Publications by authors named "Robin van Lingen"
Article Synopsis
- The study assessed how well UK healthcare practices adhered to NICE guidelines for diagnosing recent-onset chest pain, specifically evaluating the effectiveness of CT coronary angiography (CTCA) and its subsequent use of invasive coronary angiography (ICA).
- Conducted in nine UK centers from January 2018 to March 2020, the analysis involved 5,293 patients, showing a high diagnostic success rate (96%) for CTCA, with significant data collected on coronary artery disease and the rates of ICA and revascularisation.
- The results indicated that while CTCA is effective in ruling out the need for further tests, there is a concerning trend of ICA overuse, as nearly half of the ICA procedures did not result in revascularisation
Background: Cardiac rehabilitation improves health-related quality of life (HRQoL) and reduces hospitalizations in patients with heart failure, but international uptake of cardiac rehabilitation for heart failure remains low.
Design And Methods: The aim of this multicentre randomized trial was to compare the REACH-HF (Rehabilitation EnAblement in CHronicHeart Failure) intervention, a facilitated self-care and home-based cardiac rehabilitation programme to usual care for adults with heart failure with reduced ejection fraction (HFrEF). The study primary hypothesis was that the addition of the REACH-HF intervention to usual care would improve disease-specific HRQoL (Minnesota Living with Heart Failure questionnaire (MLHFQ)) at 12 months compared with usual care alone.
Introduction: Home-based cardiac rehabilitation may overcome suboptimal rates of participation. The overarching aim of this study was to assess the feasibility and acceptability of the novel Rehabilitation EnAblement in CHronic Hear Failure (REACH-HF) rehabilitation intervention for patients with heart failure with preserved ejection fraction (HFpEF) and their caregivers.
Methods And Results: Patients were randomised 1:1 to REACH-HF intervention plus usual care (intervention group) or usual care alone (control group).
To determine whether 64-slice multidetector computed tomographic coronary angiography (MDCTA) can accurately assess the coronary artery lumen in symptomatic patients with previous coronary artery stents and potential in-stent restenosis (ISR). The primary aim was to determine the accuracy of binary ISR exclusion using MDCTA compared with invasive catheter angiography (ICA). Secondary aims were comparisons of stent dimensions measured using MDCTA and variables that affect accuracy.
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