---

Aim. The aim of this study was to investigate percpectives of patients with cardiovascular disease about barriers and benefits of health promotion behaviors.

Background. Based on Pender’s health promotion model, certain emotional behaviors such as perceived benefits and barriers have effect on changing health behaviors.

Method. In a descriptive cross sectional study, 260 patients with cardiovascular disease were selected from exercise tolerant test ward of Shahriar social security hospital in 2009. In this study, sampling method was simple. Data were collected through interview.  The instruments included demographic form, Benefits Assessment Scale and Barriers Assessment Scale. The data were analyzed by using SPSS software and descriptive statistics, T-test, ANOVA and Pearson coefficient correlation.

Findings. The findings showed that mean score of perception of health promotion behaviors benefits was 41.14±3.82, and 83.7% of patients had high scores of perception about benefits of health promotion behaviors. There was statistically significant correlation of perception of benefits with education level (P=0.024) and job (P= 0.021). Mean score of perception of health promotion behaviors barriers was 26.81±6.31 and 66.3% of patients had moderate scores of perception about barriers of health promotion behaviors. Perception of barriers was significantly associated with gender (P=0.034) and marital status (P= 0.047).There was negative significant correlation between perception of benefits and perception of barriers (p=0.001).

Conclusion. Regarding the results of this study, seems that increasing perception of patients with cardiovascular disease about benefits of health promotion behaviors is associated with decreased barriers of health promotion behaviors. Educational interventions by professional nurses for patients with cardiovascular disease may help the patients to adherence to health promotion behaviors.

---

Aim. The aim of this study was to evaluate the knowledge of women about cardiovascular diseases risk

factors.

Background. Prevalence of cardiovascular diseases risk factors is increasing rapidly worldwide with

development of modernity and urbanization.

Method: This cross-sectional study was performed on women with age range of 14-66 years old. The

sample size was 735 women. Convenience sampling was used to recruit the participants. Data were

collected by a researcher-made questionnaire whose validity and reliability were confirmed by content

analysis and test-retest methods. The data were analyzed by using SPSS software with appropriate

statistical tests.

Findings: The mean age of participants was 23.4± 5 years. The average body mass index of them was

21.7±3 kg/m. 50.1% of them had little information about cardiovascular diseases. The most common of

data gathering sources were radio and TV (65.3%). The most common of cardiovascular diseases risk

factors included smoking (93.2%), psychological stress (92.8%), obesity (91.2%), high blood triglyceride

(89.4%), and fatty rich food consumption (88.7%). 75.2% of participants achieved at least 50% of the mean

knowledge score. There were significant statistical correlation between knowledge score and increasing of

age and educational level and applying visual media such as TV (p=0.012, p=0.039, p=0.003 respectively).

There was no significant correlation between knowledge score and both marital and economic status.

Conclusion: It’s suggested to design educational programs according to age, gender, educational level and

culture of different groups of society in order to promote knowledge and control cardiovascular diseases

risk factors.

---

Abstract

Aim. The aim was to describe epidemiologic characteristics of cardiovascular patients admitted to Jahrom hospitals.

Background. Cardiovascular disease is the most common cause of death in most countries including Iran. It is the major cause of disability. Cardiovascular disorders are counted as one ofn the most preventable, noncomunicable illnesses in human.

Method. In this retrospective descriptive study, 2392 medical records of patients admitted to the hospital in 2012-2013 with a primary diagnosis of cardiovascular diseases were studied. Data were obtained from a checklist with two parts, the first part included demographic information and the second part was about different types of heart disease, cardiovascular risk factors, and duration of hospitalization and outcome of the disease. The data were analyzed using SPSS statistical software.

Findings. According to the findings, 53.2% of patients were female, and 46.8% were male. Of the patients, 99% were married and 61.2% were native. The mean age of the sample was 60±12.5 and the majority were in the age range of 42-83 years. The most common cardiovascular disease were angina and hypertension, respectively. Among patients with heart disease, 53.8% died of a sudden heart attack, 5.8% due to cardiac arrhythmias, 5.1% due to congestive heart failure, 3.5% of acute myocardial infarction and 0.5% due to angina. In patients with vascular disease, 8.3% died due to deep vein thrombosis and 2.3% died due to hypertension.

Conclusion. With controlling risk factors such as hypertension, smoking, high blood cholesterol and body weight, it is possible to greatly prevent the risk of cardiovascular disease.

---

Abstract

Aim. The aim of this study was to determine the prevalence of risk factors of cardiovascular diseases (CVD) in elderly of Kashan.

Background.The Iranian elderly population is rapidly growing. It is estimated that more than 10 percent of country population would be elderly in the forthcoming twenty years. Structural and physiological changes occurring in the elderly’s cardiovascular system are associated with a higher incidence of CVD in the elderly. Coronary heart disease is the most common cause of death in the elderly.

Method.This cross-sectional study was conducted on 500 people over 60 years old in Kashan city, Iran, in 2014. Subjects were randomly selected from10healthcare centers of Kashan. A questionnaire was used to collect data including demographics, underlying diseases and risk factors for CVD. The data analyzed using descriptive statistics through SPSS 11.5.

Findings.The prevalence of risk factors for CVD was high among elderly people.

Conclusion. Teaching individuals, controlling risk factors and screening are suggested. It is also recommended that elderly people  increase physical activities and cease smoking.

---

Aim. This paper reviews articles and clinical trial evidence regarding diet for cardiovascular disease (CVD) prevention. Background. CVD is rapidly becoming a primary cause of death worldwide. Thus, identification of dietary changes that most effectively prevent CVD is necessary. Method. This review was conducted by searching out electronic databases and hand searching of library resources. Searching out articles and research projects was conducted by using keywords on the internet and relevant sites. Findings. According to the findings, at least 3 dietary strategies are effective in preventing CVD: substituting non-hydrogenated unsaturated fats for saturated and trans-fats increasing consumption of omega-3 fatty acids from fish, fish oil supplements, or plant sources and consuming a diet high in fruits, vegetables, nuts, and whole grains and low in refined grain products. Conclusion. According to the current evidence, diets using non-hydrogenated unsaturated fats as the main form of dietary fat, whole grains as the main form of carbohydrates, an abundance of fruits and vegetables, and adequate omega-3 fatty acids can offer significant protection against CVD. Such diets, along with regular physical activity, avoidance of smoking, and maintenance of ideal body weight may prevent the majority of cardiovascular disease.

---

Background. Cardiovascular disease is one of the most common causes of morbidity and mortality around the world. The number of people with cardiovascular disease is increasing. This review article discusses the role of Vitamin D and Vitamin D deficiency complications in cardiovascular system.

Methods. This review article was conducted by searching out electronic databases as Google scholar, Elsevier, PupMed, PMC, and Springer to find articles published between 2007 and 2015. The keywords searched out were: “Cardiovascular disease AND Vit D”, “Vit D AND Hypertension”, “Vit D AND Heart”, “Vit D AND Atherosclerosis”,  and “Vit D deficiency”.

Findings. The response of Vitamin D receptors in all tissues including cardiovascular system (in presence of sufficient amount of Vitamin D) can prevent from uncontrolled growth and proliferation of cells in cardiomyocytes and smooth muscle of vessels wall. This is done by specific gene control through 1/25 Dihydroxyvitamin D (active form of Vitamin D). These genes control proliferation and differentiation of cells resulting in prevention of cardiovascular tissue hypertrophy and vessel thickness. Studies revealed that Vitamin D deficiency can cause inadvertent complications in cardiovascular system but it isn’t completely clear that administration of vitamin D can be beneficial in treatment of cardiovascular disease.

Conclusion. It is essential that adequate levels of Vitamin D is provided and replaced in the body before complications happen.

 

---

Aim. The purpose of this study was to review the effectiveness of new cardiac biomarkers.

Background. Cardiovascular diseases have been a heavy burden on the health system’s shoulders and caused about 30 percent of human's deaths annually. Irreversible myocardial injury occurs within around 15-20 minutes following the coronary artery occlusion. Therefore, early diagnosis of this problem is very important for the health care professionals to save patients’ lives. Nowadays, thanks to recognition of new biomarkers and using their characteristics, evaluating the short-term and long-term prognosis is possible.

Method. In this study, papers published within the time period 1980 to 2014, were considered. The papers  were searched out by the keywords “cardiac biomarker”, “new cardiac markers”, “coronary diseases”, and “cardiovascular diseases” in Elsevier, Google Scholar, JAMA, Science Direct, Wiley, PubMed, and Iran Medex databases.

Findings. The results indicate that characteristic of each biomarker can play an important role to advance the goals of medicine and harm reduction in the cardiovascular patients. However, despite the high efficiency, routine usage of them is still unclear which indicates the need for further research in this field.

Conclusion. New biomarkers provide new insight about recognition of the causes of cardiovascular diseases, also their easy and rapid application with high sensitivity and predictive value will develop a dramatic change in the diagnosis and treatment of patients with cardiovascular diseases.

---

Aim. The aim of this study was to review studies about the cause and development of cardiovascular diseases among people with depression.

Background.  Cardiovascular disease and depression are common and the research have shown the comorbidity of these two disorders.

Method. In this review study, different databases such as Google Scholar, PubMed, Springer, AHA journal, Biomed, Scope med, Elsevier, and WHO webpage were searched out by Persian and English forms of keywords like “depression and cardiovascular diseases”, “depression and endothelial system”, “depression and autonomic system”, “depression and inflammatory-immune system”, “depression and platelet activation”, “depression and hypothalamic-pituitary-adrenal (HPA) axis” and “depression in prenatal period”.

Findings. Suggested mechanisms of developing cardiovascular diseases by depression include dysfunction of hypothalamic-pituitary-adrenal axis, inflammatory-immune system, autonomic system, platelet activity, endothelial system and habit pattern changes (metabolic syndrome) and depression in prenatal period.

Conclusion. Findings show that HPA axis dysfunction provides the situation for autonomic system dysfunction. Forming of atheroma and thrombosis are faster in platelet dysfunction, endothelial system dysfunction and inflammatory-immune system dysfunction than the other destructive ways. On the other hand, as depression can cause inflammatory-immune system dysfunction, the process of endothelial system dysfunction can cause this too. No finding has been found about the relationship between severity of depression and development of cardiovascular diseases.

---

---

 

Abstract

Aim. This article reviews the effects of Hirudo Medicinalis in coagulopathies and cardiovascular diseases.

Background. Hirudo Medicinalis is one of the conventional treatment methods in folk medicine in many countries of the world and is today paid more attention to. The use of this therapy is increasing considerably but no much effort has been done to explain about the effectiveness and mechanisms of action.

Method. In this review, databases and search engines such as PubMed, Google Scholar and SID were searched out for literature published between 1989 and 2016, using the English keywords "Hirudo medicinalis/Leech therapy, mechanism of action, cardiovascular disease, homeostasis, and anticoagulant, and their Persian equivalents, individually or in combination. In addition, Persian available books available were used.

Findings. Hirudo Medicinalis is used in the treatment of arterial hypertension, angina and myocardial infarction and has anticoagulant effects. The literature emphasizes on the role of nurses in the care of patients under this treatment.

Conclusion. According to studies, it seems that Hirudo Medicinalis can be used as a complementary medicine technique in the treatment and research of cardiovascular and coagulation disorders Normal 0 false false false EN-US X-NONE AR-SA      

---

Abstract

Aim. The present study aimed to examine the suicide ideation and intensity and dimensions of pain in people with cardiovascular disease compared with healthy people.

Background. A few researches have done in relation to the suicide ideation and the amount of pain and dimensions of pain.

Method. The research design was descriptive-comparative. Sample size consisted of 182 people including people with cardiovascular disease (n=91) and healthy people (n=91). The participants were recruited by convenience sampling from Emam Reza Clinic in Shiraz, Iran within a three-month period. Participants completed demographic form, and pain and suicide ideation questionnaires. Data were analyzed by analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA) in SPSS version 21.

Findings. People with cardiovascular disease reported more suicide ideation and experienced more pain than healthy people. Moreover, people with cardiovascular disease had higher scores in all three dimensions of pain (sensational-physical, emotional-affective, and cognitive). The result of ANCOVA showed that after controlling pain variable, statistical significant difference between groups’ suicide ideation was removed .

Conclusion. It can be concluded that people with cardiovascular disease suffer from suicide ideation and emotional and cognitive pain along with physical pain. Pain also plays an important role in the incidence of suicide ideation in people with cardiovascular disease. 

---

Abstract
Aim. This review study was conducted to review the relationship between cardiovascular disease and vascular dementia in the elderly.
Background. The aging of the world population has increased dramatically. Chronic diseases related to aging, such as dementia, vascular and cardiovascular disease also have increased as a major health problem with a large impact on community health and family.
Method. The studies published between 2000 and 2017 were searched for in databases and search engines Google scholar, Pumped, Science Direct, Magiran, IranMedex, and SID  by the keywords dementia, cardiovascular disease, hypertension, heart failure, cognitive impairment, elderly, older adult, and atrial fibrillation and their Persian meanings.
Findings. The factors such as high blood pressure, coronary artery disease, atrial fibrillation, heart failure and atherosclerosis are considered as the main causes of vascular dementia, especially in the elderly.
Conclusion. In the elderly, cardiovascular disorders, especially those with chronic nature have a considerable effect on cognitive performance impairment and vascular dementia.

---

Abstract
Aim. The purpose of this study was to determine the knowledge and attitude of Isfahan people about prevention of cardiovascular disease.
Background. Cardiovascular disease is the main cause of death and disability in all societies. Lack of knowledge about risk factors of heart disease is associated with unhealthy lifestyle and increasing progression of cardiovascular disease.
Method. This descriptive analytical study was conducted in 2016 on 384 people of Isfahan, located in the centre of Iran. Data was collected by a researcher-made questionnaire with three parts of personal information, awareness and attitude questions about prevention of cardiovascular disease. The data were analyzed in SPSS 16 using descriptive and inferential statistics.
Findings. Participants had good knowledge of the prevention of cardiovascular disease (with the knowledge mean score of 13.11±1.94 of the maximum score 14). Also, people's attitudes towards cardiovascular disease prevention were positive (with the mean score of 30.6±4.05 of maximum score of 40). There was not a statistically significant difference between the score of knowledge in terms of age, sex, marital status and family history of heart disease, but knowledge about prevention of heart disease was associated with the previously received training and educational level. There was not a statistically significant difference between the score of attitude in terms of demographic characteristics.
Conclusion. The knowledge and attitude about prevention of heart disease among Isfahan people was good and associated with the previously received training. So, providing educational programs about risk factors of cardiovascular disease may improve knowledge of and attitude towards heart disease and play an important role in improving lifestyle and prevention of cardiovascular diseases.

---

Abstract
Aim. This study was conducted with the aim of evaluating qualitative articles on cardiovascular diseases published in Persian-language journals.
Background. Qualitative research contributes to the scientific literature of many disciplines by interpreting and producing theories related to social interactions and individual experiences in natural rather than experimental situations.
Method. In this cross-sectional study, databases including Magiran, SID, and Google Scholar were investigated to search for Persian articles on cardiovascular disease. The papers were selected using the keywords and according to the inclusion and exclusion criteria from among papers published between 2000 and 2017. The appraisal instrument comprised of a researcher-made checklist that was developed based on the content of the book, “Nursing Research Methodology: Implementation, Critique and Application” written by Burns and Grove.
Findings. The 19 eligible articles included in the present study involved qualitative investigations on issues related to heart disease in various aspects. In terms of quality, 68 and 31 percent of the papers were evaluated as having moderate and good quality, respectively. In a more detailed assessment, the philosophical infrastructure criterion was given a lower score.
Conclusion. Overall, this study indicates that qualitative studies published in Persian language journals on cardiovascular disease have an appropriate quality. Because qualitative research can be well applied in nursing and since it stands as required knowledge for nurses, it seems that a more detailed review of manuscripts by journal editors using checklists and via specialized reviewers can enhance the quality of the published papers.

---

---

---

---

Abstract
Aim. The purpose of this study was to determine the role of caregiver burden, marital stress, and minfulness in predicting the level of psychosocial adjustment to illness in people with coronary artery disease.
Background. Cardiovascular disease and its consequences are not limited to the patient, but also have a great impact on the caregiver's life.
Method. This was a descriptive correlational study. The statistical population was all people with referred to the hospitals and medical centers of Urmia with diagnosis of coronary artery disease within the first half of the year. The sample consisted of 130 patients who were selected by convenience sampling method. Data were collected using the questionnaires caregiver burden, marital stress, Kentucky Mindfulness Skills and psychosocial adjustment to illness. Data were analyzed in SPSS by descriptive and inferential statistics.
Findings. The results showed that caregiver burden and marital stress had a statistically significant negative correlation with psychosocial adjustment. Among mindfulness subscales, only “describe” subscale had a statistically significant positive correlation with psychosocial adjustment to illness (P=0.04). The stepwise regression analysis showed that the research model was able to explain 57% of psychosocial adjustment to illness. These findings suggest that caregiver burden and marital stress play an important role in psychosocial adjustment of patients with disease.
Conclusion. It can be concluded that caregiver burden and marital stress play an important role in the primary and secondary prevention of coronary artery disease, and intervention based on the results of this study is recommended.

---

---