Frequency: Quarterly E- ISSN: Awaited P- ISSN: Awaited
Quarterly published in print and online "Inventi Impact: Cardiovascular Nursing" publishes high quality unpublished as well as high impact pre-published research and reviews catering to the needs of researchers and professionals. The journal focuses on physiologic, psychologic, and social needs of cardiovascular patients and their families in a variety of environments.
Coronary Artery Disease (CAD) when exposed to a prolonged period of extreme cold.\nDesign: This research study utilized descriptive qualitative research design.\nMethods: Face-to-\nface\ninterview sessions with audio recording were conducted.\nThere were 30 informants who participated in the study. Descriptive phenomenology\nwith Colaizzi�s method of data analysis was used.\nResults: Results revealed three themes, namely: (i) elucidating cold exposure; (ii) challenges\nof cold exposure; and (iii) translating adverse exposure to self-management.\nThe\nresults further revealed the significance of nursing health care especially to health promotion,\ndisease prevention and health restoration especially in community setting.\nConclusion: In conclusion, manifestations of CAD are triggered when exposed to a\nprolonged period of extremely low environmental temperature....
Background: Despite substantial investment in detection, early intervention and evidence-based treatments, current\nmanagement strategies for diabetes-associated retinopathy and cardiovascular disease are largely based on real-time\nand face-to-face approaches. There are limited data re telehealth facilitation in type 2 diabetes management. Therefore,\nwe aim to investigate efficacy of telehealth facilitation of diabetes and cardiovascular disease care in high-risk\nvulnerable Aboriginal and Torres Strait Islanders in remote/very remote Australia.\nMethods: Using a pre-post intervention design, 600 Indigenous Australians with type 2 diabetes will be recruited from\nthree primary-care health-services in the Northern Territory. Diabetes status will be based on clinical records. There will\nbe four technological interventions: 1. Baseline retinal imaging [as a real-time patient education/engagement tool and\ntelehealth screening strategy]. 2. A lifestyle survey tool administered at ââ?°Ë? 6-months. 3. At ââ?°Ë? 6ââ?¬â? and 18-months, an\nelectronic cardiovascular disease and diabetes decision-support tool based on current guidelines in the Standard\nTreatment Manual of the Central Australian Rural Practitionerââ?¬â?¢s Association to generate clinical recommendations.\n4. Mobile tablet technology developed to enhance participant engagement in self-management. Data will\ninclude: Pre-intervention clinical and encounter-history data, baseline retinopathy status, decision-support and\nsurvey data/opportunistic mobile tablet encounter data. The primary outcome is increased participant adherence\nto clinical appointments, a marker of engagement and self-management. A cost-benefit analysis will be performed.\nDiscussion: Remoteness is a major barrier to provision and uptake of best-practice chronic disease management.\nTelehealth, beyond videoconferencing of consultations, could facilitate evidence-based management of diabetes and\ncardiovascular disease in Indigenous Australians and serve as a model for other conditions....
Background. To differentiate acute coronary syndrome (ACS) from other causes in patients presenting with chest pain at the\nemergency department (ED) is crucial and can be performed by the nurse triage. We evaluated the effectiveness of the ED nurse\ntriage for ACS of the tertiary care hospital. Methods.We retrospectively enrolled consecutive patients who were identified as ACS\nat risk patients by the ED nurse triage. Patients were categorized as ACS and non-ACS group by the final diagnosis. Multivariate\nlogistic analysis was used to predict factors associated with ACS. An online model predictive of ACS for the ED nurse triage was\nconstructed. Results.There were 175 patients who met the study criteria. Of those, 28 patients (16.0%) were diagnosed with ACS.\nPatients with diabetes, patients with previous history of CAD, and those who had at least one character of ACS chest pain were\nindependently associated with having ACS by multivariate logistic regression. The adjusted odds ratios (95% confidence interval)\nwere 4.220 (1.445, 12.327), 3.333 (1.040, 10.684), and 12.539 (3.876, 40.567), respectively. Conclusions. The effectiveness of the ED\nnurse triage for ACS was 16%. The online tool is available for the ED triage nurse to evaluate risk of ACS in individuals....
Atrial fibrillation (AF) is an important public health problem that is increasing at an alarming rate, worldwide. The most common\ntype is permanent AF followed by the paroxysmal and persistent AF. Purpose. This study was aimed at exploring anxiety and\ndepression and the associated factors in patients with permanent AF. Materials and Methods.The sample of the study included 170\nAF patients. Data collection was performed by the method of interview using the ââ?¬Å?Hospital Anxiety and Depression Scaleââ?¬Â\n(HADS) to assess anxiety and depression and a questionnaire including patientsââ?¬â?¢ characteristics. Results. 70% of the participants\nwere men, and 32.4% were above 70 years old. Furthermore, 34.9% of the patients had high levels of anxiety, and 20.2% had high\nlevels of depression. Anxiety levels were statistically significantly associated with gender (p 0.022), age (p 0.022), educational\nlevel (p 0.025), years having the disease (p 0.005), and relations with nursing staff (p 0.040). Depression levels were\nstatistically significantly associated with age (p 0.037), degree of information of the state of health (p<0.001), years having the\ndisease (p<0.001), and relations with medical staff (p 0.041). Conclusions. Patientsââ?¬â?¢ characteristics are associated with anxiety\nand depression and need to be evaluated when treating this frequently encountered arrhythmia....
Background: Left dominant arrhythmogenic cardiomyopathy (LDAC) is a rare condition characterised by progressive\nfibrofatty replacement of the myocardium of the left ventricle (LV) in combination with ventricular arrhythmias of LV\norigin.\nCase presentation: A thirty-five-year-old male was referred for evaluation of recurrent sustained monomorphic\nventricular tachycardia (VT) of 200 bpm and right bundle branch block (RBBB) morphology. Cardiac magnetic resonance\nimaging showed late gadolinium enhancement distributed circumferentially in the epicardial layer of the LV free wall\nmyocardium including the rightward portion of the interventricular septum (IVS). The clinical RBBB VT was reproduced\nduring the EP study. Ablation at an LV septum site with absence of abnormal electrograms and a suboptimum pacemap\nrendered the VT of clinical morphology noninducible. Three other VTs, all of left bundle branch block (LBBB) pattern, were\ninduced by programmed electrical stimulation. The regions corresponding to abnormal electrograms were identified and\nablated at the mid-to-apical RV septum and the anteroseptal portion of the right ventricular outflow tract. No abnormalities\nwere found at the RV free wall including the inferolateral peritricuspid annulus region. Histological examination confirmed\nthe presence of abnormal fibrous and adipose tissue with myocyte reduction in endomyocardial samples taken from both\nthe left and right aspects of the IVS.\nConclusion: LDAC rarely manifests with sustained monomorphic ventricular tachycardia. In this case, several VTs of both\nRBBB and LBBB morphology were amenable to endocardial radiofrequency catheter ablation....
Background: Around 17 % of people eligible for UK cardiac rehabilitation programmes following an acute coronary\nsyndrome report moderate or severe depressive symptoms. While maximising psychological health is a core goal of\ncardiac rehabilitation, psychological care can be fragmented and patchy. This study tests the feasibility and\nacceptability of embedding enhanced psychological care, composed of two management strategies of proven\neffectiveness in other settings (nurse-led mental health care coordination and behavioural activation), within\nthe cardiac rehabilitation care pathway.\nMethods/Design: This study tests the uncertainties associated with a large-scale evaluation by conducting an\nexternal pilot trial with a nested qualitative study. We aim to recruit and randomise eight comprehensive cardiac\nrehabilitation teams (clusters) to intervention (embedding enhanced psychological care into routine cardiac\nrehabilitation programmes) or control (routine cardiac rehabilitation programmes alone) arms. Up to 64 patients\n(eight per team) identified with depressive symptoms upon initial assessment by the cardiac rehabilitation team\nwill be recruited, and study measures will be administered at baseline (before starting rehabilitation) and at 5 months\nand 8 months post baseline. Outcomes include depressive symptoms, cardiac mortality and morbidity, anxiety,\nhealth-related quality of life and service resource use. Trial data on cardiac team and patient recruitment, and the\nretention and flow of patients through treatment will be used to assess intervention feasibility and acceptability.\nQualitative interviews will be undertaken to explore trial participants� and cardiac rehabilitation nurses� views and\nexperiences of the trial methods and intervention, and to identify reasons why patients declined to take part in\nthe trial. Outcome data will inform a sample size calculation for a definitive trial.\nDiscussion: The pilot trial and qualitative study will inform the design of a fully powered cluster randomised\ncontrolled trial to evaluate the effectiveness and cost-effectiveness of the provision of enhanced psychological\ncare within cardiac rehabilitation programmes...
The cardiac catheterization is a procedure that allows a cardiologist to get firsthand information about the patterns of blood\npressure and blood flow inside the heart. It may lead to several major and minor complications which may contribute to morbidity and\nmortality. Objectives: To assess nurses knowledge about patient safety after cardiac catheterizationfor adult patientsand to selection the\ncorrelation between demographic data with distinctive knowledge of the nurse. Methodology: A descriptive study was conducted in the\nperiod of 1st June2017 to 15thNovember 2017. The intent of (50) nurses who were factor at Ibn Al - Biter Specialist Center Cardiac\nSurgery, Results: The most of them nurses� ages were (20-25) years old that were accounted for (36%), Most of them are fromfemale\nwere (52%), The level of teaching represented that most of their (40%) were from nursing college ,(96%) of them were married,(58%)\nwere (1-5) yearsfactor in the cardiac catheterization, Majority of them (46) were factor (1-5) years were factor in nursing,(90%) of them\nhave practice session in the cardiac catheterization. Conclusions: Nurses have better information level and their no significant relevance\nnurses demographic characteristics& levels of knowledge....
Aim: Physical activity and other lifestyle changes are an important part of the\nguidelines for anti-hypertensive therapy. The effect of physical activity on\nhypertension and heart disease has been well described. No study in our context\nhas been done on this issue. The aim of this study was to evaluate regular\nphysical activity in the management of hypertensive patients at the Cardiology\nInstitute of Abidjan and the National Police Hospital. Material and methods:\nThis was a prospective and descriptive study held in the External\nConsultations and Rehabilitation Departments of the aforementioned structures.\nIt started on July 20, 2017 and ended on September 7, 2017. ....................................
Background: The present study aimed to expound the association between the XK related 6 gene (XKR6)\nrs7819412 single nucleotide polymorphism (SNP) and serum lipid profiles and the risk of coronary artery disease\n(CAD) and ischemic stroke.\nMethods: The genetic makeup of the XKR6 rs7819412 SNP in 1783 unrelated participants (controls, 643; CAD, 588\nand ischemic stroke, 552) of Han Chinese was obtained by the Snapshot technology.\nResults: The genotypic frequencies of the SNP were disparate between CAD (GG, 81.0%; GA/AA, 19.0%) or ischemic\nstroke (GG, 81.2%; GA/AA, 18.8%) patients and healthy controls (GG, 85.7%, GA/AA, 14.3%; P < 0.05 vs. CAD or ischemic\nstroke; respectively). The A allele frequency was also diverse between CAD (10.1%) or ischemic stroke (10.0%) and\ncontrol groups (7.5%; P < 0.05 vs. CAD or ischemic stroke; respectively). The GA/AA genotypes and A allele were\nassociated with high risk of CAD and ischemic stroke (CAD: P = 0.026 for GA/AA vs. GG, P = 0.024 for A vs. G; Ischemic\nstroke: P = 0.029 for GA/AA vs. GG, P = 0.036 for A vs. G). The GA/AA genotypes were also associated with increased\nserum triglyceride (TG) concentration in CAD and total cholesterol (TC) concentration in ischemic stroke patients.\nConclusions: These data revealed that the XKR6 rs7819412 A allele was related to increased serum TG levels in CAD,\nTC levels in ischemic stroke patients and high risk of CAD and ischemic stroke....
This review paper focuses on the genetic contribution, in particular, the association\nof Apolipoprotein E gene polymorphism to lipid abnormality and\nsubsequent acute coronary syndrome in Han Chinese of China. Many researches\nhave been published pertaining the influence of ApoE gene polymorphism\non coronary artery disease, dyslipidemia and the response of statin\nin Han Chinese. Most of the studies in Han Chinese like other populations\ndemonstrated that ApoE 4 allele genetically predisposes coronary artery disease,\nacute coronary syndrome, severity of occlusion of coronary artery and\nhigher incidence of major adverse cardiovascular events (In Han Chinese,\nApoE allele carriers demonstrated 85% increase in major adverse cardiovascular\nevents (MACE) in six months follow up). In addition, ApoE4 allele carrier\nalso showed both increased in LDL level and decrease response to statin\ntherapy in dyslipidemic Han Chinese. On the other hand, ApoE2 carrier is\nscavenger of cholesterol and triglyceride from the blood; thus it is cardiovascular-\nprotective. Despite positive relationship between ApoE gene polymorphism\nand cardiovascular pathologies, prognostic outcome and resistance to\nintervention, this area of research still requires extensive investigation in Han\nChinese. Because, several other studies revealed either negative effect or\nshowed no effect by ApoE gene polymorphism on cardiovascular disease.\nSome of the causes of such debatable results could be explained by factors\nsuch as diminutive frequency allele and expression of ApoE gene in coronary\nheart disease. This part of the research yet requires extensive study with bulkier\nsample size and retrospective in nature, in order to ascertain the influ- ence of ApoE genotype on lipid, anti-hyperlipidemic agent and coronary\nheart disease. Such studies could assist us to confirm whether to test healthier\nsubjects to predict genetic risk of coronary heart disease in Han Chinese population.\nThe aim of this review paper is to critically analyze the effect of ApoE\ngene on the occurrence of coronary heart disease in Han Chinese....
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