Physical and Psychological Outcomes of Patients Undergoing Traditional Cardiac Rehabilitation and Intensive Cardiac Rehabilitation

Jafri, S. Hammad; Duazo, Catherine; Imran, Hafiz; Bencie, Nicole; Imran, Tasnim F.; Ahmad, Khansa; DeAngelis, Julianne; Wu, Wen‐Chih

doi:10.1097/hcr.0000000000000707

Cited by 4 publications

(4 citation statements)

References 47 publications

(105 reference statements)

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“…Conversely, the diagnosis of HF can further worsen depression in affected individuals, making it a complex challenge to address both conditions simultaneously [33]. Given the heightened focus on addressing psychosocial components, ICR may offer greater potential for improving psychosocial symptoms compared to traditional CR, as demonstrated in our previous study [12]. Consequently, ICR represents an excellent opportunity for patients with HF to enhance their mental well-being and psychosocial functioning.…”

Section: Discussionmentioning

confidence: 84%

“…Intensive cardiac rehabilitation (ICR) represents a more comprehensive and nonpharmacological approach to CR, placing significant emphasis on non-exercise components [12][13][14][15][16][17]. ICR focuses on lifestyle modifications, notably adopting a low-fat, plantbased diet, which can exert a favorable influence on secondary prevention of cardiovascular diseases.…”

Section: Introductionmentioning

confidence: 99%

“…ICR includes dedicated stress management, peer support, and dietary modifications, all in addition to exercise. ICR has demonstrated its advantages for patients dealing with a wide range of CVD [12,18]. Nevertheless, the outcomes of ICR for patients with HF remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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Intensive Cardiac Rehabilitation Outcomes in Patients with Heart Failure

Jafri,

Guglin,

Rao

et al. 2023

JCM

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Introduction: Cardiac rehabilitation (CR) has proven to be beneficial for patients with heart failure (HF), potentially reducing morbidity and mortality while improving fitness and psychological outcomes. Intensive cardiac rehabilitation (ICR) represents an emerging form of CR that has demonstrated advantages for patients with various cardiovascular diseases. Nevertheless, the specific outcomes of ICR in patients with HF remain unknown. Objectives: The purpose of this study is to assess the effectiveness of ICR in patients with HF. Methods: This retrospective study involved 12,950 patients who participated in ICR at 46 centers from January 2016 to December 2020. Patients were categorized into two groups: the HF group, comprising 1400 patients (11%), and the non-HF group, consisting of 11,550 patients (89%). The primary endpoints included the ICR completion rate, changes in body mass index (BMI), exercise minutes per week (EMW), and depression scores (CESD). A t-test was employed to compare variables between the two groups. Results: The HF group comprises older patients, with 37% being females (compared to 44% in the non-HF group). The ICR completion rate was higher in the non-HF group. After ICR completion, adjusted analyses revealed that patients without HF demonstrated a greater improvement in BMI. There were no differences in fitness, as measured via EMW, or in depression scores, as measured via CESD, between the two groups. Conclusions: Despite the lower baseline functional status and psychosocial scores of HF patients compared to non-HF patients, patients with HF were able to attain similar or even better functional and psychosocial outcomes after ICR.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Intensive Cardiac Rehabilitation Outcomes in Patients with Heart Failure

Jafri,

Guglin,

Rao

et al. 2023

JCM

Self Cite

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“…The challenge between underestimation of perceived risk for heart disease and delayed care for patients with known heart disease is important because engaging patients with already known heart disease can promote healthy behaviors and lifestyle modifications even after having a post cardiac event [14,25,[30][31][32][33][34]. Cardiac rehabilitation has demonstrated value in engaging patients in a formal exercise program, health promotion education and improving quality of life [20,[35][36][37][38]. However, there is limited research particularly in the United States related to cardiac risk perception among patients with a known history of a cardiac event (as defined by a known history of heart disease) and those who participate in a formal cardiac rehabilitation program.…”

Section: Resultsmentioning

confidence: 99%

Cross Validation of the Post Event-Cardiovascular Risk Perception Survey Instrument among Cardiac Rehabilitation Patients

Prue-Owens,

Smith,

Sinclair

et al. 2024

JCNRC

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Background: By 2035, nearly half of U.S. adults will have some form of heart disease. COVID-19 altered the delivery of care for cardiac rehabilitation patients who experienced a cardiac event.Objective: To cross-validate the Post Event-Cardiovascular Risk Perception Survey (PE-CRPS).Methods: A cross-sectional and descriptive study was conducted to validate CVD risk perception survey. Explorative factor analysis (EFA) was utilized to explore the factors, validate the scale, and measure variance in the data.Results: Of the 261 individuals, majority were males (71%, mean age: 65.77 years), Caucasian-Non-Hispanic origin (94%) with co morbidities (hypertension, hyper-lipidemia and diabetes). EFA identified 16 latent (eigenvalues >1) with 45 observed variables to measure CVD risk perception. Factors explained 68% of the variance. Bartlett’s test of sphericity was significant (p=.001), indicating variances not significant and the factors correlated.Conclusions: PE-CRPS was valid and can be used to assess cardiac risk perceptions among cardiac rehabilitation individuals.

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