New Research Advances in Cardiac Rehabilitation – Five New Highlights in Lifestyle Improvement 1. Sauna Reduces Risk of Death A study published in JAMA Internal Medicine, the journal of the American Medical Association, suggests that sauna bathing reduces cardiovascular death and overall mortality. The Finnish study, which evaluated 2,315 men aged 42-60 years, found that men who took 2-3 saunas per week had 22% fewer sudden cardiac deaths, 23% fewer coronary heart disease deaths, 27% fewer cardiovascular deaths and a 24% reduction in total mortality (i.e., all-cause mortality) compared to those who took one sauna per week. These mortality rates decreased by 63%, 48%, 50%, and 40% for men who took 4-7 saunas per week, respectively. Compared to those who took 11 minutes of sauna, men who took 11-19 minutes of sauna and more than 19 minutes of sauna had a 7% and 52% decrease in cardiac mortality, respectively. A large clinical epidemiological study in Korea showed that moderate coffee consumption (less than 5 cups per day) reduced calcification in the coronary arteries supplying blood to the heart. The incidence of coronary artery calcification was reduced in those who drank less than 3 cups of coffee per day, and was lowest in those who drank 3-4 cups of coffee per day, while the incidence of coronary artery calcification was increased in those who drank ≥5 cups of coffee per day. Compared with non-coffee drinkers, the incidence of coronary artery calcification was reduced by 14%, 18% and 22% in those who drank less than 1 cup, 1-2 cups and 3-4 cups of coffee per day, respectively. 3, vitamin D is not beneficial to lower blood pressure domestic public consumers on vitamin fever, enduring. In fact, studies over the years have consistently shown that vitamins E, B, and C do not reduce the risk of cardiovascular disease. Recent studies have also shown that vitamin D is ineffective in lowering blood pressure. 4, to pay attention to sleep management In our health and chronic disease management rehabilitation, we must vigorously promote the implementation of the 5 prescriptions. One of the psychological prescriptions must include sleep management. In recent years, research at the University of Arizona College of Medicine has shown that intermittent insomniacs have a significantly increased risk of death compared to those who do not suffer from insomnia. Premature death was increased by 58% in those with persistent insomnia. The cause of premature death was heart and lung disease, not cancer. Therefore, don’t ignore sleep disorders! 5, double heart medicine” of new developments antidepressants to improve the cardiovascular risk of patients with major depressive disorders. An important study released at the annual meeting of the American College of Cardiology just this year found that in patients with moderate to severe depression, coronary heart disease, stroke and mortality were significantly reduced in patients treated with antidepressants compared to those who did not use antidepressants. In this specific population, no reduction in the risk of cardiovascular disease and death was seen with statin use alone or with the addition of a statin to antidepressants. Statin use in this patient population was not beneficial, and no safety concerns were seen. That is, there is no benefit and no harm. Psychological stress affects recovery from myocardial infarction. Dr. Xiao Xu of Yale University School of Medicine analyzed data from 3572 patients aged 18-55 years with acute myocardial infarction, of whom 2397 were women. The study found that women with myocardial infarction had higher psychosocial stress scores and recovered significantly worse than men at 1 month post-infarction. The main reasons for high psychosocial stress in women were comorbidities, physical and mental health status, family conflicts, financial difficulties and care needs. The authors noted that “helping patients develop positive attitudes and skills to cope with stress not only improves their psychological well-being but also benefits their recovery after acute myocardial infarction.” “Double hearted medicine”, psychological prescription is important!