Current Advances in Cardiovascular Disease

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 August 2024) | Viewed by 8607

Special Issue Editors


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Guest Editor
Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
Interests: clinical nursing; cardiovascular nursing; chronic disease management
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Nursing, School of Health Sciences, National & Kapodistrian University of Athens, Athens, Greece
Interests: intensive and critical care nursing; critical care cardiovascular nursing; vascular access

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Guest Editor
Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71500 Crete, Greece
Interests: evidence-based practice; nursing; genetics; genomics; precision care; education; simulation; healthcare
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

It is well known that cardiovascular disease (CVD) is the leading cause of morbidity and mortality, globally. According to the World Health Organization, in 2019, 17.9 million people died from CVD, representing 32% of all deaths worldwide.

This Special Issue aims to include high-quality studies (quantitative and qualitative original research articles, systematic reviews and meta-analyses) which investigate crucial and current issues in cardiovascular disease prevention and management aiming to add new data to the existing body of knowledge. We are pleased to invite multidisciplinary researchers interested in CVD care to submit their manuscripts based on the aim of the present Special Issue. 

Research areas may include (but are not limited to) the following:

  • Advanced care of acute and chronic CVD;
  • Evidence-based care in cardiovascular disease;
  • Cardiac rehabilitation, self-care and quality of life of CVD patients;
  • Primary and secondary CVD prevention;
  • Current issues in surgical CVD care;
  • CVD patients’ outcomes;
  • Advances in mechanical circulatory support;
  • Cardiogenic shock support and special care;
  • COVID-19 and CVD;
  • Monitoring of CVD patients.

I look forward to receiving your valuable contributions. 

Best regards,
Dr. Konstantinos Giakoumidakis
Dr. Theodoros Katsoulas
Dr. Athina E. Patelarou
Guest Editors

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. Healthcare 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 2700 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

  • cardiovascular nursing
  • chronic diseases
  • self-care
  • cardiac surgical disease
  • clinical nursing

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Published Papers (5 papers)

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Research

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10 pages, 435 KiB  
Article
Association between Mid-Term Functionality and Clinical Severity in Patients Hospitalized for Pulmonary Embolism
by Ana Belén Gámiz-Molina, Geraldine Valenza-Peña, Julia Raya-Benítez, Alejandro Heredia-Ciuró, María Granados-Santiago, Laura López-López and Marie Carmen Valenza
Healthcare 2024, 12(13), 1323; https://doi.org/10.3390/healthcare12131323 - 2 Jul 2024
Viewed by 1096
Abstract
The aim of this study is to evaluate the relationship between clinical severity and functionality, occupational performance, and health-related quality of life in patients hospitalized with pulmonary embolism. Pulmonary embolism patients were grouped by clinical severity using the Pulmonary Embolism Severity Index. Those [...] Read more.
The aim of this study is to evaluate the relationship between clinical severity and functionality, occupational performance, and health-related quality of life in patients hospitalized with pulmonary embolism. Pulmonary embolism patients were grouped by clinical severity using the Pulmonary Embolism Severity Index. Those scoring ≥160 were in the high-severity group (HSG); those scoring < 160 in the low–moderate group (LMSG). The main variables were functionality assessed by the World Health Organization Disability Assessment Schedule (WHODAS), self-perception of occupational performance assessed by the Canadian Occupational Performance Measure (COPM), pain and fatigue assessed by a Visual Analogue Scale (VAS), and health-related quality of life assessed by the EuroQol-5Dimensions (EQ-5D). Patients were evaluated at hospital admission and at 1-month and 3-month follow-up. At admission, there were significant differences between groups in the WHODAS and health-related quality of life in favor of the LMSG. At 1-month and at 3-month follow-up, there were significant differences between the LMSG and HSG in WHODAS, COMP, NRS pain, fatigue and EQ-5D scores in favor of the LMSG. An association exists between clinical severity and mid-term functionality, self-perception of occupational performance, pain, fatigue, and health-related quality of life in PE patients. Full article
(This article belongs to the Special Issue Current Advances in Cardiovascular Disease)
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28 pages, 6250 KiB  
Article
Blood Cell Ratios Unveiled: Predictive Markers of Myocardial Infarction Prognosis
by Cosmina Elena Jercălău, Cătălina Liliana Andrei, Roxana Oana Darabont, Suzana Guberna, Arina Maria Staicu, Cătălin Teodor Rusu, Octavian Ceban and Crina Julieta Sinescu
Healthcare 2024, 12(8), 824; https://doi.org/10.3390/healthcare12080824 - 13 Apr 2024
Cited by 2 | Viewed by 1411
Abstract
Background: Even if the management and treatment of patients with non-ST-elevation myocardial infarction (NSTEMI) have significantly evolved, it is still a burgeoning disease, an active volcano with very high rates of morbidity and mortality. Therefore, novel management and therapeutic strategies for this condition [...] Read more.
Background: Even if the management and treatment of patients with non-ST-elevation myocardial infarction (NSTEMI) have significantly evolved, it is still a burgeoning disease, an active volcano with very high rates of morbidity and mortality. Therefore, novel management and therapeutic strategies for this condition are urgently needed. Lately, theories related to the role of various blood cells in NSTEMI have emerged, with most of this research having so far been focused on correlating the ratios between various leukocyte types (neutrophil/lymphocyte ratio-NLR, neutrophil/monocyte ratio-NMR). But what about erythrocytes? Is there an interaction between these cells and leukocytes, and furthermore, can this relationship influence NSTEMI prognosis? Are they partners in crime? Methods: Through the present study, we sought, over a period of sixteen months, to evaluate the neutrophil/red blood cell ratio (NRR), monocyte/red blood cell ratio (MRR) and lymphocyte/red blood cell ratio (LRR), assessing their potential role as novel prognostic markers in patients with NSTEMI. Results: There was a statistically significant correlation between the NRR, LRR, MRR and the prognosis of NSTEMI patients. Conclusions: These new predictive markers could represent the start of future innovative therapies that may influence crosstalk pathways and have greater benefits in terms of cardiac repair and the secondary prevention of NSTEMI. Full article
(This article belongs to the Special Issue Current Advances in Cardiovascular Disease)
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10 pages, 235 KiB  
Article
The Development and Validation of the “Hippocratic Hypertension Self-Care Scale”
by Hero Brokalaki, Anastasia A. Chatziefstratiou, Nikolaos V. Fotos, Konstantinos Giakoumidakis and Evaggelos Chatzistamatiou
Healthcare 2023, 11(18), 2579; https://doi.org/10.3390/healthcare11182579 - 18 Sep 2023
Cited by 1 | Viewed by 1357
Abstract
Background: The adoption of self-care behaviors among patients with arterial hypertension (AH) plays an important role in the management of their health condition. However, a lack of scales assessing self-care is observed. We aimed to develop and validate the Hippocratic hypertension self-care scale. [...] Read more.
Background: The adoption of self-care behaviors among patients with arterial hypertension (AH) plays an important role in the management of their health condition. However, a lack of scales assessing self-care is observed. We aimed to develop and validate the Hippocratic hypertension self-care scale. Methods: From a pool of questions derived from a literature review, 18 items were included in the scale and reviewed by a committee of experts. Participants indicated the frequency at which they followed the self-behavior prescribed in each statement on a five-point Likert scale. Data were collected between April 2019 and December 2019. Results: A total of 202 consecutive adult patients with AH were enrolled in the study. The internal consistency of the scale was found to be 0.807, using Cronbach’s alpha coefficient. An exploratory factor analysis identified two domains that accounted for 92.94% of the variance in the scale items; however, each sub-scale could not be used as an independent scale. Finally, the test–retest of the scale showed a significant strong correlation (r = 0.0095, p < 0.001). Conclusion: This analysis indicates that the scale is reliable and valid for assessing self-care behaviors in patients with AH. It is suggested that health professionals use it in their clinical practice to improve the management of AH. Full article
(This article belongs to the Special Issue Current Advances in Cardiovascular Disease)

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14 pages, 2609 KiB  
Opinion
Takotsubo Syndrome: Differences between Peripartum Period and General Population
by Stavros Tzerefos, Dimitra Aloizou, Sofia Nikolakopoulou and Stavros Aloizos
Healthcare 2024, 12(16), 1602; https://doi.org/10.3390/healthcare12161602 - 12 Aug 2024
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Abstract
Takotsubo syndrome (TTS) was first described in postmenopausal women with transient regional wall motion abnormalities. The trigger is usually an emotional or physical stress. The catecholamine hypothesis seems to be the most prevailing. The main difference between TTS and acute coronary syndromes is [...] Read more.
Takotsubo syndrome (TTS) was first described in postmenopausal women with transient regional wall motion abnormalities. The trigger is usually an emotional or physical stress. The catecholamine hypothesis seems to be the most prevailing. The main difference between TTS and acute coronary syndromes is that there is no obstructive coronary disease to explain the regional abnormalities. In this form, the left ventricle resembles the fishing jar which is used to trap octopus in Japan. However, to date more atypical forms are recognized. Also, the syndrome is not limited to older women. Nowadays, TTS is presented even in pregnancy and postpartum females. Our experience revealed cases of patients during these periods and some of them suffered from reverse Takotsubo. Additionally, the initial diagnosis in some patients was other than TTS. Due to these findings, we suggest that this type of TTS is not very rare but underestimated. For this reason, further studies are needed to support and explain this condition. Full article
(This article belongs to the Special Issue Current Advances in Cardiovascular Disease)
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10 pages, 725 KiB  
Systematic Review
Is TEVAR an Effective Approach to Prevent Complications after Surgery for Aortic Dissection Type A? A Systematic Review
by Nikolaos Schizas, Georgia Nazou, Ilias Samiotis, Constantine N. Antonopoulos and Dimitrios C. Angouras
Healthcare 2024, 12(13), 1263; https://doi.org/10.3390/healthcare12131263 - 25 Jun 2024
Viewed by 2279
Abstract
Introduction: A residual false lumen after treatment for Aortic Dissection type A (AD) has been associated with early complications, such as A malperfusion or rupture and mid-term or delayed complications, such as aneurysm formation or dissection expansion. Thoracic Endovascular Aortic Repair (TEVAR) is [...] Read more.
Introduction: A residual false lumen after treatment for Aortic Dissection type A (AD) has been associated with early complications, such as A malperfusion or rupture and mid-term or delayed complications, such as aneurysm formation or dissection expansion. Thoracic Endovascular Aortic Repair (TEVAR) is considered an effective solution by several surgical teams to prevent future complications. In this systematic review, all published data regarding the implementation of TEVAR after previous treatment for AD were collected in order to investigate indications, methods, clinical outcomes and aortic remodeling in these patients. Methods: The aim of this study was to investigate the indications, the methods and the efficacy of TEVAR usage after surgical treatment of AD. Data for this study were collected from four widely used medical databases (MEDLINE, SCIENCE DIRECT, GOOGLE SCHOLAR, OVID). All the results for each database were recorded and were analyzed with a systematic method. Techniques and clinical outcomes were investigated. Aortic remodeling was evaluated based on the following parameters in these studies: aortic diameter, true lumen diameter, false lumen diameter, false lumen thrombosis and false lumen patency. Results: The results obtained from the search among all databases comprised 1410 articles and of these articles 9 were included in the review. The majority of the studies were retrospective (seven out of nine studies), while no study was randomized. The total number of patients was 157 and 133 of them (84.7% of patients) were treated with TEVAR in zone 3 without extension below the diaphragm intraoperatively. Among 142 patients, the calculated mortality rate was 12.7% (18 of 142 patients), with 2.8% (4 of 142 patients) presenting with stroke. The percentage of patients with total or partial thrombosis combined was 65.9% (62 patients in a population of 92). The reintervention rate was 18.7%. Conclusions: TEVAR after AD surgery is an approach usually chosen in clinical practice, but the criteria of its usage are uncertain. This method is safe and enhances aortic remodeling with an acceptable reintervention rate. Definite guidelines in this field should be created in order to delineate whether TEVAR after AD surgery is beneficial as a preventive measure to aorta-related complications and to decide under which criteria this approach should be chosen. Full article
(This article belongs to the Special Issue Current Advances in Cardiovascular Disease)
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