@article{Angarita-Fonseca2024,

title = {Effect of two different types of exercise volumes on exercise capacity, physical activity and quality of life in subjects undergoing percutaneous coronary intervention: a pilot study},

author = {Adriana Angarita-Fonseca and Adriana Marcela Jacome-Hortua and Andrea Juliana Ortiz-Pati\~{n}o and Zully Roc\'{i}o Rinc\'{o}n-Rueda and Carmen Juliana Villamizar-Jaimes and Erica Tatiana Paredes-Prada and Juan Carlos S\'{a}nchez-Delgado},

doi = {10.5114/pq/178246},

issn = {2544-4395},

year  = {2024},

date = {2024-08-09},

urldate = {2024-08-09},

journal = {Physiother Quart.},

publisher = {Termedia Sp. z.o.o.},

abstract = {\<jats:sec\>\<jats:title\>Introduction\</jats:title\>\<jats:p\>Phase II of cardiac rehabilitation includes 36 sessions of exercise developed over 12 weeks, an intervention format that seems to be based on historical practice and not on scientific evidence. The objective was to evaluate the effect of two types of exercise volumes on exercise capacity, physical activity levels, and quality of life in subjects undergoing percutaneous coronary intervention.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Methods\</jats:title\>\<jats:p\>A randomized controlled clinical trial was performed in 17 subjects, who were randomly assigned to two groups. The first (\textit{n} = 7) was trained for eight consecutive weeks, and the second (\textit{n} = 10) for 12 weeks. The six-minute walk test, the International Physical Activity Questionnaire, and the SF-36 were applied before starting the cardiac rehabilitation program at 8 and 12 weeks.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Results\</jats:title\>\<jats:p\>No significant differences were found between the intervention groups. The rise of VO2max was only significant in the 8-week group. Both groups improved the distance walked and sedentary behaviour. The 12-week intervention group improved the quality of life, specifically in physical functioning, and the 8-week intervention group in the domains of social function, physical, and emotional role. Additionally, the percentage of participants meeting physical activity recommendations was higher in the 12-week cardiac rehabilitation group.\</jats:p\>\</jats:sec\>\<jats:sec\>\<jats:title\>Conclusions\</jats:title\>\<jats:p\>The implication for the practice is that the exercise traditionally used in cardiac rehabilitation shows early changes in exercise capacity and quality of life. The results of the levels of physical activity and sedentary behaviour improved after 12 weeks of rehabilitation without the presence of adverse events.\</jats:p\>\</jats:sec\>},

keywords = {2024, adults, Cardiac Rehabilitation, Cardiovascular Diseases, Exercise},

pubstate = {published},

tppubtype = {article}

}

@article{Jacome-Hortua2024,

title = {Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol},

author = {Adriana Marcela Jacome-Hortua and Zully Rocio Rincon-Rueda and Diana C. Sanchez-Ramirez and Adriana Angarita-Fonseca},

doi = {10.3390/mps7020035},

issn = {2409-9279},

year  = {2024},

date = {2024-04-00},

urldate = {2024-04-00},

journal = {MPs},

volume = {7},

number = {2},

publisher = {MDPI AG},

abstract = {\<jats:p\>Although the effectiveness of cardiac rehabilitation (CR) programs in secondary prevention is well-recognized, there is a lack of studies exploring the potential of mobile health to enhance educational interventions within CR. The objective is to assess the impact of a structured WhatsApp-assisted health educational intervention, in conjunction with the usual care, compared to the usual care alone among participants enrolled in a CR program. The trial will recruit 32 participants enrolled in a CR program, who will be randomly assigned to a structured WhatsApp-assisted health educational intervention plus usual care or usual care alone group. The intervention will span 4 weeks, with assessments at baseline, 4 weeks, and 3, 6, and 12 months. The primary outcome measure is the cardiovascular risk factors knowledge score. Secondary outcomes include physical activity levels, anxiety and depression, and quality of life. Expected results include improved knowledge of cardiovascular risk factors, increased physical activity levels, and better mental health outcomes in the intervention group. Additionally, an enhancement in the overall quality of life is anticipated. These findings are expected to underscore the value of integrating mHealth with traditional CR methods, potentially shaping future approaches in chronic disease management and prevention.\</jats:p\>},

keywords = {2024, Cardiac Rehabilitation, Cardiovascular Diseases, Education, Health Education, Knowledge, Physiotherapy},

pubstate = {published},

tppubtype = {article}

}

@article{Kaur2024,

title = {Sex Differences in the Association of Age at Hypertension Diagnosis With Brain Structure},

author = {Amanpreet Kaur and Adriana Angarita Fonseca and Rikki Lissaman and Hassan Behlouli and M. Natasha Rajah and Louise Pilote},

doi = {10.1161/hypertensionaha.123.22180},

issn = {1524-4563},

year  = {2024},

date = {2024-02-00},

urldate = {2024-02-00},

journal = {Hypertension},

volume = {81},

number = {2},

pages = {291--301},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {\<jats:sec\>

            \<jats:title\>BACKGROUND:\</jats:title\>

            \<jats:p\>Sex differences exist in the likelihood of cognitive decline. The age at hypertension diagnosis is a unique contributor to brain structural changes associated with cerebral small vessel disease. However, whether this relationship differs between sexes remains unclear. Therefore, our objective was to evaluate sex differences in the association between the age at hypertension diagnosis and cerebral small vessel disease\textendashrelated brain structural changes.\</jats:p\>

          \</jats:sec\>

          \<jats:sec\>

            \<jats:title\>METHODS:\</jats:title\>

            \<jats:p\>We used data from the UK Biobank to select participants with a known age at hypertension diagnosis and brain magnetic resonance imaging (n=9430) and stratified them by sex and age at hypertension diagnosis. Control participants with magnetic resonance imaging scans but no hypertension were chosen at random matched by using propensity score matching. For morphological brain structural changes, generalized linear models were used while adjusting for other vascular risk factors. For the assessment of white matter microstructure, principal component analysis led to a reduction in the number of fractional anisotropy variables, followed by regression analysis with major principal components as outcomes.\</jats:p\>

          \</jats:sec\>

          \<jats:sec\>

            \<jats:title\>RESULTS:\</jats:title\>

            \<jats:p\>Males but not females with a younger age at hypertension diagnosis exhibited lower brain gray and white matter volume compared with normotensive controls. The volume of white matter hyperintensities was greater in both males and females with hypertension than normotensive controls, significantly higher in older females with hypertension. Compared with normotensive controls, white matter microstructural integrity was lower in individuals with hypertension, which became more prominent with increasing age.\</jats:p\>

          \</jats:sec\>

          \<jats:sec\>

            \<jats:title\>CONCLUSIONS:\</jats:title\>

            \<jats:p\>Our study demonstrates that the effect of hypertension on cerebral small vessel disease\textendashrelated brain structure differs by sex and by age at hypertension diagnosis.\</jats:p\>

          \</jats:sec\>},

keywords = {2024, adults, Cardiovascular Diseases, Epidemiology},

pubstate = {published},

tppubtype = {article}

}

@article{Angarita-Fonseca2023,

title = {Gender-related Factors Associated with Outcomes of Acute Coronary Syndrome in Young Females},

author = {A. Angarita-Fonseca and A. Peebles and L. Pilote},

doi = {10.1016/j.cjco.2023.11.019},

issn = {2589-790X},

year  = {2024},

date = {2024-01-01},

journal = {CJC Open},

volume = {6},

issue = {2},

pages = {370-379},

publisher = {Elsevier BV},

abstract = {Acute Coronary Syndrome (ACS) remains a significant global health concern, with a growing recognition of its impact on young adults, particularly young females. While gender-related factors, defined as a social construct that encompasses four distinct dimensions (gender roles, gender identity, gender relations, and institutionalized gender) are undoubtedly relevant across age groups, young females with ACS face specific challenges and disparities in outcomes compared to other populations. This narrative review examines the role of gender-related factors - specifically gender roles, gender identity, gender relations, and institutionalized gender - in influencing objective and subjective ACS outcomes in young females. In the five manuscripts identified, the objective outcomes included hospital readmission, door-to-ECG time, and coronary atherosclerosis progression. Subjective outcomes such as physical and mental functional status, quality of life, physical limitations, and vital exhaustion were also examined. Employment status, a gender role, emerged as a protective factor against hospital readmission. Gender identity factors like depression and stress correlated with negative outcomes, while anxiety influenced door-to-ECG times. Institutional factors, including income disparities, affected readmission likelihood. Strong social support improved physical limitations post-ACS, whereas financial challenges and lower education negatively impacted quality of life and vital exhaustion. These findings underscore the intricate interplay of gender dimensions in shaping ACS outcomes among young females. Integrating these insights into clinical practice and research can enhance care, mitigate disparities, and foster improved cardiovascular health in this vulnerable population.},

keywords = {2024, Cardiology and Cardiovascular Medicine, Cardiovascular Diseases, Women's health},

pubstate = {published},

tppubtype = {article}

}

@article{RN52,

title = {Reliability of the Scale of Barriers for Cardiac Rehabilitation in the Colombian Population},

author = {A. M. J\'{a}come Hort\'{u}a and A. Angarita-Fonseca and H. C. Dutra de Souza and R. D. P. Mart\'{i}nez Mar\'{i}n and C. J. Villamizar Jaimes and T. d. P. Facioli and J. C. S\'{a}nchez Delgado },

url = {https://www.ncbi.nlm.nih.gov/pubmed/33923963},

doi = {10.3390/ijerph18084351},

issn = {1660-4601 (Electronic) 1660-4601 (Linking)},

year  = {2021},

date = {2021-01-01},

urldate = {2021-01-01},

journal = {Int J Environ Res Public Health},

volume = {18},

number = {8},

pages = {4351},

abstract = {Cardiac rehabilitation is supported by the highest level of scientific evidence. However, less than 25% of those eligible to participate in a cardiac rehabilitation program initiate it; and of these, 50% drop out prematurely. A modified Spanish Cardiac Rehabilitation Barriers Scale (CRBS) has been translated, culturally adapted and validated in Colombia, however, the reliability remains to be evaluated. This study aimed to determine the internal consistency and test\textendashretest reliability of the CRBS in a Colombian population. In total, 193 patients (67% men, average age = 65 ± 12 years) completed the scale twice, with an average of eight days between applications. Cronbach’s Alpha and intraclass correlation coefficients (ICC) were calculated. The internal consistency of the Colombian version of the CRBS was acceptable (Cronbach’s alpha = 0.84). The ICC of the CRBS was 0.69 (95% CI 0.61\textendash0.76); 0.78 (95% CI 0.71\textendash0.84) when the CRBS was completed by interview; and 0.47 (95% CI 0.21\textendash0.67) when the CRBS was self-reported. The reliability of the interview version of the CRBS was substantial in the Colombian population; however, the reliability of the self-report version was lower. The use of this scale will allow developing strategies to increase participation and adherence to cardiac rehabilitation programs.},

key = {cardiovascular diseases, psychometric testing, treatment adherence, compliance},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Compliance, Reproducibility of Results, Treatment adherence},

pubstate = {published},

tppubtype = {article}

}

@article{RN54,

title = {Quality of life among those who participated or did not participate in a cardiac rehabilitation program after undergoing coronary angioplasty},

author = {J. C. S\'{a}nchez-Delgado and A. J\'{a}come-Hort\'{u}a and R. D. P. Martinez-Mar\'{i}n and C. E. Su\'{a}rez-L\'{o}pez and L. M. Vanegas-Pallares and E. S\'{a}nchez-Arias and A. Angarita-Fonseca},

url = {https://angarita-fonseca.com/2020sanchez/, PDF



http://revistamexicanadeenfermeriacardiologica.com.mx/index.php/RevMexEnferCardiol/article/view/138, Journal},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {Rev. Mex. Enferm. Cardiol.},

volume = {28},

number = {1},

pages = {15-20},

abstract = {Background. Cardiac Rehabilitation Programs are effective in reducing morbidity due to coronary heart disease, promoting reintegration into the workplace, improving quality of life, and physical capacity, among others. Objective. To explore differences in the Health-Related Quality of Life (HRQL) of those who participate or not in a Cardiac Rehabilitation Program in a Hospital of Bucaramanga. Methodology. A cross-sectional study was conducted on 40 subjects who underwent coronary angioplasty between September 2014 and February 2015 in the Comuneros University Hospital of Bucaramanga, Colombia. Sociodemographic and clinical variables, and HRQL through the SF-36 survey instrument were gathered; all participants signed consent prior to their participation. Continuous variables were analyzed by measures of central tendency and dispersion; while the categorical variables were analyzed using frequencies. The two-sample Wilcoxon rank-sum test was used to compare the HRQL by cardiac rehabilitation participation. Results. A better perception of quality of life is evident in those whom participated in a Cardiac Rehabilitation Program. The results were significantly different in the domains of physical functioning (Median: 80 Interquartile range [IQR] = 50-95 vs. 30 I QR = 15-65; p = 0.003), vitality (Median 60 IQR = 55-75 vs 30 IQR = 25-55; p = 0 .004), social function ( Median 9 0 I QR = 75-100 vs. 5 0 R IC = 37.5-100; p = 0 .009), and health transition (Median 50 IQR = 25-75 vs 25 RIC = 0-50; p = 0.035). Conclusions. The results obtained suggest that the Cardiac Rehabilitation Program can improve the HRQL in patients undergoing coronary angioplasty},

key = {Coronary disease, Angioplasty, Quality of life, Rehabilitation},

keywords = {Angioplasty, Cardiac Rehabilitation, Cardiovascular Diseases, Coronary disease, Quality of life, Rehabilitation},

pubstate = {published},

tppubtype = {article}

}

@article{RN53,

title = {The Effects of Maintenance Cardiac Rehabilitation: A SYSTEMATIC REVIEW},

author = {J. C. Sanchez-Delgado and D. C. Camargo Sepulveda and A. Cardona Zapata and M. Y. Franco Pico and L. M. Santos Blanco and A. M. Jacome Hortua and H. C. Dutra de Souza and A. Angarita-Fonseca},

url = {https://www.ncbi.nlm.nih.gov/pubmed/32604252},

doi = {10.1097/HCR.0000000000000520},

issn = {1932-751X (Electronic) 1932-7501 (Linking)},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {J Cardiopulm Rehabil Prev},

volume = {40},

number = {4},

pages = {224-244},

abstract = {Purpose: Maintenance cardiac rehabilitation (M-CR) programs aim to preserve the health benefits achieved during phase II cardiac rehabilitation (CR). The aim of this study was to establish the effects of M-CR on functional capacity, quality of life, risk factors, costs, mortality, and morbidity, among other outcomes.

Methods: Scopus, ISI Web of Science, PubMed, Embase \& Embase classic OVID, and Lilacs were searched. Randomized controlled trials, published between 2000 and 2016, on the effects of M-CR in patients with cardiovascular disease, who had graduated from CR, having a control or comparison arm were included. Citations were processed by two authors, independently. Methodological quality was assessed using PEDro, and level of evidence graded with the Scottish scale. Outcomes were qualitatively synthesized.

Results: The searches retrieved 1901 studies with 26 articles meeting inclusion criteria (3752 participants). Some trials tested M-CR in nonclinical settings, and others used resistance or high-intensity interval training. The methodological quality of 11 articles was good, with a level of evidence (1+) and a grade B recommendation. Results showed M-CR resulted in increased or maintained functional capacity, quality of life, and physical activity levels, when compared with the control. No adverse events were reported. Few studies assessed rehospitalizations and mortality.

Conclusion: This review summarized the available evidence about the effects of maintenance cardiac rehabilitation (M-CR) on different outcomes. Results showed M-CR resulted in increased quality of life, functional capacity, and physical activity levels, when compared with the control.},

key = {cardiac rehabilitation, exercise, hearth disseases, secondary prevention},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Exercise, Hearth diseases, Secondary prevention},

pubstate = {published},

tppubtype = {article}

}

@article{RN16,

title = {Content validity of the Cardiac Rehabilitation Barriers Scale},

author = {J. C. Sanchez-Delgado and A. Jacome-Hortua and S. Pinzon and A. Angarita-Fonseca},

url = {https://revistas.udenar.edu.co/index.php/usalud/article/view/2695/pdf},

doi = {10.22267/rus.151702.2},

year  = {2015},

date = {2015-01-01},

urldate = {2015-01-01},

journal = {Revista Universidad y Salud},

volume = {17},

number = {2},

pages = {170-176},

abstract = {Introduction: This research was based on the absence of instruments with appropriate psychometric properties, adapted for Colombia, which evaluate the barriers of access to cardiovascular rehabilitation programs. Objective: To determine the validity of the content of the barriers scale for cardiac rehabilitation in the Colombian population. Methods and materials: A study of diagnostic tests was done. In the first phase, two native speakers of Spanish and one of English were required to translate and retro-translate the original questionnaire. In the second phase, the transcultural adaptation was done and the validity of content was assessed by a panel of four experts with experience in research, sports medicine and cardiac rehabilitation. Results: The instrument was translated and adapted to Colombian Spanish. The panel of experts decided to remove item 18 from the original scale. The content validity index was acceptable for the majority of the items, except for items 10, 15 and 18, where modifications were made in terms of words, phrases or conjugations according to the recommendations of the panel. On the other hand, the IVC in relevance was 0.86 and relevance of 0.88. Conclusion: There is an instrument that evaluates the barriers of access to cardiovascular rehabilitation adapted to the Colombian population programs and with content validity, so the results to be obtained from the application of the scale will be valid. However, it is suggested to continue with the evaluation of the reproducibility of the instrument.},

keywords = {Cardiac Rehabilitation, Cardiovascular Diseases, Rehabilitation, Reproducibility of Results},

pubstate = {published},

tppubtype = {article}

}