Abstract We tested an intervention to help smokers abstain (fast) from smoking before surgery, maintain abstinence postoperatively, and achieve long‐term cessation. A randomized experiment included 237 patients admitted for presurgical assessment who smoked. The counseling nicotine replacement therapy. Treatment group participants (73.0%) were more likely fast than controls (53.0%): χ 2 (1, N = 228) 8.89, p .003, be abstinent 6 months after surgery (31.2% vs. 20.2%). There was no significant...

Better understanding of symptoms myocardial ischaemia is needed to improve timeliness treatment for acute coronary syndromes (ACS). Although researchers have suggested sex differences exist in ischaemic symptoms, methodological issues prevent conclusions. Using percutaneous intervention (PCI) balloon inflation as a model ischaemia, we explored reported ischaemia.Patients having non-emergent PCI, but not haemodynamic instability or left bundle branch block non-acute occlusion, were...

Depression and anxiety are common among patients with cardiovascular disease (CVD) confer significant cardiac risk, contributing to CVD morbidity mortality. Unfortunately, due the lack of screening tools that address specific needs hospitalized patients, few inpatient programs offer routine for these forms psychological distress, despite recommendations do so. The purpose this study was validate single-item measures depression inpatients. Consecutive inpatients were recruited from cardiology...

Background: Anemia may confer a poor prognosis among patients with the acute coronary syndrome. However, few data exist on association of anemia in-hospital outcomes, including bleeding, ST-segment–elevation myocardial infarction receiving primary percutaneous intervention. Methods and Results: We identified 1919 who had undergone intervention within Vancouver Coastal Health Authority (2007–2016) whom 322 (16.8%) admission. Between-group differences in (unadjusted) heart failure, cardiogenic...

In non-emergency department (ED) settings, women with atrial fibrillation and flutter (AFF) have different presentations, treatments, outcomes than men: they are older, less likely to be treated rhythm control strategies or appropriate anticoagulation, more strokes. This has not been investigated in ED patients.Records from consecutive patients January 1 December 31, 2009, electrocardiogram-proven AFF at two urban hospitals were collected. Review of administrative clinical data identified...

Little is known on whether there are ethnic differences in outcomes following percutaneous coronary intervention (PCI) and artery bypass grafting surgery (CABG) after acute myocardial infarction (AMI). We compared 30-day long-term mortality, recurrent AMI, congestive heart failure South Asian, Chinese White patients with AMI who underwent PCI CABG.Hospital administrative data British Columbia (BC), Canada were linked to the BC Cardiac Registry identify all (n = 4729) or CABG 1687)...

The joint contribution of sex, ethnicity, and initial clinical presentation to the long-term outcomes patients undergoing coronary angiography for acute syndrome (ACS) or stable angina, in whom there is angiographic evidence obstructive artery disease, remains unknown.We conducted a population-based cohort study on 49 556 adult ACS angina with disease (≥ 50% stenosis) British Columbia. 2-year composite outcome was all-cause death hospital readmissions myocardial infarction, heart failure,...

Abstract Objective While sex differences in the treatment and outcomes of subjects with acute coronary syndromes are well documented, little is known about impact cardiac troponin ( cT n) levels obtained emergency department ED ) on observed differences. We sought to determine whether n by chest pain features modify diagnosis, treatment, patients presenting suggestive ischemia. Methods All adults two hospitals Vancouver, Canada, between May 2008 March 2013 ischemic testing were included...

Little is known about the stresses experienced by caregivers of patients discharged home with a ventricular assist device.To describe lived experience who were device.The study used phenomenological framework to conduct semistructured interviews guided 2 psychologists using focus group setting.Interviews 13 9 device between March 2004 and June 2007 recorded, transcribed, analyzed.Four themes emerged during interviews: anxiety, initially exhibited as profound shock; loss loved one, their...

Little is known about the stresses experienced by caregivers of patients discharged home with a ventricular assist device.To describe lived experience who were device.The study used phenomenological framework to conduct semistructured interviews guided 2 psychologists using focus group setting.Interviews 13 9 device between March 2004 and June 2007 recorded, transcribed, analyzed.Four themes emerged during interviews: anxiety, initially exhibited as profound shock; loss loved one, their...

To determine the clinical and professional impacts of nurses' other clinicians' involvement in a research training programme.Evidence-based practice (EBP) can be supported by research. Registered nurses report common barriers to EBP research, but programmes have been shown overcome some those lead successful engagement enhancement.This mixed-methods evaluation study used survey interviews explore programme participation on practice, appreciation for EBP, interest advanced education, future...

BackgroundFrailty is generally a marker of worse prognosis. The impact frailty on both in-hospital and long-term outcomes in ST-segment-elevation myocardial infarction (STEMI) patients has not been well described. Given this, we aimed to determine the prevalence 1-year STEMI undergoing primary percutaneous coronary intervention (pPCI).MethodsThis retrospective study reviewed ≥ 65 years who underwent pPCI at two pPCI-capable hospitals Vancouver Coastal Health. A index (FI) was determined...

BackgroundTemporal delays in myocardial infarction (MI) treatment have been addressed through patient and physician education, innovations prehospital fibrinolysis, improvements to emergency medical services, yet the most significant contributor delayed is patient's ability recognize respond symptoms.PurposeTo determine whether public health education campaigns achieved their desired reach by ensuring that all segments of population symptoms MI ("heart attack").Methods976 men women, 40+...

Background: Men continue to smoke cigarettes in greater numbers than women. There is growing evidence for the value of developing targeted, men-centered health promotion programs. However, few smoking cessation interventions have been designed men. A gender-specific website, QuitNow Men, was developed based on focus group interview findings, stakeholder feedback, and evidence-based strategies. The website incorporate a masculine look feel through use images, direct language, interactive...

Abstract Background The KT Challenge program supports health care professionals to effectively implement evidence-based practices. Unlike other knowledge translation (KT) programs, this is grounded in capacity building, focuses on (HCPs), and uses a multi-component intervention. This study presents the evaluation of assess impact uptake, capacity, practice change. Methods used mixed-methods retrospective pre-post design involving surveys review documents such as teams’ final reports. Online...

Percutaneous heart valve implantation offers hope for patients with aortic stenosis.Aortic stenosis is the most prevalent valvular disease and third common cardiovascular condition after coronary artery hypertension.1 Acquired primarily affects elderly causes debilitating signs symptoms decreased quality of life.2 Over time, progressive calcification immobilization leaflets cause stiffening narrowing leaflets, scarring, impaired opening, reduced cardiac output, and, eventually, failure.3...

Background: Acute coronary syndrome, including acute myocardial infarction (AMI), is one of the leading causes for hospitalization, with AMI 30-day readmission rates around 20%. Supporting patient information needs and increasing adherence to recommended self-management behaviors during transition from hospital home has potential improve outcomes. Text messages have been effective in other interventions may be suitable provide support patients this period.

Patients with ST-elevation myocardial infarction (STEMI) presenting to percutaneous coronary intervention (PCI)-capable hospitals often experience delays for primary PCI (pPCI). We sought describe the effect of specific delay intervals and patient/system-level factors on STEMI reperfusion times.We analyzed all consecutive patients who presented 2 PCI-capable hospital emergency departments (EDs) between June 2007 March 2016 received successful pPCI. excluded prehospital cardiac arrest....