Stress Proof the Heart

Dornelas, Ellen A.

doi:10.1007/978-1-4419-5650-7

Cited by 8 publications

(1 citation statement)

References 123 publications

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“…Advancements in health care and technology have allowed patients with CVD to live longer (Wamble et al, 2019); however, the progression of CVD to congestive heart failure (HF) and its correlated treatments have been associated with significant biologic, psychologic, and social consequences for patients, their families, and caregivers (Allan & Fisher, 2012; Dornelas, 2012; Dornelas & Sears, 2018). This trajectory often includes comorbid chronic diseases such as stroke, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, dyslipidemia, and tobacco use (Khan et al, 2020), medication with various side effects such as insomnia (Riemer et al, 2021), the implantation of an implantable cardioverter defibrillator, implantation of and dependence on a left ventricular assistive device, and heart transplantation.…”

Section: Managing Cardiac Dysfunction: Heart Failure and Arrhythmiasmentioning

confidence: 99%

Cardiac psychology training in a rural health care setting: East Carolina Heart Institute.

Sall¹,

Griffith²,

Midgette³

et al. 2022

Health Psychology

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The full partnership of clinical health psychology and cardiology optimizes patient-centered care to address the mental and behavioral needs of patients living with heart disease. This scenario is realized as the East Carolina Heart Institute (ECHI) at East Carolina University (ECU) in Greenville, North Caroline with colocation and co-training of psychologists and cardiologists. ECHI provides services to patients across the full disease continuum of cardiovascular disease (CVD), given the higher rates of heart disease in this rural area. The purpose of this article is to describe the cardiovascular behavioral medicine training model for clinical health psychology doctoral students and its adaptation during the coronavirus disease 2019 (COVID-19) era. Through illustrative case examples, we describe the training model before the COVID-19 pandemic, during the transition to telehealth following the onset of the COVID-19 pandemic, and then the entirely telehealth-based service model. We highlight notable strengths and challenges to delivering telehealth care to cardiac patients in a rural setting, while also discussing the health disparities that uniquely occur within this patient population in Eastern North Carolina. This innovative partnership fosters a responsive environment for training and clinical care, where the complex needs of patients with CVD are treated to increase their overall quality of life and well-being.

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