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392,406 results on '"Nursing"'

108. Cardiovascular Management of Patients Undergoing Hematopoietic Stem Cell Transplantation: From Pretransplantation to Survivorship: A Scientific Statement From the American Heart Association

Author

Hayek, Salim S, Zaha, Vlad G, Bogle, Carmel, Deswal, Anita, Langston, Amelia, Rotz, Seth, Vasbinder, Alexi, Yang, Eric, Okwuosa, Tochukwu, and Nursing, on behalf of the American Heart Association Cardio-Oncology Committee of the Council on Clinical Cardiology and Council on Genomic and Precision Medicine and the Council on Cardiovascular and Stroke

Subjects
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Heart Disease, Hematology, Cancer, Cardiovascular, Pediatric, Stem Cell Research - Nonembryonic - Human, Aging, Regenerative Medicine, Stem Cell Research, Clinical Research, Patient Safety, Transplantation, Prevention, 4.2 Evaluation of markers and technologies, Good Health and Well Being, Adult, Humans, Child, Aged, Cardiovascular Diseases, Survivorship, American Heart Association, Transplantation Conditioning, Hematopoietic Stem Cell Transplantation, Heart Diseases, AHA Scientific Statements, arrhythmias, cardiac, atherosclerosis, bone marrow transplantation, heart failure, risk assessment, American Heart Association Cardio-Oncology Committee of the Council on Clinical Cardiology and Council on Genomic and Precision Medicine, and the Council on Cardiovascular and Stroke Nursing, Cardiorespiratory Medicine and Haematology, Clinical Sciences, Public Health and Health Services, Cardiovascular System & Hematology, Cardiovascular medicine and haematology, Clinical sciences, Sports science and exercise
Abstract

Hematopoietic stem cell transplantation can cure various disorders but poses cardiovascular risks, especially for elderly patients and those with cardiovascular diseases. Cardiovascular evaluations are crucial in pretransplantation assessments, but guidelines are lacking. This American Heart Association scientific statement summarizes the data on transplantation-related complications and provides guidance for the cardiovascular management throughout transplantation. Hematopoietic stem cell transplantation consists of 4 phases: pretransplantation workup, conditioning therapy and infusion, immediate posttransplantation period, and long-term survivorship. Complications can occur during each phase, with long-term survivors facing increased risks for late effects such as cardiovascular disease, secondary malignancies, and endocrinopathies. In adults, arrhythmias such as atrial fibrillation and flutter are the most frequent acute cardiovascular complication. Acute heart failure has an incidence ranging from 0.4% to 2.2%. In pediatric patients, left ventricular systolic dysfunction and pericardial effusion are the most common cardiovascular complications. Factors influencing the incidence and risk of complications include pretransplantation therapies, transplantation type (autologous versus allogeneic), conditioning regimen, comorbid conditions, and patient age. The pretransplantation cardiovascular evaluation consists of 4 steps: (1) initial risk stratification, (2) exclusion of high-risk cardiovascular disease, (3) assessment of cardiac reserve, and (4) optimization of cardiovascular reserve. Clinical risk scores could be useful tools for the risk stratification of adult patients. Long-term cardiovascular management of hematopoietic stem cell transplantation survivors includes optimizing risk factors, monitoring, and maintaining a low threshold for evaluating cardiovascular causes of symptoms. Future research should prioritize refining risk stratification and creating evidence-based guidelines and strategies to optimize outcomes in this growing patient population.

Published
2024

111. Editorial Board

Author

Nursing & Health Sciences Research Journal

Subjects
Nursing, RT1-120
Published
2020

112. Editorial Board

Author

Nursing & Health Sciences Research Journal

Subjects
Nursing, RT1-120
Published
2018

115. Sumamos Excelencia 2022

Author

The Spanish Centre for Evidence Based Nursing and Healthcare and Teresa Moreno Casbas, Director of the Nursing and helathcare research Unit (Investén-isciii)

Published
2024

116. Opportunities in the Postpartum Period to Reduce Cardiovascular Disease Risk After Adverse Pregnancy Outcomes: A Scientific Statement From the American Heart Association

Author

Lewey, Jennifer, Beckie, Theresa M, Brown, Haywood L, Brown, Susan D, Garovic, Vesna D, Khan, Sadiya S, Miller, Eliza C, Sharma, Garima, Mehta, Laxmi S, and Care, Perioperative and Resuscitation and Council on Cardiovascular and Stroke Nursing on behalf of the American Heart Association Cardiovascular Disease and Stroke in Women and Underrepresented Populations Committee of the Council on Clinical Cardiology Council on Cardiopulmonary Critical

Subjects
Reproductive Medicine, Biomedical and Clinical Sciences, Health Sciences, Pregnancy, Hypertension, Prevention, Women's Health, Maternal Health, Heart Disease, Cardiovascular, Clinical Trials and Supportive Activities, Clinical Research, Maternal Morbidity and Mortality, 4.1 Discovery and preclinical testing of markers and technologies, 2.1 Biological and endogenous factors, Reproductive health and childbirth, Good Health and Well Being, Female, United States, Humans, Cardiovascular Diseases, American Heart Association, Postpartum Period, Pregnancy Outcome, Blood Pressure, Risk Factors, AHA Scientific Statements, cardiovascular diseases, diabetes, gestational, postpartum period, pregnancy, pregnancy complications, primary prevention, American Heart Association Cardiovascular Disease and Stroke in Women and Underrepresented Populations Committee of the Council on Clinical Cardiology, Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, and Council on Cardiovascular and Stroke Nursing, Cardiorespiratory Medicine and Haematology, Clinical Sciences, Public Health and Health Services, Cardiovascular System & Hematology, Cardiovascular medicine and haematology, Clinical sciences, Sports science and exercise
Abstract

Adverse pregnancy outcomes are common among pregnant individuals and are associated with long-term risk of cardiovascular disease. Individuals with adverse pregnancy outcomes also have an increased incidence of cardiovascular disease risk factors after delivery. Despite this, evidence-based approaches to managing these patients after pregnancy to reduce cardiovascular disease risk are lacking. In this scientific statement, we review the current evidence on interpregnancy and postpartum preventive strategies, blood pressure management, and lifestyle interventions for optimizing cardiovascular disease using the American Heart Association Life's Essential 8 framework. Clinical, health system, and community-level interventions can be used to engage postpartum individuals and to reach populations who experience the highest burden of adverse pregnancy outcomes and cardiovascular disease. Future trials are needed to improve screening of subclinical cardiovascular disease in individuals with a history of adverse pregnancy outcomes, before the onset of symptomatic disease. Interventions in the fourth trimester, defined as the 12 weeks after delivery, have great potential to improve cardiovascular health across the life course.

Published
2024

122. Digital Nutrition Intervention for Older Adults

Author

National Institute of Nursing Research (NINR), Older Adult Technology Services, City of San Antonio Department of Human Services, Agile Analytics, LLC, and Sarah Ullevig, Associate Professor

Published
2024

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