ROLE OF ILLNESS PERCEPTION IN EXPLANATION OF SEVERITY OF POST-TRAUMATIC STRESS DISORDER SYMPTOMS AFTER CARDIOVASCULAR PROBLEMS
Saeid
Komasi MSc
PhD Student, Department of Neuroscience and Psychopathology Research, Mind GPS Institute, Kermanshah, Iran
author
Maryam
Ahmadi MSc
PhD Student, Department of Nursing, University of Social welfare and Rehabilitation Sciences, Tehran, Iran
author
text
article
2022
eng
BACKGROUND: Given the role of post-traumatic stress disorder (PTSD) in morbidity and mortality of cardiac patients, the present study was conducted to determine the relationship between the perception of heart disease and severity of PTSD symptoms.METHODS: Sampled using simple random sampling, 202 cardiovascular patients (50.5% women) were selected and included in this cross-sectional study. The patients admitted to a hospital from January to May 2017 in western Iran were selected and asked to complete the self-report demographic and cardiac risk factors inventory, Brief Illness Perception Questionnaire (Brief-IPQ), and National Stressful Events Survey PTSD Short Scale (NSESSS) checklist. The results were analyzed using the Pearson correlation coefficient and multiple regression analysis.RESULTS: The mean age of patients was 53.5 ± 11.9 years. The results of the correlation coefficient showed a significant relationship between all the components of illness perception, except personal and treatment control, with PTSD (P < 0.05). The regression model could predict 22.5% of PTSD variance and the greatest role was for the emotional representation (P = 0.002) and female sex (P = 0.008).CONCLUSION: The perception of cardiovascular patients of the cognitive and emotional components of the disease, especially in women, plays a significant role in experiencing the symptoms of PTSD. Thus, health professionals have to monitor all these components, especially the patient's perceptions and emotional reactions, and to come up with proper and timely interventions for patients at risk to control the adverse effects of PTSD after cardiovascular events.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
6
https://arya.mui.ac.ir/article_16293_7d24f768c6aa2a15feaeb569b9e52fcc.pdf
dx.doi.org/10.48305/arya.v18i1.2059
COMPARING OUTCOMES OF CLONIDINE AND CAPTOPRIL IN PATIENTS WITH HYPERTENSIVE URGENCY: A RANDOMIZED CLINICAL TRIAL
Ahmad
Mirdamadi MD
Associate Professor, Department of Cardiology, Najafabad Branch, Islamic Azad University, Isfahan, Iran
author
Rana
Abrishamkar MD
Medical Practitioner, Najafabad Branch, Islamic Azad University, Isfahan, Iran
author
Afrooz
Kargaran MD
Medical Practitioner, Najafabad Branch, Islamic Azad University, Isfahan, Iran
author
text
article
2022
eng
BACKGROUND: Hypertension (HTN) is the second leading risk factor for death and disability. One fourth of healthcare in Eastern Europe and Central Asia is being spent on blood pressure (BP)-related diseases. An important situation in patients with high BP is hypertensive crisis (BP > 180/120 mmHg), which is divided to hypertensive emergency and urgency. Therefore, here, we decided to compare the effect of captopril and clonidine in patients with hypertensive urgencies, and their side effects.METHODS: This was a parallel-group randomized clinical trial. Patients, who referred to emergency ward with any symptoms of hypertensive crisis, underwent a careful history taking and clinical examination. Individuals with systolic BP (SBP) ≥ 180 mmHg or diastolic BP (DBP) ≥ 110 mmHg with no evidence of end organ damage were randomly assigned into two interventions, clonidine and captopril. 25% decrease in BP was considered as ideal relief.RESULTS: Regarding the duration of response to treatment drugs, patients who received clonidine relieved significantly faster than those who received captopril (P = 0.016). Moreover, the frequencies of side effects such as headache, dizziness/vertigo, dry mouth, and drowsiness in the clonidine group were significantly lower than captopril group (P < 0.05).CONCLUSION: Patients in clonidine group relieved sooner and experienced fewer side effects. Therefore, this study suggests clonidine as a more effective therapeutic for hypertensive urgency compared with captopril.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
6
https://arya.mui.ac.ir/article_16291_24efa907ab3a6022b84a6b7112a414b4.pdf
dx.doi.org/10.48305/arya.v18i1.2146
Comparison of the effects of the time of home-based cardiac rehabilitation program on the changes in cardiometabolic risk factors in patients with phase-IV myocardial infarction: A randomized controlled trial
Mostafa
Dehghani
Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
author
Mehrdad
Namdari
Department of Cardiology, School of Medicine AND Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
author
Mahmoud
Rafieian-Kopaei
Medical Plants Research Center, Basic Health Sciences Institute, Shahrekord, Shahrekord University of Medical Sciences, Iran
author
Babak
Baharvand-Ahmadi
Department of Cardiology, School of Medicine AND Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
author
Yaser
Mokhayeri
Department of Epidemiology, School of Medicine, AND Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
author
Parsa
Namdari
Student of Medicine, University of Debrecen Medicine School, Debrecent, Hungary
author
Morteza
Dehghani
Student of Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Mostafa
Cheragi
Associate Professor, Department of Cardiology, School of Medicine Lorestan University of Medical Sciences Khorramabad.
author
text
article
2022
eng
BACKGROUND: It seems that the time of performing cardiac rehabilitation is important in determining the risk of cardiac complications in patients with myocardial infarction (MI). The present study aimed to investigate the effects of a home-based cardiac rehabilitation program (HCRP) conducted in either the morning or evening on cardiometabolic risk factors in phase IV (maintenance) MI patients.METHODS: In this randomized controlled clinical trial, 80 patients with MI were divided into 2 groups of intervention and control (40 individuals per group). Patients in each group were categorized into morning and evening subgroups (20 individuals per subgroup). The therapeutic regimen in the intervention group included HCRP, routine medications, and exercise and walking programs for 8 weeks. Patients in the control group received routine treatments for 8 weeks. Cardiovascular risk factors comprising of cardiac troponin I (cTnI), mean platelet volume (MPV), C-reactive protein (CRP), and cardiometabolic indicators including cholesterol (Cho), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglyceride (TG), and the maximum rate of oxygen consumption (VO2 max) were measured for all patients before and after the intervention.RESULTS: Our results showed significant reductions in Cho, TG, HDL, LDL, VO2 max, CRP, and MPV (P < 0.05) in the group performing HCRP in the evening compared with the morning group.CONCLUSION: Performing HCRP in the evening, compared with morning, can be significantly more effective in improving the levels of cardiometabolic risk factors in patients with MI. Therefore, it is recommended that rehabilitation programs be implemented in these patients in evening shifts.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
9
https://arya.mui.ac.ir/article_16319_8bd14b2c219bdfedeee7fe0205ddbcc1.pdf
dx.doi.org/10.48305/arya.v18i0.2167
OVERWEIGHT AND OBESITY: WORLDWIDE RISK FACTORS FOR PEDIATRIC HYPERTENSION
Leila
Barati
Assistant Professor, Neonatal and Children's Health Research Center, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
author
Mohammad
Radgoodarzi
Assistant Professor, Pediatric Cardiologist, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
author
Mohammadali
Vakili
Associate Professor, Health Management and Social Development Research Center AND Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran
author
Masume
Tabatabaizadeh
Neonatal and Children's Health Research Center, Taleghani Hospital, Golestan University of Medical Sciences, Gorgan, Iran
author
text
article
2022
eng
BACKGROUND: Childhood obesity and hypertension (HTN) are among serious global health concerns. Since risk factors of cardiovascular diseases (CVDs) should be managed early in life and there is little information about children under the age of 6 in the community, the study was designed aiming to address these issues.METHODS: This cross-sectional study was performed on 1,091, 3-6-year-old children in Gorgan City, located in north of Iran. Height, weight, body mass index (BMI), and blood pressure were measured using standard techniques. All statistical tests were conducted using the Statistical Package for the Social Sciences (SPSS) for windows.RESULTS: Given the study, respectively 3.8 and 4.5% of the boys and girls were underweight, 17.4 and 16.5% of the boys and girls were overweight, and 20.8 and 19.3% of the boys and girls were obese. In addition, 3.4, 0.7, and 0.4% of the subjects had presystolic, systolic, and prediastolic HTN, respectively. There is a significant linear relationship between BMI and systolic and diastolic blood pressures. It was found that the risk of obesity in mothers with college education was estimated to be almost 5 times higher than in mothers with lower levels of education.CONCLUSION: Compared to the values announced by Centers for Disease Control and Prevention (CDC), the mean height, weight, and BMI of children in our study was higher. Educational interventions should be considered in society, especially for mothers with a high level of education and employed ones. It is recommended that blood pressure measurements, especially in obese children, be carefully considered at each pediatric visit so that children with HTN could be quickly identified and treated.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
6
https://arya.mui.ac.ir/article_16292_52f7736000550cc4002032252b3480cb.pdf
dx.doi.org/10.48305/arya.v18i1.2242
DOES SECOND GENERATION N-BUTYL CYANOACRYLATE EMBOLIZATION REALLY SMOOTH IN GREATER SAPHENOUS VEIN CLOSURE?
Seyhan
Yilmaz MD
Associate Professor, Department of Cardiovascular Surgery, Corlu Province Hospital, Tekirdag, Turkey
author
Feryaz
Kiziltan MD
Department of Cardiovascular Surgery, Umraniye Education and Research Hospital, Istanbul, Turkey
author
Sabur
Zengin MD
Department of Cardiovascular Surgery, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey
author
Mehmet
Kalender MD
Department of Cardiovascular Surgery, Derince Education and Research Hospital, Kocaeli, Turkey
author
Isa
Cam MD
Department of Radiology, School of Medicine, Kocaeli University, Kocaeli, Turkey
author
text
article
2022
eng
BACKGROUND: Cyanoacrylate (CA) has been used as an embolizing agent in the treatment of greater saphenous vein (GSV) insufficiency in recent years and the results regarding the use of this method have started to be published. To the best of our knowledge, the publications in literature do not mention about a significant negative effect of endovenous CA (EVCA) embolization. We aimed to evaluate the effects and undesirable events of this relatively new treatment method and compare them with literature, using the follow-up data of our patients.METHODS: Patients who had GSV insufficiency for at least 3 months and were treated with EVCA embolization because of this disease were included in the study. Patients were excluded if they had deep vein thrombosis (DVT), excessive tortuous GSV, and peripheral neuropathy. Hospital archive records were reviewed and undesirable events like DVT, thrombophlebitis, and pain related to this treatment procedure were recorded.RESULTS: EVCA embolization procedure was performed in a total of 54 patients with an average age of 49.36 ± 13.06 years for the purpose of treating GSV insufficiency. One patient was observed to develop n-butyl CA (NBCA) extension of approximately 5 mm from saphenofemoral junction (SFJ) to the main femoral vein and painful thrombophlebitic reaction was observed in 6 extremities at the first control examination.CONCLUSION: In our opinion, while EVCA embolization is a treatment option with similar success rates to endovenous thermal ablation (EVTA), it should be kept in mind that there may be a possibility of developing thrombophlebitis and NBCA extension or thrombus extension to the deep veins.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
6
https://arya.mui.ac.ir/article_16294_14500ac823eb6529e91702d96b6433d4.pdf
dx.doi.org/10.48305/arya.v18i1.2374
THE EFFECT OF HOME-BASED CARDIAC REHABILITATION ON DEPRESSION SCORE IN PATIENTS WITH ISCHEMIC HEART DISEASE: A LONGITUDINAL CLINICAL TRIAL STUDY
Marjan
Jamalian
MSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
author
Alireza
Ansari-Moghaddam
Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
Hamidreza
Roohafza
Psychiatrist, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences,
Isfahan, Iran
author
Mahdi
Mohammadi
Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
Leila
Vakili
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
author
Mohammad
Hadi Abbasi
Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
Safoura
Yazdekhasti
BSc, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
author
Gholamreza
Masoudy
Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
Hossein
Heidari
General Practitioner, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical
Sciences, Isfahan, Iran
author
Hassan
Okati-Aliabad
Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
Masoumeh
Sadeghi
Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
author
text
article
2022
eng
BACKGROUND: Depression is common in patients with cardiovascular disease (CVD). Home-based cardiac rehabilitation (HBCR) is a program that alleviates depression. This study aimed to determine and compare HBCR programs and usual care (UC) effects on depression control in patients with ischemic heart disease (IHD).METHODS: This clinical trial study was performed on 259 patients with IHD that were randomly allocated to the HBCR and UC groups for stress management. Data were collected using the "Beck Depression Inventory" (BDI) at baseline and 6 and 12 months. Generalized estimating equation (GEE) models were applied to examine the associations between times of the groups and changes in outcomes over the study times. Data analysis was done in SPSS softwareat the significance level of 0.05.RESULTS: A total of 247 participants with a mean age of 55.22 ± 7.40 years participated in this study, and 209 (84.6%) of the study participants were men. Among patients, 128 patients in the UC program and 119 patients in the HBCR program attended at least one of the pre-determined visits (months 6 and 12). The patterns of change of the depression parameter were similar through the course of the study between the two groups (P = 0.04). In the HBCR group, the depression reduced continuously from baseline to 6 months, baseline to 12 months, and 6 to 12 months (P < 0.05). In the UC group, depression was significantly reduced from baseline to 6 months and from baseline to 12 months.CONCLUSION: HBCR was effective in continuous reducing of depression scores in long-term follow-up of patients with IHD. These findings suggest that HBCR can alleviate depression in patients who do not participate in hospital-based cardiac rehabilitation (CR).
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
7
https://arya.mui.ac.ir/article_16295_2ec9cc4c33c59624fcdf259f1e7879e7.pdf
dx.doi.org/10.48305/arya.v18i0.2407
Iatrogenic partial diversion of inferior vena cava to left atrium after surgical closure of atrial septal defect
Zahra
Khajali
Associate Professor, Rajaei Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
author
Fateme
Jorfi
Assistant Professor, Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
author
Mohamad Sadra
Nazari
Assistant Professor, Department of Vascular Surgery, Qazvin University of Medical Sciences, Qazvin, Iran
author
Maryam
Keshavarz-Hedayati
Atherosclerosis Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
author
Maziar
Gholampour-Dehaki
Professor, Heart Valve Disease Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
author
text
article
2022
eng
BACKGROUND: Atrial septal defects (ASDs) are one of the most common congenital cardiac abnormalities. Repair of these defects is a quite secure and routine operation. The most common complications were postoperative atrial arrhythmias, sinus arrhythmia, and atrioventricular (AV) blocks requiring pacemaker implantation, mediastinal bleeding, and transient ischemic attacks (TIAs) or strokes. Iatrogenic diversion of the inferior vena cava (IVC) to the left atrium (LA) during surgical closure of an ASD is a very rare complication.CASE REPORT: We reported a patient who had a history of cardiac surgery in another center at the age of seven and was introduced to our clinic with complaints of dyspnea and cyanosis of extremities on exertion. She underwent surgery in our center with diagnosis of iatrogenic diversion of IVC to LA.CONCLUSION: The most common mechanism suggested is a large eustachian valve being mistaken for the inferior rim of the ASD.
ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
4
https://arya.mui.ac.ir/article_16315_57dfd1bb186ca863522eee90aeb98d5a.pdf
dx.doi.org/10.48305/arya.v18i0.2265
THE IMPORTANCE OF SMOKING CESSATION IN FOLLOW-UP PROTOCOLS FOR CARDIOVASCULAR PATIENTS
Hossein
Sadri
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan AND
Student of Medicine, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
author
Danial
Molavizadeh
Student of Medicine, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
author
text
article
2022
eng
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ARYA Atherosclerosis Journal
Cardiovascular research institute, Isfahan University of Medical Sciences
1735-3955
18
v.
1
no.
2022
1
3
https://arya.mui.ac.ir/article_16296_a409a82adfc43f0628d1b454d6c61277.pdf
dx.doi.org/10.48305/arya.v18i1.2461