Listen to the latest updates and news from the editorial team of the Journal of Cardiovascular Nursing.
Journal of Cardiovascular Nursing: The Beat
Claim This Podcastby Jennifer Miller
9 episodes
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Podcast Overview
Listen to the latest updates and news from the editorial team of the Journal of Cardiovascular Nursing.
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Publishing Since
11/13/2019
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Recent Episodes
February 12, 2021
In Their Own Words: Dr. Billy Caceres
<h1>Sexual Identity, <strong>Adverse</strong> <strong>Life</strong> <strong>Experiences</strong>, and Cardiovascular Health in Women</h1> <p>Caceres, Billy A. PhD, RN, AGPCNP-BC; Markovic, Nina PhD; Edmondson, Donald PhD; Hughes, Tonda L. PhD, RN, FAAN</p> <p>The Journal of Cardiovascular Nursing: <a href="https://journals.lww.com/jcnjournal/toc/2019/09000">9/10 2019 - Volume 34 - Issue 5 - p 380-389</a></p> <p>doi: 10.1097/JCN.0000000000000588</p> <p><strong>Abstract</strong></p> <h3>Background:</h3> <p><strong>Adverse</strong> <strong>life</strong> <strong>experiences</strong> (ALE; eg, discrimination and sexual abuse) may contribute to cardiovascular disease (CVD) risk in sexual minority women (SMW), but few studies have tested whether ALE explain the association of sexual identity with cardiovascular health (CVH) markers in women.</p> <h3>Objective:</h3> <p>The aim of this study was to examine sexual identity differences in CVH among women and the role of ALE.</p> <h3>Methods:</h3> <p>In the Epidemiologic Study of Risk in Women, we used multinomial logistic regression to assess sexual identity differences (SMW vs heterosexual women [reference group]) in CVH markers (ideal vs poor, intermediate vs poor) using the American Heart Association's <strong>Life</strong>'s Simple 7 metric and the total score. Next, we tested whether the association of sexual identity with the total CVH score was attenuated by traditional CVD risk factors or ALE.</p> <h3>Results:</h3> <p>The sample consisted of 867 women (395 heterosexual, 472 SMW). Sexual minority women were more likely to have experienced discrimination (P < .001) and lifetime sexual abuse (P < .001) than heterosexual women. Sexual minority women were also less likely to meet ideal CVH criteria for current tobacco use (adjusted odds ratio, 0.43; 95% confidence interval, 0.24–0.73) or intermediate CVH criteria for body mass index (adjusted odds ratio, 0.60; 95% confidence interval, 0.40–0.92). Sexual minority women had a lower cumulative CVH score (B [SE] = −0.35 [0.14], P < .01) than heterosexual women. This difference was not explained by traditional CVD risk factors or ALE.</p> <h3>Conclusions:</h3> <p>Smoking, body mass index, and fasting glucose accounted for much of the CVH disparity due to sexual identity, but those differences were not explained by ALE. Health behavior interventions tailored to SMW should be considered.</p>
December 8, 2020
In Their Own Words: Dr. Quin Denfeld
Sympathetic Markers are Different Between Clinical Responders and Nonresponders After Left Ventricular Assist Device Implantation Denfeld, Quin E. PhD, RN; Lee, Christopher S. PhD, RN, FAAN, FAHA, FHFSA; Woodward, William R. PhD; Hiatt, Shirin O. MS, RN, MPH; Mudd, James O. MD; Habecker, Beth A. PhD The Journal of Cardiovascular Nursing: 7/8 2019 - Volume 34 - Issue 4 - p E1-E10 doi: 10.1097/JCN.0000000000000580 https://journals.lww.com/jcnjournal/pages/articleviewer.aspx?year=2019&issue=07000&article=00011&type=Fulltext Abstract Background Clinical response to left ventricular assist devices (LVADs), as measured by health-related quality of life, varies among patients after implantation; however, it is unknown which pathophysiological mechanisms underlie differences in clinical response by health-related quality of life. Objective The purpose of this study was to compare changes in sympathetic markers (β-adrenergic receptor kinase-1 [βARK1], norepinephrine [NE], and 3,4-dihydroxyphenylglycol [DHPG]) between health-related quality of life clinical responders and nonresponders from pre– to post–LVAD implantation. Methods We performed a secondary analysis on a subset of data from a cohort study of patients from pre– to 1, 3, and 6 months after LVAD implantation. Clinical response was defined as an increase of 5 points or higher on the Kansas City Cardiomyopathy Questionnaire Clinical Summary score from pre– to 6 months post–LVAD implantation. We measured plasma βARK1 level with an enzyme-linked immunosorbent assay and plasma NE and DHPG levels with high-performance liquid chromatography with electrochemical detection. Latent growth curve modeling was used to compare the trajectories of markers between groups. Results The mean (SD) age of the sample (n = 39) was 52.9 (13.2) years, and most were male (74.4%) and received LVADs as bridge to transplantation (69.2%). Preimplantation plasma βARK1 levels were significantly higher in clinical responders (n = 19) than in nonresponders (n = 20) (P = .001), but change was similar after LVAD (P = .235). Preimplantation plasma DHPG levels were significantly lower in clinical responders than in nonresponders (P = .002), but the change was similar after LVAD (P = .881). There were no significant differences in plasma NE levels. Conclusions Preimplantation βARK1 and DHPG levels are differentiating factors between health-related quality of life clinical responders and nonresponders to LVAD, potentially signaling differing levels of sympathetic stimulation underlying clinical response.
November 15, 2020
In Their Own Words: Dr. Christopher Lee
Patterns of Heart Failure Dyadic Illness Management: The Important Role of Gender Lee, Christopher S. PhD, RN, FAHA, FAAN, FHFSA; Sethares, Kristen A. PhD, RN, CNE, FAHA; Thompson, Jessica Harman PhD, RN, CCRN-K; Faulkner, Kenneth M. PhD, RN, ANP; Aarons, Emily; Lyons, Karen S. PhD, FGSA https://journals.lww.com/jcnjournal/Fulltext/2020/09000/Patterns_of_Heart_Failure_Dyadic_Illness.2.aspx?context=FeaturedArticles&collectionId=2
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