FUNCTIONAL, PULMONARY, METABOLIC AND QUALITY OF LIFE RESPONSES AFTER CARDIOVASCULAR REHABILITATION PROGRAM

Jéssica Santana Porto, Gabriela Lorena Dultra Bastos, Queila Borges, Thaissa Claro, Cristiane Feitosa, Eloísa Prado, Gustavo Feitosa, Eduardo Sahade Darzé, Luiz Eduardo Fonteles Ritt

Resumo


BACKGROUND: clinical trials showed improvement in functional capacity, quality of life, morbidity and mortality with cardiovascular rehabilitation (CVR). OBJECTIVE: to verify clinical responses of a CVR program in a tertiary center. METHODS: 85 patients evaluated in a CVR program. Results for functional capacity obtained by cardiopulmonary exercise test (CPET), sitting rising chair test (SRCT), six minute step test (6MST), inspiratory pressure (Pins), expiratory pressure (Pexp), peak-flow and quality of life score (Minnesota Living With Heart Failure Quality of Life Score - MLWHFS) were compared before and after the program. RESULTS: 69% were men, mean age was 61 ± 15 years and the mean ejection fraction was 61 ± 24%. There was an absolute mean increase of 2.4 ± 3.5 ml -1.kg -1.min -1 in peak VO2(p <0.001), 14 ± 17 repetitions on the SRCT (p <0.001), 44 ± 41 steps on the 6MST (p <0.001). In pulmonary function, there was an increase of -20 ± 40 cmH2O in Pins (p <0.01) and of 9 ± 29 cmH2O (p <0.001) in Pexp and 52 ± 77 L.min-1 in peak-flow (p <0.01) and there was a significant gain in quality of life with a mean reduction of 21 ± 15 points in the MLWHFS (P <0.001). CONCLUSION: CVR program resulted in a increase in functional, pulmonary capacity and improvement of quality of life. These data reproduce and reinforce the findings of randomized clinical trials, but in a real and uncontrolled clinical setting.

Palavras-chave


heart failure, cardiovascular rehabilitation, functional capacity

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DOI: http://dx.doi.org/10.17267/2238-2704rpf.v7i4.1664

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Direitos autorais 2017 Jéssica Santana Porto, Gabriela Lorena Dultra Bastos, Queila Borges, Thaissa Claro, Cristiane Feitosa, Eloísa Prado, Gustavo Feitosa, Eduardo Sahade Darzé, Luiz Eduardo Fonteles Ritt

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Revista Pesquisa em Fisioterapia | ISSN: 2238-2704

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