Innovations and Challenges in Cardiovascular Nursing

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 31 October 2025 | Viewed by 1671

Special Issue Editors


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Guest Editor
1. Division of Scientific Research and Innovation in Emergency Medical Service, Department of Emergency Medical Service, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618 Wroclaw, Poland
2. Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logroño, Spain
3. Institute of Heart Diseases, University Hospital, Wroclaw, Poland
Interests: LGBT health; dietetics; paramedics; heart failure; cardiology
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
1. Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618 Wroclaw, Poland
2. Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Edinburgh EH11 4DN, UK
Interests: heart failure; hypertension; chronic heart failure; cardiovascular medicine; pacemakers; myocardial infarction; cardiology; cardiovascular acute myocardial infarction; cardiovascular disease
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The field of cardiovascular care is constantly evolving, requiring specialized knowledge and advanced practice to be employed by healthcare professionals, particularly nurses. Cardiovascular diseases remain the leading cause of mortality globally, and as such, the role of nursing in this specialty is critical in ensuring that patients receive optimal care throughout their treatment journey. From emergency interventions to the long-term management of chronic diseases, cardiovascular nursing has faced numerous challenges and witnessed significant innovations.

This Special Issue seeks to explore the latest advancements and challenges in cardiovascular nursing. We invite researchers, clinicians, and educators to contribute original research articles, reviews, and meta-analyses that reflect the current trends and future directions in this specialized area. The scope of this Special Issue includes, but is not limited to, innovations in acute and chronic cardiovascular care, the management of heart failure, advances in arrhythmia treatments, and the role of nursing in preventing and responding to sudden cardiac events.

We aim to create a platform that will foster the dissemination of knowledge and provide a deeper understanding of the complex and critical role that cardiovascular nurses play in modern healthcare. By addressing both innovative techniques and ongoing challenges, this Special Issue will serve as a guide for future advancements in cardiovascular care. We look forward to receiving your contributions, which will shape the future of cardiovascular nursing and enhance the quality of care provided to patients with cardiovascular disease.

Dr. Michał Czapla
Prof. Dr. Izabella Uchmanowic
Guest Editors

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Keywords

  • cardiovascular nursing
  • heart failure management
  • cardiac rehabilitation
  • emergency cardiovascular care
  • advanced cardiac life support (ACLS)
  • cardiothoracic surgery nursing
  • post-cardiac arrest care
  • arrhythmia management
  • hypertension nursing
  • acute coronary syndrome (ACS) care
  • cardiac catheterization nursing
  • telemedicine in cardiovascular care
  • nutrition in heart disease
  • patient education and cardiovascular prevention
  • cardiovascular health disparities
  • nursing interventions in heart failure
  • nursing-led cardiac clinics
  • cardiovascular disease prevention
  • heart disease in special populations (pediatrics, geriatrics)
  • integrated cardiovascular care models
  • frailty syndrome

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Published Papers (2 papers)

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Research

15 pages, 601 KiB  
Article
Prolonged Hospital Stay in Hypertensive Patients: Retrospective Analysis of Risk Factors and Interactions
by Stanisław Surma, Michał Czapla, Izabella Uchmanowicz, Raúl Juárez-Vela, Łukasz Pietrzykowski, Bartosz Uchmanowicz, Marcin Leśkiewicz, Krzysztof Griesmann, Michał Burzyński, Jacek Smereka and Łukasz Lewandowski
Nurs. Rep. 2025, 15(3), 110; https://doi.org/10.3390/nursrep15030110 - 19 Mar 2025
Viewed by 454
Abstract
Background/Objectives: Arterial hypertension (HT) is a leading modifiable risk factor for cardiovascular diseases, often contributing to prolonged lengths of hospital stay (LOHS), which place significant strain on healthcare systems. This study aimed to analyze the factors associated with prolonged lengths of hospital [...] Read more.
Background/Objectives: Arterial hypertension (HT) is a leading modifiable risk factor for cardiovascular diseases, often contributing to prolonged lengths of hospital stay (LOHS), which place significant strain on healthcare systems. This study aimed to analyze the factors associated with prolonged lengths of hospital stay in patients with HT, focusing on key biochemical and clinical predictors. Methods: This retrospective study included 356 adult patients hospitalized in the Cardiology Department of the University Hospital in Wroclaw, Poland, between January 2017 and June 2021. Data collected included demographic characteristics, body mass index (BMI), comorbidities, and laboratory parameters. Logistic regression models were used to identify predictors of prolonged LOHS, defined as four or more days, and to evaluate interactions between variables. Results: Lower levels of low-density lipoprotein cholesterol (LDL-c) and elevated concentrations of high-sensitivity C-reactive protein (hsCRP) were identified as significant predictors of prolonged LOHS, with each 1 mg/dL decrease in LDL-c increasing the odds of prolonged LOHS by 1.21% (p < 0.001) and each 1 mg/L increase in hsCRP raising the odds by 3.80% (p = 0.004). An interaction between sex and heart failure (HF) was also observed. Female patients with HF had 3.995-fold higher odds of prolonged LOHS compared to females without HF (p < 0.001), while no significant difference was found among male patients with or without HF (p = 0.890). Conclusions: The predictors of prolonged LOHS in patients with HT include lower levels of LDL-c, elevated hsCRP, and the interaction between sex and heart failure (HF). Specifically, female patients with HF demonstrated significantly higher odds of prolonged LOHS compared to females without HF, while this relationship was not observed in male patients. Full article
(This article belongs to the Special Issue Innovations and Challenges in Cardiovascular Nursing)
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16 pages, 261 KiB  
Article
Relationship Between Frailty and Risk of Falls Among Hospitalised Older People with Cardiac Conditions: An Observational Cohort Study
by Noel Rivas-González, María López, Belén Martín-Gil, Mercedes Fernández-Castro, María José Castro and J. Alberto San Román
Nurs. Rep. 2025, 15(3), 100; https://doi.org/10.3390/nursrep15030100 - 15 Mar 2025
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Abstract
Background/Objective: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the [...] Read more.
Background/Objective: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the relationship between frailty, risk of falls, and length of hospital stays in hospitalised older adults with heart disease. Methods: An observational study was conducted of a cohort of patients aged ≥60 years admitted to a cardiology unit (2022–2024). Frailty was assessed using Fried’s phenotype, risk of falls using the J.H. Downton scale, and level of dependency using the Barthel index. Clinical variables, anthropometric measurements, and length of stay were analysed. Statistical analysis: quantitative variables were expressed as means and standard deviations, and categorical variables as frequencies. Associations were analysed using Student’s t-tests, chi-squared tests, and Kruskal–Wallis tests for comparisons of three or more groups. Relationships between frailty, risk of falls, and other variables were examined using univariate binary logistic regression, with a 95% confidence interval and statistical significance set at p < 0.05. Results: A total of 144 patients were recruited (mean age = 73.08 years [SD = 7.95]) (women = 33.30%). Frailty was associated with waist circumference in men (p = 0.01) and diastolic blood pressure in women (p = 0.05). Frailty was further linked to Downton scores (odds ratio [OR] = 1.565; 95% CI: 1.156–2.120; p = 0.004), age (OR = 1.114; 95% CI: 1.058–1.173; p = 0.000), Barthel index (OR = 0.902; 95% CI: 0.854–0.953; p = 0.000), and length of stay (OR = 1.101; 95% CI: 1.021–1.186; p = 0.012). Conclusions: Frailty appears to be related to Downton scores and impacts the length of hospital stays in older adults hospitalised with cardiac conditions. Full article
(This article belongs to the Special Issue Innovations and Challenges in Cardiovascular Nursing)
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