The target of our investigation was to evaluate the exercise tolerance in patients with stable angina 18 months after coronary stenting. The 165 patients with stable angina were included in research. The main group consisted of 100 patients who underwent PTCA with stenting. Control group was composed of the 65 patients who underwent conservative therapy. 73 (73%) patients of the main group and 49 (75.4%) patients of the control group had angina of III-IV functional class. Comparison of long-term results revealed that the tolerance to exercise stress in control group was considerably lower - 4.35MET than in main group - 8.58MET (p<0.05). The duration of continuous exercise stress test in control group was 7.5 min; in main group - 12.4 min. The criteria for exercise stress test discontinuation were anginous pain and/or ischemic ECG changes - 72.3%; the submaximal level of heart rate was rare - 7.7% (p<0.05). The authors conclude that the coronary stenting could significantly improve quality of life due to increase of exercise tolerance.
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Diabetol Metab Syndr
January 2025
Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Background: Of the numerous complications encountered by people with diabetes (PWD), the effect on mental health is concerning. Within mental health, diabetes distress (DD) occurs when a patient has unfavourable emotional stress while managing their condition, which can be managed by coping strategies but are less studied together in Indian settings. So, the present study aimed to determine the proportion of DD and associated factors and coping skills among the PWD.
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January 2025
Department of Respiratory Medicine, Faculty of Medicine, Hokkaido University, North 15 West 7, Kita-ku, Sapporo, 060-8638, Japan.
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January 2025
Departments of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland.
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View Article and Find Full Text PDFBMJ Open
January 2025
College of Medicine and Dentistry, James Cook University, Queensland Research Centre for Peripheral Vascular Disease, Townsville, Queensland, Australia.
Introduction: Patients with peripheral artery disease (PAD) can experience intermittent claudication, which limits walking capacity and the ability to undertake daily activities. While exercise therapy is an established way to improve walking capacity in people with PAD, it is not feasible in all patients. Neuromuscular electrical stimulation (NMES) provides a way to passively induce repeated muscle contractions and has been widely used as a therapy for chronic conditions that limit functional capacity.
View Article and Find Full Text PDFLancet
January 2025
British Heart Foundation Centre of Research Excellence, University of Edinburgh, Edinburgh, UK; Edinburgh Imaging, University of Edinburgh, Edinburgh, UK.
Background: The Scottish Computed Tomography of the Heart (SCOT-HEART) trial demonstrated that management guided by coronary CT angiography (CCTA) improved the diagnosis, management, and outcome of patients with stable chest pain. We aimed to assess whether CCTA-guided care results in sustained long-term improvements in management and outcomes.
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