The Effectiveness Of Fordyce Happiness Model Training On Life Expectancy In Candidate Patients For Coronary Artery Bypass Surgery

@#Objective: The purpose of this randomized control trial study was to understand the effects of happiness training by Fordyce method on life expectancy in patient’s candidates for heart surgery. This study was conducted on 66 patients who were candidates for heart surgery referred to Heshmat Heart Hospital in Rasht. Patients were randomly divided into two groups of intervention (n=34) and control (n=32) via blocked randomized method. The instrument included a standard Miller questionnaire. The intervention method of Fordyce Happiness Model was implemented via face-to-face sessions within 7 days before surgery every day for 20 to 30 minutes. Data analysis was conducted, based on the results obtained before the intervention, there was no significant difference between the two groups in terms of mean life expectancy score (p=0.643). Life expectancy score after the intervention in the case group was significantly higher than the control group (p=0.032). The findings of this study indicate that Fordyce happiness training can effect on life expectancy in patients undergoing heart surgery.

36-year-old woman with coronary artery dissection two weeks after abortion

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. We report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. Electrocardiography showed ST elevation in leads V2-V4 and ST depression in the inferior leads. Lab data were normal. Cardiac catheterization showed a suspicious thrombotic lesion at the proximal portion of the left anterior descending artery with a smooth contour consistent with distal haziness and dissection site. Final diagnosis was coronary artery dissection. At 1 week's follow-up, the patient was in good physical condition. At 1 month's follow-up, she had no complaints of discomfort. And finally, 8 months after having suffered a heart attack, she presented no evidence of angina, dyspnea, or congestive heart failure Spontaneous coronary artery dissection is a rare disease that mainly affects younger women. Compared with earlier reports, the prognosis seems to be improved by early diagnosis and interventional treatment

Brachial endothelial function and carotid intima-media thickness in patients with coronary artery disease

Endothelial dysfunction and carotid intima-media thickness are 2 indicators of subclinical cardiovascular disease. The aim of study was to analyze brachial flow mediated dilation[FMD] and carotid intima media thickness [CIMT]in patients with coronary artery disease, and investigate the relationship between endothelial function, CIMT and coronary artery disease risk factors.56 men and women aged between 25 to 75 years with coronary artery disease were recruited. FMD and CIMT was measured by B-mode ultrasonography. Data were presented as mean +/- SE. Pearson correlation coefficients were used to evaluate associations and T-test and Chi-square tests were used for quantitative and qualitative variables. P-values < 0.05 were considered to indicate statistically significant differences. The mean age of subjects was 59.37+/-1.28 years. The frequencies of one, two and three-vessel coronary artery disease were 61%, 35.1% and 3.9%, respectively. The mean of CIMT in patients was 0.79+/-0.02 mm, and 65.5% of patients had CIMT more than 0.8 mm.The mean of FMD was 4.79+/-0.55% and 65.4% of patients had FMD lower than 5.3%. CIMT was correlated directly with number of diseased vessels, age andtotal cholesterol and was correlated inversely with HDL-C.Non-invasive measurement of FMD and CIMT are interrelated techniques that probably assess the same atherosclerotic process from functional and anatomic viewpoints.In these patients an increase in CIMT and decrease in FMD may warrant more aggressive risk factor control through the beginning of effective medical treatment

Factors influencing pre-hospital delay among patients with acute myocardial infarction in Iran / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>Acute myocardial infarction (AMI) is the leading cause of morbidity and disability among Iranian population. Pre-hospital delay is an important cause of increasing early and also late mortality in AMI. Thus the aim of the present study was to identify the factors influencing pre-hospital delay among patients with AMI in Iran.</p><p><b>METHODS</b>Between August 2010 and May 2011, a cross-sectional and single-center survey was conducted on 162 consecutive patients with ST-elevation myocardial infarction (STEMI) admitted to Cardiac Care Unit (CCU) of Dr. Heshmat Hospital, Rasht. All patients were interviewed by the third author within 7 days after admission by using a four-part questionnaire including socio-demographic, clinical, situational and cognitive factors. Data were analyzed by descriptive and Logistic regression model at P < 0.05 using SPSS 16.</p><p><b>RESULTS</b>Mean age was (60.11 ± 12.29) years in all patients. Majority of patients (65.4%) were male. The median of pre-hospital delay was 2 hours, with a mean delay of 7.4 hours (± 16.25 hours). Regression analysis showed that admission in weekend (P < 0.04, OR = 1.033, 95%CI = 1.187 - 2.006) and misinterpretation of symptoms as cardiac origin (P < 0.002, OR = 1.986, 95%CI = 1.254 - 3.155) and perceiving symptoms to not be so serious (P < 0.003, OR = 3.264, 95%CI = 1.492 - 7.142) were factors influencing pre-hospital delay > 2 hours.</p><p><b>CONCLUSIONS</b>Our findings highlight the importance of cognitive factors on decision-making process and pre-hospital delays. Health care providers can educate the public on AMI to enable them recognize the signs and symptoms of AMI correctly and realize the benefits of early treatment.</p>