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Canadian Journal of Cardiology
Letters to the Editor| Volume 37, ISSUE 8, P1300, August 2021

Barriers and Strategies for Early Mobilization in Acute Cardiovascular Disease

      We read with great interest the article by Semsar-Kazerooni et al., which discussed the importance of early mobilization in people with acute cardiovascular disease.
      • Semsar-Kazerooni K
      • Dima D
      • Valiquette J
      • Berube-Dufour J
      • Goldfarb M.
      Early mobilization in people with acute cardiovascular disease.
      This was a historical cohort study with no major confounding by indication and involved a large sample size. In addition, approximately 90% of the participants were on an early mobilization program, which was feasible, safe, and impressive. We have also reported that early mobilization in patients with acute heart failure reduced the rate of decline in activities of daily living by half the odds ratio.
      • Suzuki S
      • Momosaki R
      • Watanabe T
      • Abo M.
      Effectiveness of early rehabilitation for acute heart failure: a retrospective cohort study.
      In Japan, early rehabilitation in intensive care units (ICUs) for patients with cardiac disease has been getting a great deal of attention in recent years because of the incentive of reimbursement for early rehabilitation in the ICU.
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      References

        • Semsar-Kazerooni K
        • Dima D
        • Valiquette J
        • Berube-Dufour J
        • Goldfarb M.
        Early mobilization in people with acute cardiovascular disease.
        Can J Cardiol. 2021; 37: 232-240
        • Suzuki S
        • Momosaki R
        • Watanabe T
        • Abo M.
        Effectiveness of early rehabilitation for acute heart failure: a retrospective cohort study.
        J Cardiopulm Rehabil Prev. 2019; 39: E23-E25
        • Alaparthi GK
        • Gatty A
        • Samuel SR
        • Amaravadi SK.
        Effectiveness, safety, and barriers to early mobilization in the intensive care unit.
        Crit Care Res Pract. 2020; 20207840743
        • Johnston MV
        • Ottenbacher KJ
        • Reichardt CS.
        Strong quasi-experimental designs for research on the effectiveness of rehabilitation.
        Am J Phys Med Rehabil. 1995; 74: 383-392

      Linked Article

      • Percutaneous Closure of a Giant Aortic Pseudoaneurysm Using Multimodality Imaging Guidance
        Canadian Journal of CardiologyVol. 37Issue 8
        • Preview
          Ascending aortic pseudoaneurysm is a rare, life-threatening complication of cardiac surgery. Surgical management is recommended, however, transcatheter techniques offer a less invasive alternative. We describe successful percutaneous closure, guided by using multimodality imaging, in a patient with high surgical risk.
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      • Reply to Tsuge et al.—Early Mobilization in People With Acute Cardiovascular Disease
        Canadian Journal of CardiologyVol. 37Issue 8
        • Preview
          We thank Tsuge and colleagues for their interest in our study and for their contribution to understanding the role of early mobilization in acute cardiac care.1 The emerging evidence for early mobilization in the acute cardiac setting is promising. However, the current evidence base, including our current study, is mainly observational or retrospective in nature and is thus subject to the corresponding biases.2 To address potential biases in our study, we included consecutive admissions to the cardiac intensive care unit, compared consecutive time periods (pre- and postintervention), and adjusted for potential confounders, including admission for heart failure.
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