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Clinical Advances in Cardiac Rehabilitation (CR)
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Clinical Advances in Cardiac Rehabilitation (CR)

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: closed (30 December 2024) | Viewed by 1778

Special Issue Editor

Dr. Erik H. Van Iterson

E-Mail Website
Guest Editor
Section of Preventive Cardiology and Rehabilitation, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Miller Family Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Interests: cardiac rehabilitation; cardiopulmonary exercise testing; exercise prescription; preventive cardiology

Special Issue Information

Dear Colleagues,

The clinical and scientific evolution of cardiac rehabilitation (CR) for the secondary prevention of cardiovascular disease has resulted in a comprehensive multidisciplinary therapy for patients that yields crucial improvements in clinical, physiological, and behavioral health outcomes. Recent, rapid developments in generational health-focused smart technologies have introduced new resources and opportunities for the CR field to leverage in its next era-defining evolution. In this Special Issue, we aim to highlight contemporary advances that are occurring in the field of CR. We appreciate your consideration in submitting your cutting-edge research and scientific manuscripts for possible publication in our Special Issue spotlighting the clinical advances in cardiac rehabilitation.

Dr. Erik H. Van Iterson
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiac rehabilitation
  • telehealth
  • digital health
  • artificial intelligence
  • secondary prevention
  • cardiovascular disease
  • preventive cardiology
  • socioeconomic factors
  • myocardial infarction/heart attack
  • medicare
  • remote cardiac rehabilitation

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (2 papers)

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Research

12 pages, 595 KiB  
Article
Non-Sleep Deep Rest Relaxation and Virtual Reality Therapy for Psychological Outcomes in Patients with Coronary Artery Disease: A Pilot Randomized Controlled Trial
by Adam Wrzeciono, Błażej Cieślik, Pawel Kiper, Joanna Szczepańska-Gieracha and Robert Gajda
J. Clin. Med. 2024, 13(23), 7178; https://doi.org/10.3390/jcm13237178 - 26 Nov 2024
Viewed by 543
Abstract
Background: While cardiac rehabilitation (CR) primarily focuses on restoring physical strength, preventing relapse, and reducing rehospitalization rates, psychological interventions play a complementary role by supporting mental health, which is crucial for patients’ long-term adherence and overall recovery. The effectiveness of psychological interventions in [...] Read more.
Background: While cardiac rehabilitation (CR) primarily focuses on restoring physical strength, preventing relapse, and reducing rehospitalization rates, psychological interventions play a complementary role by supporting mental health, which is crucial for patients’ long-term adherence and overall recovery. The effectiveness of psychological interventions in CR is debated, and while technologies like virtual reality (VR) therapy show promise, they have limitations for patients with coronary artery disease (CAD). Therefore, this study examines non-sleep deep rest (NSDR) relaxation, a novel and easily implementable technique, and compares its impact on depression, anxiety, and stress with VR therapy and standard care. Methods: Forty-five CAD patients undergoing CR in ambulatory conditions were divided into three groups: the NSDR group, which received eight sessions of NSDR relaxation as part of their rehabilitation; the VR group, which received eight sessions of VR therapy as part of their rehabilitation; and the control group, which received standard care including Schultz Autogenic Training (SAT). The outcomes were measured using the Hospital Anxiety and Depression Scale (HADS) and the Perception of Stress Questionnaire (PSQ). Results: Both NSDR relaxation and VR therapy were effective in reducing the HADS total score, anxiety levels, the PSQ general score, and emotional tension. No significant differences were observed between the two treatment approaches. However, SAT was found to be insufficient for effectively improving the mental state of cardiac patients. Conclusions: This study suggests that NSDR relaxation is an effective psychotherapeutic intervention in CR. NSDR and VR therapy showed similar benefits, offering promising alternatives to traditional methods. Integrating these techniques could enhance patient outcomes and adherence in CR. Further research is needed to refine these interventions and optimize their clinical application. Full article
(This article belongs to the Special Issue Clinical Advances in Cardiac Rehabilitation (CR))
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12 pages, 987 KiB  
Article
Reliability and Validity of the Rate of Force Development for Quadriceps in Older Patients with Cardiovascular Disease
by Takuji Adachi, Chubu Morishima, Yuta Nojiri, Yuki Tsunekawa, Daisuke Tanimura, Taisei Sano, Kenichi Shibata and Hideki Kitamura
J. Clin. Med. 2024, 13(19), 5973; https://doi.org/10.3390/jcm13195973 - 8 Oct 2024
Viewed by 908
Abstract
Background/Objectives: The rate of force development (RFD), which is the change in force over a period of time during muscle contraction, quantifies rapid muscle contractions. RFD may serve as a measure of physical rehabilitation in patients with cardiovascular disease (CVD); however, its [...] Read more.
Background/Objectives: The rate of force development (RFD), which is the change in force over a period of time during muscle contraction, quantifies rapid muscle contractions. RFD may serve as a measure of physical rehabilitation in patients with cardiovascular disease (CVD); however, its reliability and validity in older patients remain unclear. This study examined the reliability and validity of quadricep RFD in older patients with CVD. Methods: This prospective study enrolled 30 outpatients undergoing cardiac rehabilitation (median age, 77 years) and 30 inpatients hospitalized for CVD (median age, 76 years). The quadricep RFD values at three time points (RFD50, 0–50 ms; RFD100, 0–100 ms; and RFD200, 0–200 ms) were calculated from the slope of the force–time curve. Physical performance was assessed using the Short Physical Performance Battery (SPPB). Intra- and inter-rater correlation coefficients were assessed for outpatients. The correlation coefficients between RFD values and physical performance indicators were assessed separately for outpatients and inpatients. Results: The intraclass correlation coefficients (1,1) and (2,1) for RFD50, RFD100, and RFD200 were 0.742, 0.893, and 0.873 and 0.810, 0.918, and 0.930, respectively. The correlation coefficients for SPPB with RFD50, RFD100, and RFD200 were 0.553, 0.547, and 0.597 (all p < 0.05), respectively, for inpatients; similar moderate correlations were observed for gait speed and the chair stand test. Conclusions: The test–retest reliability of the RFD was excellent in older patients with CVD. The RFD was positively correlated with physical function indicators, suggesting its validity as a measure of physical rehabilitation. Full article
(This article belongs to the Special Issue Clinical Advances in Cardiac Rehabilitation (CR))
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