{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T23:52:14Z","timestamp":1726444334257},"reference-count":33,"publisher":"Walter de Gruyter GmbH","issue":"6","license":[{"start":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T00:00:00Z","timestamp":1679616000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Arkansas Heart HospitalN\/A","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jom-2022-0141_abs_001\">\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Cardiac rehabilitation (CR) and intensive cardiac rehabilitation (ICR) are secondary prevention interventions for cardiovascular disease (CVD) with a class 1a indication yet suboptimal utilization. To date, there are only three approved ICR programs. Alternative programing should be explored to increase enrollment and adherence in these interventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0141_abs_003\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aims to evaluate the effectiveness of the Strong Hearts program in cardiovascular patients following a major cardiovascular event.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0141_abs_004\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>One hundred ninety-seven (n = 197) participants were enrolled in this prospective, nonrandomized study. Patients were eligible for participation if they were referred by a physician after a major cardiovascular event, defined as any of the following: (1) acute myocardial infarction (MI) within the preceding 12 months; (2) current stable or unstable angina pectoris; (3) heart valve procedure; (4) percutaneous intervention of any kind; (5) heart transplant; (6) coronary artery bypass grafting (CABG); or (7) congestive heart failure (CHF) with reduced or preserved ejection fraction. Participants were asked to attend program visits four times per week for 9 weeks. Visits consisted of individualized exercise and intensive healthy lifestyle education. Paired t tests were utilized to compare pre- and postprogram outcome measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0141_abs_005\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred twenty-eight (n = 128) participants completed the program within the 9-week time frame and their outcome measures were included in the data analysis. Among this, 35.2% participants were female and 64.8% were male. The mean age was 65 (range, 19-88). Qualifying diagnoses were percutaneous coronary intervention (PCI; 60, 46.9%), CABG (33, 25.8%), angina (24, 18.8%), valve procedures (8, 6.2%), and CHF (3, 2.3%). After implementation of the intervention, statistically significant decreases in weight (P &lt; .001), body mass index (BMI, P &lt; .001), waist circumference (P &lt; .001), triglycerides (P = .01), systolic blood pressure (SBP, P &lt;.001), diastolic blood pressure (DBP, P = .002), total fat mass (P &lt; .001), Dartmouth Quality of Life Index P &lt; .001), and cardiac depression scores (P = .044) were detected. In other instances, there were statistically significant increases across time for the clinical parameters of high-density lipoprotein (HDL, P = .02), Vitamin D (P = .001), metabolic equivalents (METS, P &lt; .001), Duke activity scores (P &lt; .001), and Rate Your Plate nutrition scores (P &lt; .001). There were no significant changes across time for total cholesterol (P = .17), low-density lipoprotein (LDL, P = .21), A1c (P = .27), or dual-energy X-ray absorptiometry (DXA) total lean mass (P = .86).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0141_abs_006\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The 9-week structured program resulted in significant cardiovascular benefit to patients with CVD by reducing cardiac risk factors, increasing exercise capacity, and improving quality of life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jom-2022-0141","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T02:32:30Z","timestamp":1679625150000},"page":"279-285","source":"Crossref","is-referenced-by-count":1,"title":["Effects of the Strong Hearts program after a major cardiovascular event in patients with cardiovascular disease"],"prefix":"10.1515","volume":"123","author":[{"given":"Bruce E.","family":"Murphy","sequence":"first","affiliation":[{"name":"Arkansas Heart Hospital , Little Rock , AR , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peyton D.","family":"Card","sequence":"additional","affiliation":[{"name":"Arkansas Heart Hospital , Little Rock , AR , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leybi","family":"Ramirez-Kelly","sequence":"additional","affiliation":[{"name":"Arkansas Heart Hospital , Little Rock , AR , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda M.","family":"Xaysuda","sequence":"additional","affiliation":[{"name":"Arkansas Heart Hospital , Little Rock , AR , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Eric","family":"Heidel","sequence":"additional","affiliation":[{"name":"University of Tennessee Graduate School of Medicine , Knoxville , TN , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"key":"2023052219121060399_j_jom-2022-0141_ref_001","doi-asserted-by":"crossref","unstructured":"Roth, GA, Mensah, GA, Johnson, CO, Addolorato, G, Ammirati, E, Baddour, LM, et al.. Global burden of cardiovascular diseases and risk factors, 1990\u20132019: update from the GBD 2019 study. J Am Coll Cardiol 2020;76:2982\u20133021. https:\/\/doi.org\/10.1016\/j.jacc.2020.11.010.","DOI":"10.1016\/j.jacc.2020.11.010"},{"key":"2023052219121060399_j_jom-2022-0141_ref_002","doi-asserted-by":"crossref","unstructured":"Viriani, SS, Alonso, A, Aparicio, HJ, Benjamin, EJ, Bittencourt, MS, Callaway, CW, et al.. Heart disease and stroke statistics\u00a0\u2013 2021 update. 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