Usefulness of Cardiac Rehabilitation After Spontaneous Coronary Artery Dissection
| Autor: | Chayakrit Krittanawong, Sharonne N. Hayes, Rajiv Gulati, Marysia S. Tweet, Ray W. Squires, Sarah E. Hayes, Melissa J. Bowman |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Coronary Vessel Anomalies MEDLINE 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Myocardial infarction Vascular Diseases Artery dissection Retrospective Studies Rehabilitation Cardiac Rehabilitation Exercise Tolerance business.industry Medical record Reproducibility of Results Retrospective cohort study Middle Aged medicine.disease Mental health Cardiology Physical therapy Female Cardiology and Cardiovascular Medicine Scad business Follow-Up Studies |
| Zdroj: | The American journal of cardiology. 117(10) |
| ISSN: | 1879-1913 |
| Popis: | Spontaneous coronary artery dissection (SCAD) is an increasingly recognized cause of myocardial infarction; however, the role of cardiac rehabilitation (CR) for patients with SCAD has not been well defined. To further understand CR in patients with SCAD, we studied a large cohort of patients with confirmed SCAD enrolled in the Mayo Clinic SCAD Registry from January 2010 to December 2014 (n = 354). Demographics, clinical characteristics, mental health status, and details about CR participation and experience were collected through medical record review and questionnaires. Participants at time of SCAD were 46 ± 10 years old; 96% were women. Most (76%) attended ≥1 CR sessions, averaging 18 ± 12 sessions. Most reported CR-related physical and emotional benefits (82% and 75%, respectively). Of the CR nonparticipants, 57 of 85 reported not participating because CR was not recommended by their health care provider. Other reasons included inadequate transportation (10 of 85), no insurance coverage (7 of 85), cost (2 of 85), no energy (2 of 85), being too ill (2 of 85), and miscellaneous comments (5 of 85). In conclusion, 3 of 4 of patients with SCAD participated in CR, most of whom reported benefit. Lack of recommendation for CR by a health care provider was the primary reason patients did not participate. |
| Databáze: | OpenAIRE |
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