Design and Rationale of the Cognitive Intervention to Improve Memory in Heart Failure Patients Study

Pressler, Susan J.; Giordani, Bruno; Titler, Marita G.; Gradus‐Pizlo, Irmina; Smith, Dean G.; Dorsey, Susan G.; Gao, Sujuan; Jung, Miyeon

doi:10.1097/jcn.0000000000000463

Cited by 9 publications

(22 citation statements)

References 88 publications

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“…However, research on interventions to mitigate cognitive impairment is scarce. Some researchers have begun to explore interventions to improve memory and attention in patients with cardiovascular disease, [58][59][60][61] but more intervention research is needed.…”

Section: Implications For Further Researchmentioning

confidence: 99%

Factors Associated With Cognitive Impairment in Heart Failure With Preserved Ejection Fraction

et al. 2020

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Background: Cognitive impairment is prevalent in heart failure and is associated with higher mortality rates. The mechanism behind cognitive impairment in heart failure with preserved ejection fraction (HFpEF) has not been established. Objective: The aim of this study was to evaluate associations between abnormal cardiac hemodynamics and cognitive impairment in individuals with HFpEF. Methods: A secondary analysis of Atherosclerosis Risk in Communities (Atherosclerosis Risk in Communities) study data was performed. Participants free of stroke or dementia who completed in-person assessments at visit 5 were included. Neurocognitive test scores among participants with HFpEF, heart failure with reduced ejection fraction (HFrEF), and no heart failure were compared. Sociodemographics, comorbid illnesses, medications, and echocardiographic measures of cardiac function that demonstrated significant (P < .10) bivariate associations with neurocognitive test scores were included in multivariate models to identify predictors of neurocognitive test scores among those with HFpEF. Multiple imputation by chained equations was used to account for missing values. Results: Scores on tests of attention, language, executive function, and global cognitive function were worse among individuals with HFpEF than those with no heart failure. Neurocognitive test scores were not significantly different among participants with HFpEF and HFrEF. Worse diastolic function was weakly associated with worse performance in memory, attention, and language. Higher cardiac index was associated with worse performance on 1 test of attention. Conclusions: Cognitive impairment is prevalent in HFpEF and affects several cognitive domains. The current study supports the importance of cognitive screening in patients with heart failure. An association between abnormal cardiac hemodynamics and cognitive impairment was observed, but other factors are likely involved.

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Section: Implications For Further Researchmentioning

confidence: 99%

Factors Associated With Cognitive Impairment in Heart Failure With Preserved Ejection Fraction

et al. 2020

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“…The movement characteristics are consistent with the traditional Yang Style Taijiquan, which is soft, even, moderate, and stable, according to the principle of simplicity before complexity, ease before difficulty, from shallow to deep, and step by step, the whole set of compact structure is easy to learn and practical. Since its popularization, it has become a compulsory course in Taijiquan teaching, and it is an introduction routine for Taijiquan practitioners [11].…”

Section: Proposed Methodsmentioning

confidence: 99%

Analysis of PETCT Imaging Diagnosis of Heart Failure Improved by Intelligent Sensor in Exercise

2022

Wireless Communications and Mobile Computing

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The incidence of cardiovascular disease is closely related to the heart, and the quality of the heart function directly affects the health of the cardiovascular system. At present, the prevention and treatment of diseases no longer rely solely on drug treatment, and people are increasingly aware of the importance of exercise. Therefore, it is very important to find an economical and effective way to improve cardiovascular function in patients with heart failure. The purpose of this paper is to analyze and discuss the PETCT imaging diagnosis of heart failure improved by Tai Chi exercise based on intelligent sensors. First, it summarizes the origin, characteristics, and exercise rules of simplified Taijiquan, introduces the basic etiology and pathophysiology of cardiac insufficiency, studies the pathogenesis of chronic cardiac insufficiency, and understands the influence of exercise therapy on chronic cardiac insufficiency, combining information fusion and smart sensors to observe the effect of Taijiquan’s short-term intervention on mild to moderate chronic cardiac insufficiency and the diagnosis of nuclear medicine PET and CT. The results of the experiment showed that there were 317 cases of Taijiquan group III patients before treatment and 413 cases after treatment. Tai Chi can not only improve the health-related quality of life of CHF patients but also can effectively improve the restricted activities of CHF patients. Exercise endurance is significantly improved. According to the clinical treatment principles and rules of CHF, it is an excellent auxiliary treatment method. The significance of auxiliary Taijiquan therapy is not only to improve heart function and quality of life but also to have a positive impact on the patient’s mental state, which meets the needs of the bio-psycho-social medical model, and also inspires and assists the research progress of other diseases.

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“…The CCT interventions were unsupervised and asynchronous. The BrainHQ CCT was designed based on the knowledge of neurogenesis and neuroplasticity principles 15 . Patients with HF randomized to the CCT intervention had significant improvement in memory 11 and working memory 14 compared with patients randomized to the active control group.…”

Section: Methodsmentioning

confidence: 99%

Perceived Facilitators and Barriers to Treatment Fidelity in Computerized Cognitive Training Interventions

Algashgari

Jung

et al. 2022

J Cardiovasc Nurs

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Background: Computerized cognitive training (CCT) interventions may have an important role in improving cognition among patients with heart failure. Ensuring treatment fidelity of CCT interventions is an essential part of testing their efficacy. Objective: The aim of this study was to describe facilitators of and barriers to treatment fidelity perceived by CCT intervenors while delivering the interventions to patients with heart failure. Methods and Results: A qualitative descriptive study was completed with 7 intervenors who delivered CCT interventions in 3 studies. Directed content analysis revealed 4 main themes of perceived facilitators: (1) training for intervention delivery, (2) supportive work environment, (3) prespecified implementation guide, and (4) confidence and awareness. Three main themes were identified as perceived barriers: (1) technical issues, (2) logistic barriers, and (3) sample characteristics. Conclusion: This study is novel because it was one of the few studies focused on the intervenors' perceptions rather than the patients' perception of using CCT interventions. Beyond the treatment fidelity recommendations, this study found new components that might help the future investigators in designing and implementing CCT interventions with high treatment fidelity.

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Design and Rationale of the Cognitive Intervention to Improve Memory in Heart Failure Patients Study

Cited by 9 publications

References 88 publications

Factors Associated With Cognitive Impairment in Heart Failure With Preserved Ejection Fraction

Factors Associated With Cognitive Impairment in Heart Failure With Preserved Ejection Fraction

Analysis of PETCT Imaging Diagnosis of Heart Failure Improved by Intelligent Sensor in Exercise

Perceived Facilitators and Barriers to Treatment Fidelity in Computerized Cognitive Training Interventions

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