Cardiac risk factors, medication, and recurrent clinical events after acute coronary disease. A prospective cohort study

Willich, Stefan N.; Müller‐Nordhorn, Jacqueline; Kulig, Michael; Binting, Sylvia; Gohlke, H.; Hahmann, Harry; Bestehorn, Kurt; Krobot, Karl J.; Völler, Heinz

doi:10.1053/euhj.2000.2294

Cited by 130 publications

(112 citation statements)

References 21 publications

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“…A previous study revealed a 63.4% prevalence of hypertension among ACS patients [24]. However, in patients with acute myocardial infarction (AMI), the prevalence of hypertension varies from 31 to 59% [25]. A recent study from Barazil has reported that the main risk factors were arterial hypertension (68%), smoking (67%), and dyslipidemia (43%) [26].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Acute Coronary Syndrome in Northern Saudi Arabia

2017

JCCR

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Objective: The aim of this study was to find out the common risk factors associated with Acute Coronary Syndrome (ACS) in Northern Kingdom of Saudi Arabia (KSA).Methodology: One hundred and fifty six patients with ACS were investigated in intensive care unit (ICU), at cardiac center in King Khalid Hospital, in northern KSA, city of Hail.Results: Risk factors for ACS including; Hypertension, Ischemic Heart Disease (IHD), Smoking, Diabetes Miletus (DM), and Dyslipidemia were found in 68.6%, 34.6%, 20.5%, 59% and 83.3% of the patients, respectively. Conclusion:The most common risk factors for ACS in northern KSA (Hail region) were dyslipidemia and hypertension. These favored the urgent need for intervention and control, which lower the burden of ACS.

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Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Acute Coronary Syndrome in Northern Saudi Arabia

2017

JCCR

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“…Este fator pode se mostrar importante, uma vez que absenteísmos em cuidados contínuos de saúde em coronariopatas é algo ainda considerado problemático. [20][21][22] Por conta disto, acredita-se que desenvolver as habilidades auto reguladoras, nessa população, implica em alta aderência à comportamentos saudáveis e ao exercício físico. Adicionalmente, a aderência a programas de RCPM tem sido influenciada por barreiras relatadas pelos pacientes.…”

Section: Discussão E Considerações Finaisunclassified

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

et al. 2016

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. RESUMOUltimamente tem se optado por exercícios de reabilitação baseada em domicílio como alternativa para a reabilitação cardiopulmonar e metabólica (RCPM). Objetivo: verificar e comparar a aderência a um programa de reabilitação, baseado a domicilio e identificar as barreiras que interferem na adesão. Método: ensaio clí-nico controlado -estudo preliminar. Foram recrutados 11 pacientes diagnosticados com doença arterial coronariana (DAC), sedentários a pelo menos três meses e clinicamente estáveis, sendo estes divididos em dois grupos de intervenção, grupo RCPM convencional (GC) e grupo de RCPM baseada em domicílio (GD). Os pacientes ingressaram no estudo, em momentos distintos, ao longo de 21 meses de coleta de dados. Foram avaliados os resultados referentes à aderência aos diferentes protocolos de intervenção e as barreiras, através da Escala de Barreiras para Reabilitação Cardíaca (EBRC). Os dados foram analisados por meio da estatística descritiva (média, desvio padrão e frequência), utilizando o programa estatístico Statistical Package for the Social Sciences -SPSS versão 20.0. Resultados: dos 11 pacientes, 5 foram alocados no GC e 6 no GD. Foi observada aderência superior no GD (106,3%) e o GC apresentou 86,1%. As principais barreiras encontradas no GD e GC foram "comorbidades/estado funcional" e "necessidades percebidas", respectivamente. Considerações Finais: a aderência ao programa de RCPM baseado em domicílio foi superior quando comparado ao grupo que realizou RCPM convencional supervisionada. Adicionalmente, as barreiras que mais influenciaram na obtenção destes resultados foram igualmente relatadas por ambos os grupos.Palavras-chave: Reabilitação; Exercício; Doenças Coronarianas. ABSTRACT Lately the home-based rehabilitation exercises has emerged as an alternative to the Cardiopulmonary and Metabolic Rehabilitation (CPMR

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“…meet the recommendations. 7,8 There is very little evidence on PA behavior over the long term (2 or more years).…”

Section: Introductionmentioning

confidence: 99%

“…meet the recommendations. 7,8 There is very little evidence on PA behavior over the long term (2 or more years).Encouraging positive health behaviors among CR graduates is a complex process that involves many levels of influence. To examine these levels of influence, a comprehensive approach to health promotion must be employed, such as the socioecological model.…”

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confidence: 99%

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

Bentley

Khan

et al. 2012

Clinical Cardiology

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Background: Cardiac rehabilitation (CR) promotes long-term positive health behaviours, such as physical activity (PA), in patients following a cardiovascular event. We have limited knowledge of long-term PA and its correlates. Therefore, this research examined both PA behaviour and socioecological correlates among elderly graduates 2-6 years following CR. Hypothesis: CR graduates will have a moderate PA level in the long term. Greater PA will be associated with various multilevel correlates.Methods: This was a retrospective, cross-sectional study which quantified PA using the Physical Activity Scale for the Elderly (PASE) and collected information about socioecological correlates at the intrapersonal, interpersonal and health service levels. Both univariate and multivariate analyses assessed PA and PA correlates. Results: The majority of the 584 participants were older (69.8 ± 9.8), male (80.3%), and well educated (75.4% ≥ some post-secondary). Average time since CR graduation was 41.5 ± 11.5 months. Seventy five percent of CR graduates reported current weekly PA levels that met, or exceeded, Canadian PA guidelines (>150 minutes of moderate-vigorous PA). Univariate analyses identified 13 PASE score correlates. Multivariate analyses identified age, PA enjoyment, current work status, CR staff support, location of primary residence, and perceived health as significantly associated with higher PASE scores (p < 0.001).Conclusions: Three and a half years post-CR graduates had high PA levels. Greater PA was associated with several modifiable multilevel correlates at all levels of influence. Understanding correlates of long-term PA behaviour among CR graduates will help identify groups at risk for nonadherence and assist with continued program development. IntroductionCompared to patients who only receive conventional inhospital care, patients who complete a cardiac rehabilitation (CR) program following a cardiac event experience a significant reduction in all-cause mortality 1 -3 by 20% to 25% within 3 years. 3 CR programs are traditionally short-term multifaceted interventions that include physical activity (PA) as a core element. 2,4,5 One of the overarching objectives of CR is to encourage patients to maintain PA at guidelinerecommended levels after program completion. Current Canadian PA guidelines for effective health advocate at least 150 minutes of moderate-vigorous PA per week. 6 There is some evidence that states that PA behavior among CR graduates in the short term (1 year post-CR) often fails toThe authors have no funding, financial relationships, or conflicts of interest to disclose. meet the recommendations. 7,8 There is very little evidence on PA behavior over the long term (2 or more years).Encouraging positive health behaviors among CR graduates is a complex process that involves many levels of influence. To examine these levels of influence, a comprehensive approach to health promotion must be employed, such as the socioecological model. 9 The socioecological model integrates intra-and interpersonal fa...

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Cardiac risk factors, medication, and recurrent clinical events after acute coronary disease. A prospective cohort study

Abstract: The present results indicate that the benefit of cardiac rehabilitation therapy following acute coronary events is only partially maintained during the following year. Continuous strategies of medical care need to be developed to improve the long-term outcome in coronary patients.

Cited by 130 publications

References 21 publications

Risk Factors Associated with Acute Coronary Syndrome in Northern Saudi Arabia

Risk Factors Associated with Acute Coronary Syndrome in Northern Saudi Arabia

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

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