Information From the Editor-in-Chief
Welcome David W. Schopfer, M.D., M.A.S. to the JCRP editorial board!
I am a general cardiologist and health services researcher at the National Heart, Lung, and Blood Institute (NHLBI). My long-term goal is to develop, implement, and disseminate cost-effective strategies to improve delivery of high-quality cardiovascular care. This includes particular focus on the utilization of new methods of healthcare delivery including telemedicine and mobile technologies, identifying opportunities to improve utilization of guideline-directed medical therapies, and implementation of cost-effective interventions. I appreciate the opportunity to serve on the JCRP Board because most of my prior research was on new methods of cardiac rehabilitation delivery to improve access and use for patients.
Featured Article of the Week - Healthy Vascular Aging Is Associated with Higher Cardiorespiratory Fitness
Focus of the paper: Healthy vascular aging (HVA) is an emerging novel risk factor associated with reduced cardiovascular mortality. Higher cardiorespiratory fitness is an established predictor of lower cardiovascular mortality. The aim of this study was to determine if HVA is associated with higher cardiorespiratory fitness in both men and women.
Key methods: Apparently healthy men and women (n=101), 50 years of age or higher, performed a maximal cardiopulmonary exercise test to determine VO2peak. Brachial artery blood pressure and carotid-femoral pulse wave velocity (cfPWV) were also measured as an index of HVA. As a noninvasive measure of arterial stiffness, cfPWV is the time for the arterial pulse to propagate from the carotid to the femoral artery. HVA was defined as a blood pressure of less than 140/90 mm Hg, while not taking antihypertensive medications, and a cfPWV of less than 7.6 m/sec.
Key findings: Systolic blood pressure and cfPWV were independently and inversely related to cardiorespiratory fitness. HVA was more prevalent in women than in men (36% versus 15%). Men and women with HVA were younger and had lower % body fat and LDL-cholesterol. Subjects with HVA had higher age- and sex-adjusted cardiorespiratory fitness percentile (62±5 versus 47±3, P<0.05).
Conclusion: HVA is associated with higher cardiorespiratory fitness (VO2peak) as directly assessed by maximal cardiopulmonary exercise testing.
- In 2020 we made a number of improvements to our procedures for processing manuscripts. These changes have reduced our editorial processing, review, and decision times significantly. Authors can expect their submissions will be processed in a time efficient manner and they will receive a timely decision.
- The acceptance rate for manuscripts continues to lower (24% in 2020), which indicates higher quality publications.
- This second issue of 2021 includes an excellent Invited Review on the timely topic of high-intensity interval training (HIIT) for patients participating in cardiac rehabiliation programs and a Systematic Review on COPD exacerbations related to pulmonary rehabilitation. A couple of themes in this issue are two papers related to cardiac rehabiliation for elderly populations and modifications in cardiac rehabiliation programing during the COVID pandemic. This issue also debuts our first Research Letters (a new manuscript format for JCRP).
- Please note the Featured Article of the week section above. Our Editorial group provides a brief overview of one article each week to call your attention to some of the key information you can learn from articles in this issue.
- I encourage you to post links to specific articles from this issue on your Facebook page and to tweet the links on your Twitter account (use the icons on our home page for both of these JCRP Social Media accounts). Doing so helps both Clinicians and Researchers to stay current with the latest research in Cardiac Rehabilitation, Pulmonary Rehabilitation, and Prevention. This will ultimately have a positive influence on patients in Cardiopumonary Rehabilitation Programs.
- Enjoy this second issue of 2021.
-Lenny Kaminsky, PhD, Editor-in-Chief