Relation of Patients Living Without a Partner or Spouse to Being Physically Active After Acute Coronary Syndromes (from the PULSE Accelerometry Substudy)

Newman, Jonathan; Shaffer, Jonathan A.; Davidson, Karina W.; Maurer, Mathew S.; Schwartz, Joseph E.

doi:10.1016/j.amjcard.2013.01.272

Cited by 13 publications

(11 citation statements)

References 31 publications

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“…However, little is known about the influence of living alone in older patients on the clinical outcome after AMI. In previous studies, living alone was reported to be associated with increased risk of cardiovascular disease 1-4 and poorer clinical outcomes after AMI [5][6][7][8][9][10] . However, most studies enrolled not only patients receiving primary PCI but also those with lytic therapy or those not receiving reperfusion therapy.…”

Section: Discussionmentioning

confidence: 97%

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Comparison of Long-Term Mortality After Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention in Patients Living Alone Versus Not Living Alone at the Time of Hospitalization

Nakatsuma

Shiomi

Watanabe

et al. 2014

The American Journal of Cardiology

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Living alone was reported to be associated with increased risk of cardiovascular disease. There are, however, limited data on the relation between living alone and all-cause mortality in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI). The Coronary REvascularization Demonstrating Outcome Study in Kyoto (CREDO-Kyoto) AMI registry was a cohort study of patients with AMI enrolled in 26 hospitals in Japan from 2005 through 2007. For the current analysis, we included those patients who underwent PCI within 24 hours of symptom onset, and we assessed their living status to determine if living alone would be an independent prognostic risk factor. Among 4,109 patients eligible for the current analysis of 5,429 patients enrolled in the CREDO-Kyoto AMI registry, 515 patients (12.5%) were living alone at the time of hospital admission. The cumulative 5-year incidence of all-cause death was 18.3% in the living alone group and 20.1% in the not living alone group (log-rank p = 0.77). After adjusting for potential confounders, risk of the living alone group relative to the not living alone group for all-cause death was not significantly different (adjusted hazard ratio 0.82, 95% confidence interval 0.65 to 1.02, p = 0.08). In a subgroup analysis stratified by age, the adjusted risk for all-cause death was also not different between the living alone group and the not living alone group both in the older population (aged ≥75 years) and the younger population (aged <75 years). In conclusion, living alone was not associated with higher long-term mortality in patients with AMI who underwent PCI.

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Section: Discussionmentioning

confidence: 97%

“…Living alone was reported to be associated with increased risk of cardiovascular disease 1-4 and poorer clinical outcomes after acute myocardial infarction (AMI) [5][6][7][8][9][10] . However, the proportion of patients who had undergone percutaneous coronary intervention (PCI) was small in these studies.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Long-Term Mortality After Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention in Patients Living Alone Versus Not Living Alone at the Time of Hospitalization

Nakatsuma

Shiomi

Watanabe

et al. 2014

The American Journal of Cardiology

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“…Some patients participated in an ancillary study in which they were provided with an Actical accelerometer (Philips Respironics, Bend, Oregon) at or soon after discharge (3). Patients were asked to continuously wear the device on their non-dominant wrist and to return the device one month later.…”

mentioning

confidence: 99%

Objectively Measured Adherence to Physical Activity Guidelines After Acute Coronary Syndrome

Kronish¹,

Diaz²,

Goldsmith³

et al. 2017

Journal of the American College of Cardiology

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“…A daily or most days of the week, 30 minute moderate physical activity, could contribute to serious improvements in cardiovascular health (29). Marital status has been also stated that positively influence physical activity and participation in cardiac rehabilitation programmes (31,32).…”

Section: Physical Activity Status and Secondary Acs Preventionmentioning

confidence: 99%

Secondary Prevention of Acute Coronary Syndrome. Socio-economic and Lifestyle Determinants: A Literature Review

Notara¹,

Panagiotakos²,

Pitsavos³

2014

Cent Eur J Public Health

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Although cardiovascular disease mortality rates seem to decline, especially among middle-aged people in developed countries, the prevalence of acute coronary syndrome (ACS) increases, representing the most common cause of morbidity in both developed and developing countries and generating large economic burden. It is estimated that one fifth of the ACS patients die suddenly and half of them belong to a fast growing popula- tion age-group, i.e., those between 70 and .80 years. A substantial number of these deaths has been attributed to various lifestyles, modifiable factors; therefore, it can be prevented. However, factors such as dietary habits and behaviours, physical activity, life stress and smoking habits, although thoroughly discussed, are not well understood and appreciated in the spectrum of secondary ACS prevention. The latter deserves further attention under the prism of socio-economic status that has changed dramatically in the last years in some populations. The aim of this review was to discuss the role of lifestyle factors on secondary ACS prevention under the prism of individual's socio-economic status. Based on the retrieved information it was revealed that there is vast evidence that secondary prevention of cardiovascular events cannot be accomplished simply through medical treatment, but it requires a multifaceted approach incorporating lifestyle modifications, too. Therefore, public health policy endeavours should be directed towards multifocal strategies, i.e., to motivate and support cardiac patients to consistently follow treatment regimens and to establish more effective and efficient community lifestyle interventions.

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Relation of Patients Living Without a Partner or Spouse to Being Physically Active After Acute Coronary Syndromes (from the PULSE Accelerometry Substudy)

Cited by 13 publications

References 31 publications

Comparison of Long-Term Mortality After Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention in Patients Living Alone Versus Not Living Alone at the Time of Hospitalization

Comparison of Long-Term Mortality After Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention in Patients Living Alone Versus Not Living Alone at the Time of Hospitalization

Objectively Measured Adherence to Physical Activity Guidelines After Acute Coronary Syndrome

Secondary Prevention of Acute Coronary Syndrome. Socio-economic and Lifestyle Determinants: A Literature Review

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