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Women’s Center for Mind-Body Health
Hospital Research (Cardiac Care Unit) |
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The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies. To obtain full summaries of the articles, see "How to Get Abstracts" below .
Cardiac Care Unit [Please also see Cardiac & Neuro Rehab for postop care]
Issues for women 11252922 R Gender and the heart: sex-specific differences in normal anatomy and physiology Review of gender differences in heart anatomy and physiology 2000 J Gend Specif Med 3;7:15-8 Legato, M. J.
11841151 R Gender differences in arrhythmias Review of gender differences in heart arrhythmias, prognosis and treatment. 2002 Clin Cardiol 25;2:49-56 Wolbrette, D., Naccarelli, G., Curtis, A., Lehmann, M., and Kadish, A.
11252869 R,T Cardiovascular disease and arrhythmias: unique risks in women Women have higher risks for arrhythmias and sudden death than men, with recent studies showing hormonal effects on potassium and calcium ion channels. 1999 J Gend Specif Med 2;1:37-44 Malloy, K. J. and Bahinski, A.
11253263 R,T Congestive heart failure medications: is there a rationale for sex-specific therapy? Gender differences in efficacy and side effects of medication for congestive heart failure. 2000 J Gend Specif Med 3;8:17-22 Schwartz, J. B.
11859682 JA Anticoagulant and thrombolytic therapies in women In light of women's documented increased complication rate with anticoagulant therapy, reviews need for consideration of adjusting anticoagulant dosage by gender, weight, age, and estrogen compounds commonly used by women. 2002 J Gend Specif Med 5;1:14-8 Schwartz, J. B.
Psychology
10361646 JA The psychology of men and women recovering from coronary artery bypass surgery For coronary artery bypass patients, degree of postop pain in women was correlated with depressive symptoms, and pain in men correlated with amount of social support. 1999 J Cardiopulm Rehabil 19;3:152-61 Con, A. H., Linden, W., Thompson, J. M., and Ignaszewski, A.
9494308 CT The relationship and influence of anxiety on postoperative pain in the coronary artery bypass graft patient A highly significant association was found between anxiety and the experience of pain in coronary artery bypass patients. 1998 J Pain Symptom Manage 15;2:102-9 Nelson, F. V., Zimmerman, L., Barnason, S., Nieveen, J., and Schmaderer, M.
11481594 JA Anxiety and depression: incidence and patterns in patients after coronary artery bypass graft surgery In postop coronary artery bypass patients, women and younger patients experienced significantly higher anxiety and depression, even beginning from 2 to 3 days after surgery. 2001 Appl Nurs Res 14;3:155-64 McCrone, S., Lenz, E., Tarzian, A., and Perkins, S.
8974251 R,T Psychological approaches to cardiac pain Continuing pain plus the release of catecholamines from stress and anxiety can worsen the cardiac event, and needs to be controlled promptly; review of adjunctive mind-body therapies. 1996 Nurs Stand 11;12:34-8 Cornock, M. A.
3987114 JA Psychosocial aspects of surviving sudden cardiac death Survivors of sudden cardiac death often develop depression, anger, anxiety, frustration and fear. “They grieve...perhaps most strongly for the loss of the veneer of invulnerability most healthy people apply in their everyday lives.” Management suggestions are discussed. 1985 Clin Cardiol 8;4:237-43 Vlay, S. C. and Fricchione, G. L.
9314793 RCT The psychological consequences of cardiopulmonary resuscitation training for family members of patients at risk for sudden death Teaching family members CPR caused anxiety and hostility in the patients themselves, which was attenuated when the training was conducted with a social support intervention. 1997 Am J Public Health 87;9:1434-9 Dracup, K., Moser, D. K., Taylor, S. E., and Guzy, P. M.
10098007 R,T Family-centered care after acute myocardial infarction Article reviews nursing interventions that address family needs of the cardiac patient. Family members must adjust to the myriad stressors of this crisis, and adapt to living with uncertainties. 1999 J Cardiovasc Nurs 13;3:73-82 Fleury, J. and Moore, S. M.
General Mind-Body Approaches
10838992 R,T Non-pharmacologic pain control for the CABG patient Discussion of the many possible causes of chest pain in the post coronary artery bypass patient and review of non-pharmacologic pain control methods. 1993 Dimens Crit Care Nurs 12;6:296-304 Oates, H. B.
9496995 JA Complementary medicine in the surgical wards Report on the complementary medicine program in the cardiac surgery dept. at Columbia-Presbyterian in NY. Music therapy, hypnotherapy, nutrition, massage and reflexology, yoga, aromatherapy, and therapeutic touch are being studied with regards to autonomic nervous system function, cognitive function, immune function and quality of life. 1998 JAMA 279;9:710-1 Oz, M. C., Whitworth, G. C., and Liu, E. H.
7931466 R,T Implications for bio-psycho-social-spiritual concerns in cardiovascular nursing Discussion of mind-body studies on health, psychoneuroimmunology and spirituality. Provides an interactive imagery script for heart patients. 1994 J Cardiovasc Nurs 8;4:72-88 Dossey, B. M. and Guzzetta, C. E.
9803647 JA The role of private prayer in psychological recovery among midlife and aged patients following cardiac surgery Most of these Michigan coronary bypass patients prayed about their postoperative problems, and prayer was significantly associated with decreased depression one year later. 1998 Gerontologist 38;5:591-601 Ai, A. L., Dunkle, R. E., Peterson, C., and Bolling, S. F.
Imagery
1442643 RCT Hypnotizability and recovery from cardiac surgery Degree of hypnotizability correlated with course in the CCU after cardiac surgery, with "mid-range" hypnotizables stabilizing the easiest. The "high" group had the most blood pressure lability, and the "low" group the longest hospital stay. Authors speculate that it is possibly advantageous to fine tune types of suggestions based on degree of individual hypnotizability. 1992 Am J Clin Hypn 35;2:119-28 Greenleaf, M., Fisher, S., Miaskowski, C., and DuHamel, K.
9549270 RCT Stress-reducing effect of physician's tape-recorded support on cardiac surgical patients in the intensive care unit ICU patients who listened to a tape after their heart surgery that was recorded by their physician had significantly less pain, anxiety and depression. 1998 J Formos Med Assoc 97;3:191-6 Hwang, S. L., Chang, Y., Ko, W. J., and Lee, M. B.
8997805 RCT Voluntary control of vascular tone by using skin-temperature biofeedback-relaxation in patients with advanced heart failure Patients with advanced heart failure who were given a single biofeedback session showed significant increase in finger and foot temperatures (meaning increased blood flow) and cardiac output, and significant decrease in systemic vascular resistance and respiratory rate. 1997 Altern Ther Health Med 3;1:51-9 Moser, D. K., Dracup, K., Woo, M. A., and Stevenson, L. W.
8488694 CT [Autogenic training in hypertensive dysregulation after aortocoronary venous bypass operation of coronary heart disease] [Article in German] Per abstract, coronary bypass patients who received autogenic training had significant decreases in blood pressure at rest and increases in left ventricular ejection fraction. 1993 Z Gesamte Inn Med 48;4:201-4 Winterfeld, H. J., Siewert, H., Bohm, J., Frenzel, R., Aurisch, R., Ecke, A., Engelmann, U., Strangfeld, D., and Warnke, H.
11851788 RCT The impact of foot massage and guided relaxation following cardiac surgery: a randomized controlled trial Coronary artery bypass patients were significantly calmer after postop foot massage, with a trend toward significance for guided imagery. 2002 J Adv Nurs 37;2:199-207 Hattan, J., King, L., and Griffiths, P.
2684920 RCT Effects of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infarction Both relaxation and music therapy decreased the heart rates and complication rates of patients admitted with possible MI. 1989 Heart Lung 18;6:609-16 Guzzetta, C. E.
Music
11252881 RCT The effects of music on cardiac patients on bed rest Cardiac patients on bedrest due to equipment needs had significantly decreased blood pressure, respiratory rate and psychological distress after listening to music for 30 minutes. 2001 Prog Cardiovasc Nurs 16;1:5-13 Cadigan, M. E., Caruso, N. A., Haldeman, S. M., McNamara, M. E., Noyes, D. A., Spadafora, M. A., and Carroll, D. L.
10392221 RCT Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction Acute MI patients who listened to music in a quiet environment had significantly decreased heart rate, respiratory rate, myocardial oxygen demand and anxiety, and increased heart rate variability. Some of these changes were still present one hour later. 1999 Am J Crit Care 8;4:220-30 White, J. M.
10553182 RCT Music: an intervention for pain during chest tube removal after open heart surgery Listening to music during chest tube removal did not significantly decrease pain scores or change physiologic parameters, but the patients enjoyed listening. 1999 Am J Crit Care 8;6:410-5 Broscious, S. K.
2383784 RCT Effects of relaxing music on state anxiety in myocardial infarction patients Patients admitted with acute MIs had significantly less anxiety with music therapy. 1990 Crit Care Nurs Q 13;2:63-72 Bolwerk, C. A.
9131197 CT Effect of a music intervention on noise annoyance, heart rate, and blood pressure in cardiac surgery patients CCU patients showed decreased heart rate and systolic blood pressure while listening to music, as well as less irritation with background noise levels. Reminder that there are patients who have higher noise sensitivity (measured preop in this study), and who subsequently have higher noise annoyance in an ICU type setting. 1997 Am J Crit Care 6;3:183-91 Byers, J. F. and Smyth, K. A.
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