Palliative care for people living with cardiac disease

Sobański, Piotr; Rajszys, Grażyna Brzezińska; Grodzicki, Tomasz; Jakubów, Piotr; Jankowski, Piotr; Kurzyna, Marcin; Nessler, Jadwiga; Przybylski, Andrzej; Ratajska, Anna; Pająk, Lidia Tomkiewicz; Uchmanowicz, Izabella; Pasierski, Tomasz

doi:10.33963/kp.15276

Cited by 14 publications

(11 citation statements)

References 68 publications

(86 reference statements)

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“…Current guidelines for anxiety and depression management in the general population recommend psychotherapy as a first step in reducing anxiety and a combination of drugs and psychotherapy in reducing depression [ 42 ]. Such interventions should also be an important part of palliative care in patients with pulmonary hypertension [ 43 ]. In our study, only 35% of patients diagnosed with anxiety and depression knew about their mental problems and were receiving drugs or/and psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

Fear of COVID-19, Anxiety and Depression in Patients with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension during the Pandemic

Wieteska¹,

Szmit²,

Florczyk³

et al. 2021

JCM

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The COVID-19 pandemic has affected the physical and mental health of people around the world. This may be particularly true for patients with life-threatening diseases. We analyzed the level of fear of COVID-19 (FCV-19S), the prevalence of anxiety (HADS-A) and depression (HADS-D) in pulmonary arterial and chronic thromboembolic pulmonary hypertension (PAH and CTEPH) patients during the COVID-19 pandemic. In this multicenter prospective study, 223 patients (63% females, 66% PAH) with age range 18–90 years were included. The fear of COVID-19 was high, at a mean level of 18.9 ± 7.4 points. Anxiety (HADS-A ≥ 8 points) was diagnosed in 32% of all patients, depression (HADS-D ≥ 8 points) in 21%, and anxiety or depression in 38%. FCV-19S was higher in woman and in elderly people (p = 0.02; p = 0.02, respectively). In the multivariate analysis, FCV-19S higher than the median increased the odds ratio of anxiety, but not of depression (R 6.4 (95%CI 2.0–20.0), p = 0.002; OR 1.9 (0.9–3.9), p = 0.06, respectively). History of COVID-19 increased risk of both HADS-A and HADS-D. Patients with PAH and CTEPH, especially woman over 65 years and those who had been infected with COVID-19, may need additional psychological support due to fear of COVID-19, anxiety or depression.

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Section: Discussionmentioning

confidence: 99%

Fear of COVID-19, Anxiety and Depression in Patients with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension during the Pandemic

Wieteska¹,

Szmit²,

Florczyk³

et al. 2021

JCM

Self Cite

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“…As far as possible, standard oncological surveillance and periodic examinations recommended for the age category should not be neglected. Patients qualified for LTx should have ongoing access to psychological support and should be referred to palliative care if they are removed from the list of recipients [48]. Patients with uncontrolled fluid retention despite diuretic therapy or recurrent collapses should be considered for atrial septostomy [49], optimally with implantation of a device to ensure patency of the created cavity [50].…”

Section: Monitoring a Patient Listed For Lung Transplantationmentioning

confidence: 99%

Lung transplantation in patients with pulmonary arterial hypertension: The opinion of the Polish Cardiac Society Working Group on Pulmonary Circulation

et al. 2022

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Pulmonary arterial hypertension is a rare but progressive disease that leads to death. Modern drug treatment slows the progression of the disease and prolongs patients' lives, but often, even maximal treatment with parenteral prostacyclin does not prevent deterioration. In the case of inadequate clinical response to drug treatment, lung transplantation (LTx) should be considered. This article aims to analyze thoroughly indications to refer a patient for consultation with a transplant center, the optimal timing of listing for LTx, contraindications for the procedure, bridging techniques, as well as tests needed before and after transplantation. We outline the technique of the procedure and evaluate psychological aspects of LTx.

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“…Patients in the final stage of heart failure who are hospitalized in intensive care units are another dominant group qualified for a palliative medicine consultation. Studies suggest that every patient with pulmonary hypertension and primary heart failure symptoms higher than a 3 rd class on the NYHA scale should be treated by palliative medicine specialists, and palliative medicine should be implemented because of need, rather than a high risk of death or the worsening of the patient's condition [31][32][33][34][35].…”

Section: Crucial Factors Of Palliative Medicine Consultation In the I...mentioning

confidence: 99%

Aspects of palliative medicine in intensive care units: A narrative review

et al. 2022

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Background:The perspective of palliative care has changed dynamically over the years, and palliative medicine, which was originally concerned with patients with advanced oncology diseases, has become an interdisciplinary area. Many societies have published guidelines for the use of palliative medicine in intensive care units. Methods: This article presents indications and methods for implementing the principles of palliative medicine in intensive care units. Particular attention is devoted to the consultations of palliative medicine for current medical trends -COVID-19 infection, oncological diseases, fragility syndrome, and end-stage circulatory failure. Conclusions: Elements of palliative medicine are necessary for everyday practices in the intensive care unit. The most important task in cooperation is to present classifications that can help in the objective identification of patients requiring palliative care. It seems that creating a checklist of the qualifications for a palliative medicine consultation can be the next step towards making decisions about this form of therapy.

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Palliative care for people living with cardiac disease

Cited by 14 publications

References 68 publications

Fear of COVID-19, Anxiety and Depression in Patients with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension during the Pandemic

Fear of COVID-19, Anxiety and Depression in Patients with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension during the Pandemic

Lung transplantation in patients with pulmonary arterial hypertension: The opinion of the Polish Cardiac Society Working Group on Pulmonary Circulation

Aspects of palliative medicine in intensive care units: A narrative review

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