Background/aims This narrative review aimed to identify gender-related differences in multiple cardiovascular disease treatments and to provide an overview of the possible causes to aid in establishment of a cardiovascular disease (CVD) risk profile. Methods A narrative review methodology was used. A systematic search of two databases, PubMed and CINAHL, sourced 245 articles. Results Seven articles met the inclusion criteria. Three recurrent themes emerged from the literature. These were gender differences in the burden of CVD, gender differences in symptom presentation and gender differences in management and treatment of CVD. Conclusions CVD can be expressed differently in women and men. Different approaches to diagnosis and treatment are required. The studies included in this review reflect findings reported in research conducted more than 10 years ago, suggesting that more focus is needed to define and add gender-related indicators to current risk assessments and management strategies.
{"title":"Gender differences in acute care treatments for cardiovascular diseases","authors":"Isabela Girleanu, Leona Connolly, Catherine McCabe","doi":"10.12968/bjca.2023.0074","DOIUrl":"https://doi.org/10.12968/bjca.2023.0074","url":null,"abstract":"Background/aims This narrative review aimed to identify gender-related differences in multiple cardiovascular disease treatments and to provide an overview of the possible causes to aid in establishment of a cardiovascular disease (CVD) risk profile. Methods A narrative review methodology was used. A systematic search of two databases, PubMed and CINAHL, sourced 245 articles. Results Seven articles met the inclusion criteria. Three recurrent themes emerged from the literature. These were gender differences in the burden of CVD, gender differences in symptom presentation and gender differences in management and treatment of CVD. Conclusions CVD can be expressed differently in women and men. Different approaches to diagnosis and treatment are required. The studies included in this review reflect findings reported in research conducted more than 10 years ago, suggesting that more focus is needed to define and add gender-related indicators to current risk assessments and management strategies.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134969003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this commentary, Oliver Hamer and colleagues critically appraise a Cochrane systematic review that synthesised the potential benefits of intermittent fasting for the prevention of cardiovascular disease.
{"title":"Intermittent fasting for the prevention of cardiovascular disease: implications for clinical practice","authors":"Oliver Hamer, Abdulrahman Abouzaid, James Hill","doi":"10.12968/bjca.2023.0058","DOIUrl":"https://doi.org/10.12968/bjca.2023.0058","url":null,"abstract":"In this commentary, Oliver Hamer and colleagues critically appraise a Cochrane systematic review that synthesised the potential benefits of intermittent fasting for the prevention of cardiovascular disease.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134969645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.
{"title":"Highlighting the latest research: August 2023","authors":"S. Palmer, Helen Cowan","doi":"10.12968/bjca.2023.0065","DOIUrl":"https://doi.org/10.12968/bjca.2023.0065","url":null,"abstract":"Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72385279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Sanders, Suzanne Fredericks, Sheila O'Keefe-McCarthy, Rosalie Magboo, Maria Hayes, Rebecca Jedwab, Rochelle Wynne
{"title":"The role of CONNECT: the importance of collaboration and supporting nurses and allied professionals in research","authors":"J. Sanders, Suzanne Fredericks, Sheila O'Keefe-McCarthy, Rosalie Magboo, Maria Hayes, Rebecca Jedwab, Rochelle Wynne","doi":"10.12968/bjca.2023.0055","DOIUrl":"https://doi.org/10.12968/bjca.2023.0055","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87844354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this patient story, Lowri Smith explains how she collaborated with Dr Chris Subbe and other contributors to develop a rapid‑access patient passport app to facilitate timely care for patients with complex needs.
{"title":"The rapid-access patient passport","authors":"Lowri Smith, Chris Subbe","doi":"10.12968/bjca.2023.0067","DOIUrl":"https://doi.org/10.12968/bjca.2023.0067","url":null,"abstract":"In this patient story, Lowri Smith explains how she collaborated with Dr Chris Subbe and other contributors to develop a rapid‑access patient passport app to facilitate timely care for patients with complex needs.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76871313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. McHale, L. Neubeck, A. Rowat, S. Dawkes, C. Hanson
Cardiac rehabilitation services were disrupted during the early stages of the COVID-19 pandemic because of limitations on interpersonal contact, exercise facility closures and clinical service reorganisation. This necessitated urgent service redesign. The authors aimed to understand the changes to cardiac rehabilitation service delivery in Scotland, the impacts on staff and participant experiences, and implications for future delivery. A concurrent mixed-methods study was conducted between April and December 2021. A quantitative online survey compared service provision before the pandemic (21 March 2019 to 20 November 2019) with provision after the onset of the pandemic (21 March 2020–20 November 2020). Quantitative data were analysed descriptively. Semi-structured telephone interviews were conducted with cardiac rehabilitation professionals and participants. These qualitative data were thematically analysed using the framework approach. Representatives (n=11) from 11 services completed the survey, while 11 staff and 17 patients completed the interviews. Services reported staffing reductions, delayed initial patient contact, replacement of face-to-face rehabilitation with telephone and online support, compromised initial assessments and reduced exit assessments. Patients relied more heavily on cardiac rehabilitation staff as a result of reduced access to other health professionals, and experienced issues with continuity of care. Technology presented remote service opportunities, but challenges around poor access to systems and technological literacy issues created barriers to service delivery. Service evaluation data were inaccessible. Scottish cardiac rehabilitation services were adversely impacted by the COVID-19 pandemic and responded by developing remote options. These can be enhanced by screening patients to assess their access to technology and identify any literacy issues, as well as developing online educational videos and downloadable resources. Staff education is needed to encourage use of technology, including exercise monitoring via wearables. A national audit is required to assess delivery and outcomes.
{"title":"Understanding cardiac rehabilitation delivery in Scotland during the COVID-19 pandemic: lessons for the future","authors":"S. McHale, L. Neubeck, A. Rowat, S. Dawkes, C. Hanson","doi":"10.12968/bjca.2023.0035","DOIUrl":"https://doi.org/10.12968/bjca.2023.0035","url":null,"abstract":"Cardiac rehabilitation services were disrupted during the early stages of the COVID-19 pandemic because of limitations on interpersonal contact, exercise facility closures and clinical service reorganisation. This necessitated urgent service redesign. The authors aimed to understand the changes to cardiac rehabilitation service delivery in Scotland, the impacts on staff and participant experiences, and implications for future delivery. A concurrent mixed-methods study was conducted between April and December 2021. A quantitative online survey compared service provision before the pandemic (21 March 2019 to 20 November 2019) with provision after the onset of the pandemic (21 March 2020–20 November 2020). Quantitative data were analysed descriptively. Semi-structured telephone interviews were conducted with cardiac rehabilitation professionals and participants. These qualitative data were thematically analysed using the framework approach. Representatives (n=11) from 11 services completed the survey, while 11 staff and 17 patients completed the interviews. Services reported staffing reductions, delayed initial patient contact, replacement of face-to-face rehabilitation with telephone and online support, compromised initial assessments and reduced exit assessments. Patients relied more heavily on cardiac rehabilitation staff as a result of reduced access to other health professionals, and experienced issues with continuity of care. Technology presented remote service opportunities, but challenges around poor access to systems and technological literacy issues created barriers to service delivery. Service evaluation data were inaccessible. Scottish cardiac rehabilitation services were adversely impacted by the COVID-19 pandemic and responded by developing remote options. These can be enhanced by screening patients to assess their access to technology and identify any literacy issues, as well as developing online educational videos and downloadable resources. Staff education is needed to encourage use of technology, including exercise monitoring via wearables. A national audit is required to assess delivery and outcomes.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81548541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this issue's ECG of the month, Martin Regan presents the case of a 56-year-old woman who presented with nausea and dizziness 5 days after undergoing ablation for atrial fibrillation.
{"title":"ECG of the month","authors":"Martin Regan","doi":"10.12968/bjca.2023.0064","DOIUrl":"https://doi.org/10.12968/bjca.2023.0064","url":null,"abstract":"In this issue's ECG of the month, Martin Regan presents the case of a 56-year-old woman who presented with nausea and dizziness 5 days after undergoing ablation for atrial fibrillation.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135065407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheila O'Keefe-McCarthy, Isaac Mussie, Karyn Taplay, Hannah Michaelson, Rosaleen Faleiro
A diagnosis of ischaemic heart disease may cause the individual to enter a state of emotional uncertainty. The authors aimed to provide an arts-based account of the emotional burden experienced by people with ischaemic heart disease. A secondary qualitative analysis of 35 interview with individuals with ischaemic heart disease was conducted. The results from the interview transcripts were analysed and depicted using an arts-based approach, in the form of poetry, musical lyrics and visual art. Participants described an overwhelming sense of loss following a diagnosis of ischaemic heart disease, including feeling a loss of control in their lives, loss of self, loss of agency in managing the illness and a loss of hope for the future. The emotional burden that patients carried was likened to going through a grieving process. Three poems, one song and two visual art pieces were created by the authors to depict the emotional burden experienced by the participants. Supportive interventions that apply arts-based approaches to practice could be beneficial to target the psychological needs and emotional burden of patients following diagnosis of ischaemic heart disease.
{"title":"The emotional burden of living with ischaemic heart disease: an artistic approach","authors":"Sheila O'Keefe-McCarthy, Isaac Mussie, Karyn Taplay, Hannah Michaelson, Rosaleen Faleiro","doi":"10.12968/bjca.2022.0134","DOIUrl":"https://doi.org/10.12968/bjca.2022.0134","url":null,"abstract":"A diagnosis of ischaemic heart disease may cause the individual to enter a state of emotional uncertainty. The authors aimed to provide an arts-based account of the emotional burden experienced by people with ischaemic heart disease. A secondary qualitative analysis of 35 interview with individuals with ischaemic heart disease was conducted. The results from the interview transcripts were analysed and depicted using an arts-based approach, in the form of poetry, musical lyrics and visual art. Participants described an overwhelming sense of loss following a diagnosis of ischaemic heart disease, including feeling a loss of control in their lives, loss of self, loss of agency in managing the illness and a loss of hope for the future. The emotional burden that patients carried was likened to going through a grieving process. Three poems, one song and two visual art pieces were created by the authors to depict the emotional burden experienced by the participants. Supportive interventions that apply arts-based approaches to practice could be beneficial to target the psychological needs and emotional burden of patients following diagnosis of ischaemic heart disease.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82134661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stories behind numbers—and the part we play","authors":"Edith Donnelly","doi":"10.12968/bjca.2023.0051","DOIUrl":"https://doi.org/10.12968/bjca.2023.0051","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81573598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clare Maxwell and colleagues provide an overview of the typical physiological changes that occur during and after pregnancy, and how these changes can lead to or exacerbate cardiovascular pathologies.
{"title":"Key changes in the cardiovascular system during uncomplicated pregnancy, birth and the postnatal period: an overview","authors":"C. Maxwell, T. Hudson, Robyn R Lotto","doi":"10.12968/bjca.2023.0049","DOIUrl":"https://doi.org/10.12968/bjca.2023.0049","url":null,"abstract":"Clare Maxwell and colleagues provide an overview of the typical physiological changes that occur during and after pregnancy, and how these changes can lead to or exacerbate cardiovascular pathologies.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"230 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72812289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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