Academic Journal
Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic
| العنوان: | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
|---|---|
| المؤلفون: | Chockalingam, P, Natarajan, V, Sekar, T, Rajaram, A, Yusuf, M M, Gunasekaran, S, Nayar, P G, Chockalingam, V |
| المصدر: | European Heart Journal ; volume 43, issue Supplement_1 ; ISSN 0195-668X 1522-9645 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2022 |
| الوصف: | Funding Acknowledgements Type of funding sources: None. Background Home-based cardiovascular disease (CVD) primary prevention (HBPP) and cardiac rehabilitation (HBCR) programs which occupied a small proportion of the overall Preventive Cardiology work in the past have become mainstream during the COVID-19 pandemic. Purpose This study aims to analyse the effectiveness of a home-based CVD prevention program implemented during the pandemic in India. Methods A retrospective study was conducted on pre-pandemic and pandemic enrolees. Health behaviour, CVD risk factors, physical and mental component score (PCS, MCS) from SF-12 questionnaire, body mass index (BMI), 6-minute walk distance (6MWD), and clinical and biochemical parameters were assessed. A multidisciplinary team consisting of Physician, Physiotherapist, Dietician and Counselling Psychologist provided the program using tele-health platforms. Results Of the 66 subjects (55 ± 13 years, 73% male), 17 (26%) enrolled pre-pandemic and 49 (74%) enrolled during-pandemic, 28 (42%) were HBPP and 38 (58%) were HBCR participants. Majority of the subjects (n = 51, 77%), with significantly more HBCR than HBPP participants, harboured 4 or more risk factors (p = 0.04). In the 60 (91%) program completers, BMI, 6MWD, PCS and MCS had improved significantly. SBP, DBP, LVEF, HbA1c, total cholesterol and LDL had improved significantly in affected subjects. Completely home-based participants (n = 44, 67%) who never had any in-person contact with the team during the program also showed significant improvement. No adverse events were reported. Conclusion Comprehensive home-based CVD prevention programs are effective in improving anthropometric, clinical, biochemical and psychosocial parameters, are a safe alternative to conventional programs and could potentially become the standard-of-care in the post-pandemic era. Abstract Figure. Outcomes in program participants Abstract Figure. Management of ACS in participants |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/eurheartj/ehab849.156 |
| الاتاحة: | https://doi.org/10.1093/eurheartj/ehab849.156 https://academic.oup.com/eurheartj/article-pdf/43/Supplement_1/ehab849.156/42377051/ehab849.156.pdf |
| Rights: | https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
| رقم الانضمام: | edsbas.521D65D2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurheartj/ehab849.156 |
|---|