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The intersection of exercise, cognition, and cardiovascular disease 运动、认知和心血管疾病的交叉
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_5_23
Evan L. O’Keefe, J. O’Keefe, C. Lavie
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引用次数: 2
Potential risk factors of cardiovascular diseases and mental disorders 心血管疾病和精神障碍的潜在危险因素
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00018
Meiyan Liu
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引用次数: 2
Vincristine-induced eccentric superior vena cava fibrotic obstruction causing superior vena cava syndrome: A case report 长春新碱致偏心上腔静脉纤维化梗阻致上腔静脉综合征1例
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_2_22
Debasish Das, Anindya Banerjee, Shashikant Singh, Manaranjan Dixit
We report an extremely rare case of vincristine-induced fibrotic obstruction of the upper superior vena cava (SVC) in a 42-year-old female. She recovered from non-Hodgkin's lymphoma 5 years back and presented with SVC syndrome. Our case is the first description of vascular toxicity of vincristine with SVC fibrotic obstruction.
我们报告一例极其罕见的长春新碱引起的上腔静脉纤维化梗阻(SVC)在一个42岁的女性。5年前,她从非霍奇金淋巴瘤中康复,并出现SVC综合征。我们的病例是第一个描述长春新碱对SVC纤维化梗阻血管毒性的病例。
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引用次数: 0
Heart disease and stroke 心脏病和中风
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00044
SimonW Rabkin
Dear Readers, I’m pleased to introduce a special issue on “Heart disease and stroke,” from a group of distinguished editors and productive authors from around the globe. It is well known that ischemic heart disease (IHD) is a leading cause of death, claims 8.9 million people worldwide a year. Stroke is also a leading cause of death, claiming at 6.1 million. The two conditions often coexist and are associated with a high mortality. Importantly, cardiac disease can lead to stroke. This special issue includes excellent articles discussing the connection of the heart and brain, in less commonly considered but still critically important areas such as stroke in noncompaction cardiomyopathy and after the cardiac procedure of transcatheter aortic valve replacement (TAVR). Two key issues that impact on the development of the heart–stroke interaction are discussed, specifically the impact of mental stress and disparities in health-related quality of life among adults with IHD, stroke, and both conditions. Physical exercise as a preventive strategy is touched upon, as well in this issue. HeartandMind is fortunate to have Barry A. Franklin as the spotlight guest. During the interview, Prof. Franklin shared his perspectives on physical activity, cardiorespiratory fitness, and cardiovascular health. He discussed that exercise benefits cardiac patients, yet too much exercise might be risky. He highlights the importance of patients’ motivation in cardiac rehabitation programs, provided novel viewpoints on psychosocial stressors, etc. In addition, he revealed the potential power of soft skills for being superachievers. The spotlight article is entitled “Perspectives of Barry A. Franklin, PhD: A World-Renowned Professor, Author, and Speaker.” In the article entitled “Noncompaction Cardiomyopathy and Embolic Events: A Mini-Review,” George Bazoukis et al. discussed that patients with left ventricular noncompaction cardiomyopathy (LVNC) have an increased risk of embolic events. They conclude that LVNC patients with prior embolic events, atrial fibrillation, left ventricular (LV) thrombus, and LV dysfunction should have anticoagulation. For individuals without a clear indication according to the current guidelines, anticoagulation could be considered when their CHADS2 (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus and stroke or transient ischemic attack) score is 2 or greater. Amit Hooda et al. provided a “A Narrative Review on Perprocedural Stroke and Transcatheter Aortic Valve Replacement: Achilles’ Heel,” summarizing the currently available strategies for mitigating periprocedural stroke post transcatheter aortic valve replacement (TAVR) and providing insights into future directions. The authors advocate for large, prospective, randomized controlled trials that are required to predict the patient profile where cerebral embolic protection devices would be useful. Furthermore, additional strategies with newer valve technologies are recommen
亲爱的读者们,我很高兴向大家介绍一个关于“心脏病和中风”的特刊,它是由一群来自世界各地的杰出编辑和富有成效的作者撰写的。众所周知,缺血性心脏病(IHD)是导致死亡的主要原因,每年全世界有890万人死亡。中风也是导致死亡的主要原因,有610万人死亡。这两种情况经常共存,并与高死亡率有关。重要的是,心脏病会导致中风。这期特刊包括讨论心脏和大脑连接的优秀文章,在不太常见但仍然非常重要的领域,如非压实性心肌病中风和经导管主动脉瓣置换术(TAVR)后的心脏手术。本文讨论了影响心脏卒中相互作用发展的两个关键问题,特别是精神压力的影响以及患有IHD、中风和这两种疾病的成年人健康相关生活质量的差异。体育锻炼作为一种预防策略,在这个问题上也被触及。《心灵》有幸邀请到巴里·a·富兰克林作为焦点嘉宾。在访谈中,富兰克林教授分享了他对身体活动、心肺健康和心血管健康的看法。他说,运动对心脏病患者有益,但过度运动可能有风险。他强调了患者动机在心脏康复计划中的重要性,对心理社会压力源等提供了新颖的观点。此外,他还揭示了软技能对成为超级成功者的潜在力量。聚光灯下的文章题为“巴里·富兰克林博士的观点:世界知名的教授、作家和演说家”。George Bazoukis等人在题为“非压实性心肌病和栓塞事件:迷你回顾”的文章中讨论了左心室非压实性心肌病(LVNC)患者发生栓塞事件的风险增加。他们得出结论,既往有栓塞事件、房颤、左室血栓和左室功能障碍的LVNC患者应该进行抗凝治疗。对于目前指南中没有明确适应症的个体,当其CHADS2(充血性心力衰竭、高血压、年龄≥75岁、糖尿病、卒中或短暂性脑缺血发作)评分为2分及以上时,可以考虑抗凝治疗。Amit Hooda等人发表了一篇“术中卒中和经导管主动脉瓣置换术:阿喀喀斯之踵”的综述,总结了目前可用于减轻经导管主动脉瓣置换术(TAVR)后术中卒中的策略,并对未来的发展方向提出了见解。作者主张进行大规模、前瞻性、随机对照试验,以预测脑栓塞保护装置将有用的患者概况。此外,建议采用更新的瓣膜技术来提高TAVR的神经安全性。耿永建投稿《精神压力对动脉粥样硬化性心脑疾病发病机制的影响:综述》。本研究强调,在动脉粥样硬化性血管疾病的发展过程中,精神压力是一个独立的危险因素,在改变心血管组织的功能和代谢方面起着关键作用。作者总结了增加积极的压力恢复能力,降低心理易感性,同时增加心血管损伤的恢复能力,改善饮食供应,生活方式和身体健康的好处。此外,预防和治疗方法正在多个方面发展,旨在减轻压力相关的血管反应和动脉粥样硬化性血管疾病的发展。Molly M. Jacobs等人撰写了一篇名为《缺血性心脏病、中风和两种情况的成年人健康相关生活质量的差异:一项横断面研究》的文章。他们估计了种族和民族之间健康相关生活质量(HRQOL)的差异,以及IHD、中风或两种情况下HRQOL的种族/民族差异。他们使用2021年美国全国健康访谈调查的数据,计算了29,482名成年人的健康和活动限制指数——一种包括感知健康和活动限制的通用HRQOL指标。他们发现,虽然IHD和中风单独与显著较低的HRQOL相关,但它们的共同出现对HRQOL有显著的负面影响,特别是在少数种族群体中。在文章《什么对心脏有害就是对大脑有害?》edward Guasch评价了这样一种观点,即有规律的适度和剧烈的运动对心血管与认知的联系有积极的影响。 动物模型和人体试验表明,定期运动对认知的益处可能高度依赖于运动强度和持续时间,然而,剧烈和长期的运动形式可能是有害的。作者声称,相关数据需要在大规模和精心设计的研究中得到证实。为了激励医生和研究人员为心脏病患者找到更好的治疗策略,本期杂志探讨了心脏病和中风的预防、诊断、治疗和结果等方面,特别是它们之间的联系。这期杂志的出版收到了来自各国作者的高质量投稿。我仍然感谢他们的大力支持。
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引用次数: 485
Postexercise oxygen uptake recovery delay among patients with heart failure: A systematic review 心力衰竭患者运动后氧摄取恢复延迟:一项系统综述
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_42_22
C. Soydara, C. Jurgens, G. Lewis
Background: Peak oxygen uptake (VO2) is often the focal point of cardiopulmonary exercise testing among patients with heart failure (HF). Breath-by-breath VO2 kinetic patterns at exercise onset, during low-level and submaximal exercise, and during recovery may provide incremental insight into HF severity and etiologies of exercise limitation. Objective: The aim of this systematic review was to explore VO2 recovery delay (VO2RD) across the spectrum of left ventricular function. Methods: A systematic review was conducted using several online databases (EMBASE, Cumulative Index to Nursing and Allied Health Literature, PubMed and Web of Science). Steps outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses were followed. Search terms included VO2RD OR VO2 off kinetics AND HF, peak VO2 AND recovery. All articles were uploaded to Covidence. Results: Four studies met the inclusion criteria. The definition of VO2RD varied across studies. Recovery delay was consistently observed in HF patients compared to controls indicating VO2RD discriminates between those with and without HF. Control groups showed VO2 decline almost immediately after exercise. VO2RD had a significant positive linear relationship to N-terminal prohormone of brain natriuretic and Doppler echo E/e' while demonstrating an inverse relationship with peak cardiac output and survival duration. Conclusions: VO2RD, unlike peak VO2, is relatively cardiospecific. Oxygen recovery kinetics offer insight into disease severity and discrimination of healthy participants from those with HF.
背景:峰值摄氧量(VO2)通常是心力衰竭(HF)患者心肺运动试验的焦点。在运动开始时、低强度和次大强度运动期间以及恢复期间的逐呼吸VO2动力学模式可以为了解HF的严重程度和运动限制的病因提供渐进式的见解。目的:本系统综述的目的是通过左心室功能谱探讨VO2恢复延迟(VO2RD)。方法:使用EMBASE、护理与相关健康文献累积索引、PubMed和Web of Science等在线数据库进行系统综述。遵循系统评价和荟萃分析的首选报告项目概述的步骤。搜索词包括VO2RD或VO2 off kinetics和HF,峰值VO2和回收率。所有文章均上传至新冠病毒。结果:4项研究符合纳入标准。VO2RD的定义在不同的研究中有所不同。与对照组相比,在HF患者中一致观察到恢复延迟,这表明VO2RD在有和无HF患者之间存在差异。对照组的VO2在运动后几乎立即下降。VO2RD与脑钠素n端原激素和多普勒回波E/ E′呈显著的线性正相关,而与峰值心输出量和生存时间呈负相关。结论:VO2RD与VO2峰值不同,它具有心脏特异性。氧恢复动力学提供洞察疾病的严重程度和区分健康参与者与HF。
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引用次数: 1
A narrative review on periprocedural stroke and transcatheter aortic valve replacement: Achilles' heel 围手术期卒中和经导管主动脉瓣置换术的叙事回顾:阿喀琉斯之踵
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00027
Amit Hooda, Parul Kodan, Sakshi Khurana, Amit Gulati
Transcatheter aortic valve replacement (TAVR) has become the treatment option for symptomatic severe aortic stenosis patients across all risk profiles. Despite remarkable advancements in technology and operator experience, the occurrence of periprocedural stroke remains a significant concern, predominantly attributed to thromboembolic events in the immediate postprocedural period. To optimize patient outcomes, various strategies have been developed to minimize the risk of stroke, encompassing comprehensive preprocedural planning, effective management of comorbidities, utilization of cerebral embolic protection devices, and tailored medical therapy. This comprehensive review summarizes the currently available strategies for mitigating periprocedural stroke post-TAVR and provides insights into future directions.
经导管主动脉瓣置换术(TAVR)已成为各种风险症状性重度主动脉瓣狭窄患者的治疗选择。尽管技术和操作人员的经验有了显著的进步,但术中卒中的发生仍然是一个值得关注的问题,主要归因于手术后立即发生的血栓栓塞事件。为了优化患者的预后,已经制定了各种策略来最大限度地降低卒中风险,包括全面的术前计划,有效的合并症管理,脑栓塞保护装置的使用以及量身定制的药物治疗。这篇全面的综述总结了目前可用的缓解tavr术后围手术期卒中的策略,并为未来的发展方向提供了见解。
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引用次数: 0
Neuroprotection and classification of neurologic dysfunction in aortic arch surgery: A narrative review 主动脉弓手术中神经保护和神经功能障碍的分类:综述
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm-d-23-00010
JasonZhensheng Qu
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引用次数: 0
Stress, cardiovascular diseases and exercise – A narrative review 压力、心血管疾病和运动——述评
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_33_22
D. Popović, C. Lavie
The assuredness that adverse life stressors can lead to major negative impacts on an individual's health has been held since antiquity. Stress is considered a state of homeostasis being challenged, with biological consequences that can cause cardiovascular diseases (CVD). Stressors may be diverse and include a variety of psychological stressors, such as family stress, job strain, effort-award imbalance, long working hours, insecurity, social isolation, and lack of purpose in life. However, stressors may also be physical, immunological, metabolic, or environmental. Type of personality, anxiety, depression, pessimism or hostility, previous experience, genomics, body composition, nutritive and training status modulate stress responses and are important co-stressors. Chronic stress is linked with altered neurohormonal activity, which increases apoptotic pathways in cardiomyocytes. These pathways contribute to impaired myocardial contractility, increased risk of myocardial ischemia, infarction, heart failure, and arrhythmias. While stress is a vital risk factor for CVD, it has not been a major focus of preventive strategies. The purpose of this article is to review the impact of stress on CVD risk with an emphasis on approaches for stress reduction. Strength and endurance exercise, although being stress itself, leads to better adaptiveness to other types of stress, and by far has played an inevitable role in CVD risk reduction. Innovative strategies to combat CVD are strongly needed and exercise may be the best population-level cost-effective approach.
自古以来,人们就确信不利的生活压力会对个人健康产生重大负面影响。压力被认为是一种体内平衡受到挑战的状态,其生物学后果可能导致心血管疾病(CVD)。压力源可能是多种多样的,包括各种心理压力源,如家庭压力、工作压力、努力与回报的不平衡、长时间工作、不安全感、社会孤立和缺乏生活目标。然而,压力源也可能是生理的、免疫的、代谢的或环境的。人格类型、焦虑、抑郁、悲观或敌意、以前的经历、基因组学、身体成分、营养和训练状态调节应激反应,是重要的共应激源。慢性应激与神经激素活动的改变有关,这增加了心肌细胞的凋亡途径。这些途径导致心肌收缩力受损,增加心肌缺血、梗死、心力衰竭和心律失常的风险。虽然压力是心血管疾病的一个重要风险因素,但它并不是预防策略的主要重点。本文的目的是回顾压力对心血管疾病风险的影响,重点是减少压力的方法。力量和耐力锻炼虽然本身就是压力,但却能更好地适应其他类型的压力,迄今为止在降低心血管疾病风险方面发挥了不可避免的作用。对抗心血管疾病的创新策略是非常必要的,锻炼可能是最具成本效益的人群水平的方法。
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引用次数: 2
Pacemaker implantation in the pediatric population: Bosnian and herzegovinian experience 起搏器植入儿童人群:波斯尼亚和黑塞哥维那的经验
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_12_22
Z. Begić, N. Begić, Nermir Granov, H. Vila, Behija Berberovic-Hukeljic, E. Begić, D. Rebić
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引用次数: 0
Impact of obstructive sleep apnea on cardiac autonomic control during the respiratory sinus arrhythmia maneuver in patients with chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者呼吸窦性心律失常操作过程中阻塞性睡眠呼吸暂停对心脏自主神经控制的影响
Q4 Psychology Pub Date : 2023-01-01 DOI: 10.4103/hm.hm_54_22
A. Borghi-Silva, P. Camargo, Luciana Ditomaso-Luporini, Guilherme Peixoto Tinoco Arêas, C. Goulart, R. Mendes
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引用次数: 0
期刊
Heart and Mind
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