers. Fewer still had mention of cardiotoxicity and how to manage heart health during cancer treatment.

Conclusions
This scoping review has highlighted the gap for a HSMCI in care provision to cover the range of biopsychosocial support needed for those living with and beyond cancer. Consistent with earlier research it emphasises the necessity for promoting cardiovascular health in this population.
Understanding for whom, under what conditions, and how atrial fibrillation screening interventions are successful: a realist review
Authors: Hanson C , Pearsons A , Modi R , Schnabel R B , Engler D , Desteghe L , Neubeck L 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Union’s Horizon 2020 research and innovation programme.

Background/introduction
The treatment of atrial fibrillation (AF) with oral anticoagulants reduces stroke risk. Most initial AF diagnoses result from symptom related rhythm monitoring or are after stroke. However, as AF is often asymptomatic detecting it by screening could initiate oral anticoagulant treatment.

Purpose
We aimed to understand for whom, under what conditions, and how AF screening programmes can increase the number of new AF diagnoses and lead to guideline-adherent care.

Methods
A realist review of AF screening for those aged ≥18 years. We developed an initial programme theory; systematically searched four databases until October 2022; and selected documents that included details about factors relating to the implementation of AF screening programmes. We extracted, analysed, and synthesised data using realist techniques to create context–mechanism–outcome configurations, and a refined programme theory.

Results
We screened 2,707 documents and included 70. The refined programme theory included 15 context–mechanism–outcome configurations to explain how different screening programme implementation affects outcomes. Key factors in successful implementation included 1) locations accessible to those at most risk of undiagnosed AF; 2) targeted, inclusive invitations; 3) training to increase understanding and competence of those undertaking screening; 4) using digital technology for convenience and accuracy; 5) organisational support mechanisms such as automated prompts to increase awareness of who to screen; and 6) standardised follow-up pathways. The best system for screening is unclear. Single time point screening is convenient, potentially leading to higher uptake. Prolonged screening may result in a higher paroxysmal AF yield (Figure 1).

Conclusions
Well implemented AF screening programmes could increase the number of new AF diagnoses and lead to guideline-adherent care, thereby reducing stroke risk.
Results of the nursing care standardization program in cardiac electrophysiology patients
Authors: Carrasco Camacho M , Poza Gonzalez M , Carro Fernandez E , Niebla Bellido N , Domingo Criado R , Hevia Puyo S , Tarrela Redonda N , Gimenez Lajara M A , Cano Valls A 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Patients undergoing surgery in the electrophysiology unit pass through the hands of several nurses from different hospital units throughout the care process. Multiple studies show the importance of interprofessional communication in improving patient health outcomes. In our hospital we have standardized protocols for each procedure. In addition, it is convenient to have the relevant information available in a more visual and accessible way in order to enhance the agility of care.

Purpose
To design a summary table of the procedures performed in the electrophysiology unit with the most important points on nursing care.

Methods
A descriptive analysis of the nursing care of patients undergoing surgery in the cardiac electrophysiology unit was performed. For this purpose, meetings were held between the electrophysiology, the intensive care unit, the cardiology day hospital and the resuscitation unit nursing teams to standardize protocols between services. The needs of each service were detected and the most important nursing care notes were included in the table.

Results
A table was drawn up with a total of 8 surgical procedures performed in electrophysiology. For each of them, 3 parts of the care process were identified: pre-operative, intraoperative and post-procedure care. Each of the parts had subdivisions (Picture 1 and 2). In addition, important contact telephone numbers were added. Once the table was done and validated, it was shared through the hospital intranet and hung in a poster in all hospital units where a cardiac patient may be attended.

Conclusions
The electrophysiology patient care table improved communication between professionals of the different services where the patient is attended and it also helped standardize protocols to reduce peri-surgery risks and improve morbidity and mortality, since it could prevent complications. Therefore, it guarantees the continuity of nursing care.Poster TS EF Procedure
Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians in jordanian hospitals
Authors: Bani Salameh R , Al-Smadi A , Eshah N , Musa A , Al-Rawajfah O , Jarrah M 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Dyslipidemia is a major risk factor for ischemic heart disease in the world. The last updated American College of Cardiology/American Heart Association (ACC/AHA) and European Society of Cardiology/ European Atherosclerosis Society (ESC/EAS) guidelines for dyslipidemia management aimed to control blood cholesterol and reduce cardiovascular risk. In Jordan, no national guidelines have been published to date, so these guidelines are commonly used. There are a few studies exploring the implementation of these guidelines in Jordan.

Purpose
To explore the implementation of updated ACC/AHA and ESC/EAS guidelines for the treatment and care of dyslipidemia among nurses and physicians in Jordan.
Methods: A mixed-method study was utilized with a convenience sample from three hospitals in Jordan to provide a comprehensive understanding for the investigated concepts in the current study. The quantitative part, the researcher developed a questionnaire. A questionnaire was completed by 150 nurses and 50 physicians, and moreover, 250 patients' medical records were reviewed. The qualitative part, three focus group with open-ended questions was conducted.

Results
The total mean scores to implement the guidelines among nurses were (1.67, 1.6 out of 4) for ACC/AHA and ESC/EAS guidelines respectively. The percentages for implementing dyslipidemia management guidelines among physicians were 22.6% consistent with ACC/AHA and 29.6% with ESC/EAS. There were high percentages of uncontrolled lipids among patients with dyslipidemia as observed in medical records. Focus group interviews revealed many barriers, like workload and limited resources and many suggestions to implement dyslipidemia management guidelines.

Conclusion
Results indicated limited implementation of any dyslipidemia management guidelines among Jordanian nurses and physicians in their clinical practices.
Physical activity and glycemic control among adults living with coronary heart disease
Authors: Svavarsdottir M H , Bjornsdottir K M 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: Public Institution(s). Main funding source(s): University of Akureyri Research Fund Landspitali University Hospital Science Fund

Background
The most common comorbidity in coronary heart disease (CHD) is diabetes mellitus (DM). The presence of DM or pre-diabetes mellitus in addition to CHD further increases health risks. Engagement in regular physical activity (PA) has been shown to improve health and well-being and increase life expectancy. For that reason, it is important to explore the role of PA when the diseases coexist and how PA can be used effectively as part of treatment to improve coronary patients’ health.

Purpose
The aim of the study was to explore the relationship between the level of PA and glycemic control in adults with CHD.

Methods
This study had a cross-sectional design. The participants were adults who had been admitted to one of two main hospitals in Iceland between October 2017 and November 2018 following a CHD incident. Data was collected six months after hospital discharge with questionnaires, physical measurements, blood samples, and from medical files. The Leisure-Time Physical Activity Questionnaire was used to measure PA. The participants were categorized into four groups according to their PA level (mostly sedentary; light; moderate; or high PA) and the relationship between PA levels and long-term glycemic control (glycated hemoglobin percentage (HbA1c%)) was explored using one-way ANOVA with Tukey post-hoc test.

Results
The sample consisted of 346 individuals. Their mean age was 64.6 years (SD = 8.9), 80.1% were males and 20.9% had diabetes. The mean HbA1c% was 5.9% (SD = 0.9; range = 4.6%-12.8%). The PA questionnaire classified 15.1% of the participants as mostly sedentary, 43.6% engaged in light PA, 33.2% engaged in moderate PA and 8.1% engaged in high levels of PA (Figure 1). An analysis of variance revealed a significant difference in mean HbA1c% values between groups F(3, 343) = 8.56, p &lt; 0.001. Post-hoc comparisons showed that the mean HbA1c% of the least active individuals (M = 6.4%, SD = 1.5) was significantly higher than in all other groups. However, there were no significant group differences between those who engaged in light PA (M = 5.8%, SD = 0.7), moderate PA (M = 5.8%, SD = 0.6) and high levels of PA (M = 5.7%, SD = 0.8), (Figure 2).

Conclusion
PA was associated with small benefits in glycemic control among individuals with CHD. These findings emphasize the importance of PA in the treatment and management of CHD, and indicate that even small amounts of PA may be of value.Figure 1:Distribution of PA levelsFigure 2:HbA1c% according to PA level L
The effect of surgical aortic valve replacement on the quality of life of patients with aortic valve stenosis
Authors: Sigala E , Terentes-Printzios D , Baikoussis N , Koumallos N , Koutsokosta F , Christou V , Roumeliotaki G , Stamatopoulou E , Milas T , Theodorakis E , Tsioufis C , Vlachopoulos C 
Published: July 2023

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background/Introduction
The increasing efficacy of transcatheter aortic valve implantation (TAVI) justifies a renewed assessment of quality of life (QOL) after surgical aortic valve replacement (SAVR).

Purpose
The aim of this study was to evaluate long-term QOL in elderly patients undergoing isolated SAVR.

Methodology
60 patients with severe aortic stenosis (AS) enrolled in our study (mean age 70.25±8.76, n=21 women). Clinical and QOL data collected pre surgery and at 1 year. For the assessment of QOL we used the instruments SF-36 (36-Item Short Form Health Survey Questionnaire), Euro-QOL 5 Dimensions (EQ-5D) and the visual analogue scale (VAS). Bivariate and multiple logistic regression analyses were performed.

Results
QoL is significantly improved 1 year after SAVR according to the three assessment tools. The physical health score (PCS) was 58±10% preoperatively and 80±10% (p&lt;.001) after 1 year. Similarly, mental health score (MCS) improved (55±6% vs 77±9%, p&lt;.001). Multivariate analysis showed that patients with a biological or Perceval valve and a preoperative EF &lt;50% had greater improvement in PCS 1 year after SAVR than patients who received a mechanical valve or had a preoperative EF &gt;50%.

Conclusions
The perceived QOL of patients with AS improved significantly 1 year after SAVR. The results could be useful in informing future patients and giving them realistic expectations.