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Cao X, Dong Y, Yu H, Liu X, Gu Y, Song J, Ouyang P, Hong Z. The effect of sitting baduanjin in patients with ST-segment elevation acute myocardial infarction after percutaneous coronary intervention: A quasi-experimental study. Heart Lung 2024; 66:78-85. [PMID: 38593677 DOI: 10.1016/j.hrtlng.2024.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 03/19/2024] [Accepted: 04/02/2024] [Indexed: 04/11/2024]
Abstract
BACKGROUND Early cardiac rehabilitation plays a crucial role in the recovery of patients with ST-segment elevation acute myocardial infarction (STEMI) following percutaneous coronary intervention (PCI). This study sought to determine the effect of a program of sitting Baduanjin exercises on early cardiac rehabilitation. OBJECTIVE The goal of this study was to investigate the effects of sitting Baduanjin exercises on cardiovascular and psychosocial functions in patients with STEMI following PCI. METHODS This quasi-experimental study employed a randomized, non-equivalent group design. Patients in the intervention group received daily sitting Baduanjin training in addition to a series of seven-step rehabilitation exercises, whereas those in the control group received only the seven-step rehabilitation training, twice daily. Differences in heart rate variability (HRV) indicators, exercise capacity (Six-Minute Walking Distance; 6-MWD), anxiety (Generalized Anxiety Disorder-7; GAD-7), and depression (Patient Health Questionnaire-9; PHQ-9) between the two study groups during hospitalization were analyzed. RESULTS Patients in the intervention group exhibited lower rates of abnormalities in the time domain and frequency domain parameters of HRV. The median scores of GAD-7 and PHQ-9 in both groups were lower than those at the time of admission, with the intervention group exhibiting lower scores than the control group (P < 0.001; P < 0.001, respectively). The 6-MWD after the intervention was greater in the intervention group compared to the control group (P = 0.014). CONCLUSIONS We found that sitting Baduanjin training has the potential to enhance HRV, cardiac function, and psychological well-being in patients with STEMI after PCI. This intervention can potentially improve the exercise capacity of a patient before discharge.
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Affiliation(s)
- Xiaocui Cao
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Yanyan Dong
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Hongjing Yu
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Xuemei Liu
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Yuqin Gu
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Jian Song
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Peng Ouyang
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China
| | - Zehang Hong
- Departmengt of Cardiovascular Medicine, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong province, China.
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Lin C, Xie C, Chen M, Gao H, Zhang G. Effect of continuous traditional Chinese medicine nursing on patients with coronary heart disease. Am J Transl Res 2021; 13:8988-8996. [PMID: 34540010 PMCID: PMC8430059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Accepted: 05/31/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To investigate the effect of continuous traditional Chinese medicine (TCM) nursing combined with atorvastatin tablets on psychological status, quality of life, and sleep quality of patients with coronary heart disease (CHD). METHODS One hundred CHD patients admitted in Jinan City People's Hospital from January 2018 to January 2019 were divided into an experimental group and a control group according to the order of admission, with 50 patients in each group. The experimental group was treated with continuous TCM nursing with atorvastatin tablets, while the control group took atorvastatin tablets alone. The therapeutic effect, psychological status, levels of inflammatory factors, quality of life, sleep quality, cardiac function index, physical signs, treatment compliance and nursing satisfaction were compared. RESULTS After the intervention, the two groups witnessed notably decreased levels of high-sensitivity C-reactive protein (hs-CRP), serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and matrix metalloproteinase-9 (MMP-9) compared with those before treatment, with lower levels observed in the experimental group. The psychological status, quality of life, sleep quality, cardiac function indexes, physical signs, and treatment compliance of the experimental group were generally better than the control group. The experimental group had better outcome in the therapeutic effect and nursing satisfaction than the control group (P<0.05). CONCLUSION Continuous TCM nursing combined with atorvastatin tablets optimizes psychological status, quality of life, and sleep quality of CHD patients, which exhibits therapeutic benefit, and effectively avoids the occurrence of nurse-patient disputes.
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Affiliation(s)
- Cuixia Lin
- Department II of Cardiology, Jinan City People’s HospitalJinan, China
| | - Chun Xie
- Department II of Cardiology, Jinan City People’s HospitalJinan, China
| | - Min Chen
- Department of Cardiothoracic Surgery, Jinan City People’s HospitalJinan, China
| | - Hang Gao
- Department II of Cardiology, Jinan City People’s HospitalJinan, China
| | - Guiqin Zhang
- Teaching & Research Department, Jinan City People’s HospitalJinan, China
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Long-term results of extensive aortoiliac occlusive disease (EAIOD) treated by endovascular therapy and risk factors for loss of primary patency. Chin Med J (Engl) 2020; 134:913-919. [PMID: 33323822 PMCID: PMC8078323 DOI: 10.1097/cm9.0000000000001229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Although endovascular therapy has been widely used for focal aortoiliac occlusive disease (AIOD), its performance for extensive AIOD (EAIOD) is not fully evaluated. We aimed to demonstrate the long-term results of EAIOD treated by endovascular therapy and to identify the potential risk factors for the loss of primary patency. Methods: Between January 2008 and June 2018, patients with a clinical diagnosis of the 2007 TransAtlantic Inter-Society Consensus II (TASC II) C and D AIOD lesions who underwent endovascular treatment in our institution were enrolled. Demographic, diagnosis, procedure characteristics, and follow-up information were reviewed. Univariate analysis was used to identify the correlation between the variables and the primary patency. A multivariate logistic regression model was used to identify the independent risk factors associated with primary patency. Five- and 10-year primary and secondary patency, as well as survival rates, were calculated by Kaplan-Meier analysis. Results: A total of 148 patients underwent endovascular treatment in our center. Of these, 39.2% were classified as having TASC II C lesions and 60.8% as having TASC II D lesions. The technical success rate was 88.5%. The mean follow-up time was 79.2 ± 29.2 months. Primary and secondary patency was 82.1% and 89.4% at 5 years, and 74.8% and 83.1% at 10 years, respectively. The 5-year survival rate was 84.2%. Compared with patients without loss of primary patency, patients with this condition showed significant differences in age, TASC II classification, infrainguinal lesions, critical limb ischemia (CLI), and smoking. Multivariate logistic regression analysis showed age <61 years (adjusted odds ratio [aOR]: 6.47; 95% CI: 1.47–28.36; P = 0.01), CLI (aOR: 7.81; 95% CI: 1.92–31.89; P = 0.04), and smoking (aOR: 10.15; 95% CI: 2.79–36.90; P < 0.01) were independent risk factors for the loss of primary patency. Conclusion: Endovascular therapy was an effective treatment for EAIOD with encouraging patency and survival rate. Age <61 years, CLI, and smoking were independent risk factors for the loss of primary patency.
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Research progress regarding the diagnosis and treatment of mental stress-induced myocardial ischemia. Anatol J Cardiol 2020; 24:126-136. [PMID: 32870175 PMCID: PMC7585978 DOI: 10.14744/anatoljcardiol.2020.69447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Myocardial ischemia resulting from psychological stress [mental stress-induced myocardial ischemia (MSIMI)] refers to the condition wherein psychosocial and psychological stimulations cause myocardial ischemia in patients with coronary heart disease, which is different from drug-induced myocardial ischemia. Therefore, this condition often escapes diagnosis, portends clinical risk, and affects the quality of life of MSIMI survivors. MSIMI is closely related to the poor prognosis of cardiovascular diseases, especially in young women, according to recent randomized, controlled trials (RCTs) on MSIMI. These RCTs involved different sample sizes, interventional measures, and detection techniques. Moreover, differences exist regarding the prevalence rate, distribution characteristics, possible pathogenesis, and clinical significance. Nevertheless, currently, the diagnostic criteria, pathogenesis, and treatment of MSIMI are still in the clinical exploration stage. Hence, considering recent RCTs, this paper summarizes the research status of MSIMI from the aspects of pathogenesis, diagnosis, and treatment strategies to provide a theoretical basis for the follow-up diagnostic methods and treatment guidelines for MSIMI.
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Gender-specific differences in associations between economic status and systolic blood pressure or diastolic blood pressure. Chin Med J (Engl) 2020; 133:1722-1724. [PMID: 32649518 PMCID: PMC7401777 DOI: 10.1097/cm9.0000000000000953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Liu M, Liu J, Zhang L, Xu W, He D, Wei W, Ge Y, Dandu C. An evidence of brain-heart disorder: mental stress-induced myocardial ischemia regulated by inflammatory cytokines. Neurol Res 2020; 42:670-675. [PMID: 32573395 DOI: 10.1080/01616412.2020.1783879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
OBJECTIVE Underlying Coronary Artery Disease (CAD) complicated by Mental Stress-Induced Myocardial Ischemia (MSIMI) has been linked with an increased risk for adverse cardiovascular events and even sudden death. However, the underlying mechanisms of MSIMI remain unknown. In this study, we investigated cytokine levels at baseline inflammation status and during acute inflammatory responses to mental stress in patients with known CAD who presented with MSIMI. METHOD 77 patients with known CAD were recruited and all underwent echocardiography before and during arithmetic stress task. MSIMI was diagnosed by new or worsening wall motion abnormalities greater than or equal to a 5% reduction of left ventricle ejection fraction. Inflammatory markers were measured both before and immediately after the Mental Stress (MS) by ELISA kits. Repeated measures models were used to report the responses and mixed linear regression models were used to report the differences between MSIMI negative and positive patients. RESULT MS induced a significant increase in Stromal Cell-Derived Factor-1α (SDF-1α) and Monocyte Chemoattractant Protein-1 (MCP-1) in all subjects; 20.78% of the patients with known CAD developed MSIMI during the arithmetic task. MSIMI positive patients had significantly lower baseline levels of Interleukin-1β (IL-1β) and Tumor Necrosis Factor-α (TNF-α), but a higher response in levels of SDF-1α than MSIMI negative patients. CONCLUSION MS can induce acute inflammatory responses. MSIMI is associated with lower levels of IL-1β and TNF-α at baseline and higher levels of SDF-1α in response to MS.
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Affiliation(s)
- Meiyan Liu
- Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University , Beijing, China
| | - Jianyang Liu
- Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University , Beijing, China
| | - Lijun Zhang
- Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University , Beijing, China
| | - Wan Xu
- Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University , Beijing, China
| | - Dongfang He
- Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University , Beijing, China
| | - Wanlin Wei
- Department of Cardiology, PLA Army General Hospital , Beijing, China
| | - Yingbin Ge
- Department of Physiology, Nanjing Medical University , Jiangsu, China
| | - Chaitu Dandu
- Department of Neurosurgery, Wayne State University School of Medicine , MI, USA
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Zhang L, Bao Y, Wang X, Zhou Y, Tao S, Xu W, Liu M. A meta-analysis on the prevalence, associated factors and diagnostic methods of mental stress induced myocardial ischemia. J Transl Med 2020; 18:218. [PMID: 32471451 PMCID: PMC7257246 DOI: 10.1186/s12967-020-02383-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 05/16/2020] [Indexed: 11/27/2022] Open
Abstract
Background The high prevalence of mental stress induced myocardial ischemia (MSIMI) causes double risk of adverse cardiac events in patients with MSIMI. However, multiple types of mental stress, diagnostic techniques, and diagnostic measurements may increase the complexity and heterogeneity in the assessment of MSIMI. Therefore, we performed this meta-analysis to assess the prevalence, associated factors, and diagnostic methods of MSIMI. Methods We systematically searched PubMed, EMBACE, Web of Science, CNKI, Wanfang through 1 Feb 2020 in English and Chinese. Review Manager (RevMan) Version 5.3 and Stata 12.0 were used for data analyses. Results Twenty articles were enrolled. The pooled estimates for the prevalence of MSIMI in CAD patients was 32%. Potential associated factors of MSIMI involved history of post myocardial infarction (MI), or coronary artery bypass graft (CABG) (RR: 1.29, 95% CI 1.00–1.66, P = 0.05; RR: 1.59, 95% CI 1.00–2.52, P = 0.05). Evidence supported that diagnostic methods could influence the prevalence of MSIMI. Significant differences of MSIMI prevalence were found in different types of mental stress (Public Speaking: 22%; Mental arithmetic: 26%; Anger recall: 34%; Two types: 37%; Three or more than three types: 43%, P = 0.02), diagnostic techniques (SPECT: 26%; RNV: 38%; ECG: 16%; Echocardiography: 41%; Two types: 43%, P < 0.0001), and diagnostic measurements (LVEF decrease: 19%; WMA: 51%; ST depression: 16%; MPD: 26%; Two or more than two measurements: 45%, P < 0.00001). Moreover, univariate meta-regression demonstrated that MSIMI was linked with mental stress (exp(b): 1.0508, SE: 0.0201, P: 0.018). Conclusions This meta-analysis implicated that patients with diabetes, post MI or CABG might be more vulnerable to MSIMI. However, the prevalence of MSIMI could be influenced by diagnostic methods, especially the adopted types of mental stress, diagnostic techniques and measurements. Therefore, it is necessary to formulate a standard diagnostic method for MSIMI, which should be adequate, assessable, and affordable worldwide. Registration PROSPERO. Online Protocol: CRD42020162822.
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Affiliation(s)
- Lijun Zhang
- Cardiology Department, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing, 100029, China
| | - Yanping Bao
- National Institute on Drug Dependence, Peking University, No. 38, Xueyuan Road, Haidian District, Beijing, 10091, China.
| | - Xi Wang
- Cardiology Department, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing, 100029, China
| | - Yuxin Zhou
- Department of Anatomy and Neurobiology, Boston University, Boston, USA
| | - Shuhui Tao
- Cardiology Department, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing, 100029, China.,School of Basic Medical Sciences, Henan University, Kaifeng, China
| | - Wan Xu
- Cardiology Department, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing, 100029, China
| | - Meiyan Liu
- Cardiology Department, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Road, Chaoyang District, Beijing, 100029, China.
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