Cardiac Rehabilitation Following Percutaneous Revascularization, Heart Transplant, Heart Valve Surgery, and for Chronic Heart Failure*

admin | June 23, 2010

Cardiac Rehabilitation Following Percutaneous Revascularization, Heart Transplant, Heart Valve Surgery, and for Chronic Heart Failure*
Kerry J. Stewart, EdD, Dalynn Badenhop, PhD, Peter H. Brubaker, PhD, Steven J. Keteyian, PhD and Marjorie King, MD
+ Author Affiliations

Barriers to Outpatient Cardiac Rehabilitation Participation and Adherence

admin | June 23, 2010

AbstractBackground: A significant proportion of eligible patients do not participate in outpatient cardiac rehabilitation. The purpose of this study was to identify barriers to participation and adherence to outpatient cardiac rehabilitation by querying program staff.

Methods: In January 1999, a survey was mailed to all North Carolina program directors of outpatient cardiac rehabilitation programs. The response rate was 85% (61/72).

Cost-Effectiveness of Cardiac Rehabilitation After Myocardial Infarction

admin | June 23, 2010

AbstractBackground. Cardiac rehabilitation is commonly prescribed after myocardial infarction (MI) to coordinate exercise training and secondary preventive services. Cost-effectiveness analysis allows the quantitative comparison of the relative economic worth of cardiac rehabilitation in relation to other common interventions.

Methods. The cost-effectiveness of cardiac rehabilitation, in dollars per year of life saved ($/YLS), was calculated by combining published results of randomized trials of cardiac rehabilitation on mortality rates, epidemiologic studies of long-term survival in the overall postinfarction population, and studies of patient charges for rehabilitation services and averted medical expenses for hospitalizations after rehabilitation.

Cardiac rehabilitation: Adding years to life and life to years

admin | June 23, 2010

Cardiac rehabilitation: Adding years to life and life to years
David R Thompson
Department of Health Sciences and Department of Cardiovascular Sciences, University of Leicester, UK

Abstract

Cardiac rehabilitation is an integral component of comprehensive cardiac care and is effective in reducing morbidity and mortality and improving quality of life. However, despite a 50-year-history and extensive evidence base attesting to its clinical and cost-effectiveness, including adding years to life and life to years, and exhortations that its implementation should be a key priority, the majority of cardiac patients do not receive rehabilitation. There is a comparative dearth of funding and wide variation in service provision, with a health care system that often fails to address issues such as sub-optimal referral, enrolment and completion, particularly amongst certain potential user groups that could benefit. This paper reviews these issues and suggests ways of overcoming the obstacles identified. It also highlights some of the knowledge gaps and areas that warrant further research.

Cardiac Rehabilitation and Secondary Prevention of Coronary Heart Disease

admin | June 23, 2010

Cardiac Rehabilitation and Secondary Prevention of Coronary Heart Disease

Philip A. Ades, M.D.

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Coronary heart disease is the leading cause of death in the United States among men and women.1 It is also a major cause of physical disability, particularly in the rapidly growing population of elderly persons.2,3 In 1997, acute myocardial infarction was diagnosed in 1.1 million Americans, and 800,000 patients underwent coronary revascularization.1 The prevention of subsequent coronary events and the maintenance of physical functioning in such patients are major challenges in preventive care.

Cardiac Rehabilitation Defined

admin | June 23, 2010

Heart Disease and Cardiac Rehabilitation
If you have heart disease your doctor may encourage you to participate in the hospital’s cardiac rehabilitation (rehab) program. A cardiac rehab program is designed to help you exercise safely and maintain a heart-healthy lifestyle. The program generally includes a tailored exercise program, education, and help with changing your risk factors (such as quitting smoking and changing your diet), and help managing your disease. Cardiac rehab programs also offer emotional support. The cardiac rehab program will allow you to meet others like yourself who can help you stay on track to maintain a healthier heart.

Are Cardiac Stents the Best Treatment Option and What is Being Done to Improve Cardiac Surgery?

admin | June 18, 2010

Are Cardiac Stents the Best Treatment Option and What is Being Done to Improve Cardiac Surgery?
May 27th, 2010 by ICH Team

When cardiac stents became available there was a lot of excitement as they were viewed as the ideal way to repair the heart blood vessels and lend a new lease of life to patients following a heart attack. However, there was then growing evidence that the stents themselves then became responsible for causing further clogging of the arteries. In response, the next generation of ‘drug eluting stents’ were launched. These stents contained drugs to prevent clogging and some of these performed better than others.
News emerged yesterday of the start of the PIONEER trial the: “first coronary stent on drug eluting balloon has been implanted”, and that this innovation improves patient’s comfort and reduces procedure cost significantly.

St. Joseph Medical Center has notified another 169 former cardiac patients that they may have been unnecessarily implanted with coronary stents by Dr. Mark G. Midei

admin | June 18, 2010

St. Joseph Medical Center has notified another 169 former cardiac patients that they may have been unnecessarily implanted with coronary stents by Dr. Mark G. Midei, and more letters could be mailed soon.

The Towson hospital confirmed Tuesday that it continues to review cardiac cases performed by Midei, St. Joseph’s former chief of cardiology, between May 2007 and 2009. After reviewing another batch of stent implant cases — typically performed to unclog blocked arteries — St. Joseph officials sent letters last month to the 169 former patients.

Study: Heart Stents Often Not Worth the Risk or Cost

admin | June 18, 2010

Study: Heart Stents Often Not Worth the Risk or Cost
Date Published: Tuesday, March 27th, 2007

A highly anticipated new study has called into question the long-term effectiveness of stents in the treatment of stable coronary artery disease. Researchers have determined that the use of drug therapy (including blood-pressure and cholesterol drugs) is just as effective in preventing heart attacks or death when compared to a combination of drug therapy and stent implantation. The study results were shared this week at the American College of Cardiology’s (ACC) annual Scientific Session and will be published next month in the New England Journal of Medicine (NEJM).

Unnessary Stenting in Maryland!

admin | June 18, 2010

Published: January 15th, 2010 • Comments: 20

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