A classe da NYHA tem relação com a condição funcional e qualidade de vida na insuficiência cardíaca

Naso, Fábio Cangeri Di; Pereira, Joaber; Beatricci, Simone Zani; Bianchi, Renata Giovana; Dias, Alexandre Simões; Monteiro, Mariane Borba

doi:10.1590/s1809-29502011000200010

Cited by 12 publications

(28 citation statements)

References 28 publications

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“…It's known that the HF's main consequences regarding its symptoms are the dyspnea, the edema and the fatigue related to the physical limitation, which due to its pathophysiology there is a cardiac output reduction and an increase from both, lung and systemic venous pressure, leading to functional capability's deficits, the last being an important HD's mortality predictor and prognostic marker (DI NASO et al, 2011;DIAS et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Among those methods there's the HF's functional classification from New York Heart Association (NYHA), which is based according with the symptoms presented by the patient when performing daily activities, varying from I to IV and the Veterans Specific Activity Questionnaire (VSAQ), which is an instrument able to measure the HF's physical limitation though metabolic equivalents (METs) (MYERS et al, 1994;DOMINGUES, 2010;DI NASO et al, 2011). Each MET represents an increase of 10% in the 1090 Physical limitation's impact in heart… SILVA, P. C. et al…”

Section: Introductionmentioning

confidence: 99%

“…It's already known that researches regarding this type of subjects (LQ and physical limitation evaluation) may present valuable information when establishing parameters, making possible the construction of an situational diagnosis for each patient aiming to identify its needs and risks, help in the health professional approach, improve the health team's communication, and verify the health results in pre-developed goals and objectives (DI NASO et al, 2011). In this context the objective of this research was to evaluate the physical limitation impact in HF patient's HRLQ.…”

Section: Introductionmentioning

confidence: 99%

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Impact of physical limitation in life quality health related of heart failure patients

Silva¹,

Santos²,

Neto³

et al. 2017

Biosci. J.

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ABSTRACT:The heart failure (HF) it's a self-limiting and severe condition, of varied etiology, with negative repercussions to the political-economic framework, and to health related life quality (HRLQ) of patients with HF, due to its standard symptoms and effects. Its's believed that due to the reduced cardiorespiratory competence coming for the HF, certain physical limitation levels would be expressed, impairing directly the HRLQ. To evaluate the physical limitation impact in the HRLQ of Heart Failure patients. Cross-sectional study, quantitative, descriptive and analytical character, conducted with patients treated at a Cardiology outpatient clinic from a university hospital. To evaluate the patients was used: characterization questionnaire Clinic and Socioeconomic, Minnesota Living With Heart Failure Questionnaire (MLHFQ) and the Veterans Specific Activity Questionnaire (VSAQ). The data was managed in Microsoft Office Excel® 2010 program, double independent entry. Subsequently imported into Statistical Package for Social Science program (SPSS), version 21.0, which were conducted exploratory analyzes of data from the calculation of simple absolute and percentage frequencies for categorical variables and measures of centrality and dispersion for quantitative variables, as well as parametric testing Pearson correlation, since the normal distribution of variables. In the research were included 108 patients, with a predominance of female participants (50.90%), mean age of 66.55±11.41 years. Regarding the NYHA functional classification at level II (50%) and NYHA III (39.80%) were the most prevalent. The etiologies of HF was the most prevalent Chagas' Heart (50.90%). The MLHFQ showed negative impact of the IC under the HRLQ, which presented a total score of MLHFQ of 51.87±15.74 points. At the physical limitation the VSAQ resulted in an average of 3, 37±1, 41 with bigger impairment to the METS3 (45, 4%). The MLHFQ and VSAQ correlation presented itself negative, moderate to strong and significant (p<0, 01) it results for each domain being: physical (-0,523); emotional (-0.436); nonspecific (-0,411), and MLHFQ's total score (-0,562). It has been confirmed that the greater the degree of heart damage due to HF presents, the lower will be the patient's MET results confirming a physical limitation as a HRLQ's impairing predictor.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of physical limitation in life quality health related of heart failure patients

Silva¹,

Santos²,

Neto³

et al. 2017

Biosci. J.

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“…Gyalai-Korpos et al (25) found that elderly people with CHF often present hospitalization time longer than 12 days, according to the New York Heart Association classification (NYHA>4), presence of one or more comorbidities, and associated chronic renal failure, as well as decreased pulmonary condition and physical functional capacity. These changes are associated with increased NYHA functional class, regardless of the values of the left ventricular ejection fraction, reflecting the impact of enhanced disease severity (26) . Therefore, CHF alone presents a number of factors that may explain the appearance of oropharyngeal dysphagia in the postoperative period of cardiac surgery, as reported by the studies listed in present review.…”

Section: Characterization Of Studiesmentioning

confidence: 93%

Fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca: revisão sistemática

Werle

Steidl

Mancopes

2016

CoDAS

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RESUMO Objetivo Identificar os principais fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca, por meio de uma revisão sistemática de literatura. Método Foi realizada pesquisa bibliográfica nas bases PubMed e ScienceDirect, utilizando os termos cardiac surgery, deglutition disorders e dysphagia. Critérios de seleção Foram selecionados artigos sem limitação de ano escritos em português, inglês ou espanhol e que referissem disfagia orofaríngea no pós-operatório de cirurgia cardíaca. Apenas os estudos disponíveis na íntegra foram incluídos. Análise dos dados Cada artigo passou pela análise de títulos e resumos, sendo posteriormente submetido à avaliação na íntegra por dois juízes cegados. Os seguintes dados foram extraídos: autores/ano, desenho do estudo, amostra, variáveis avaliadas e principais resultados. Resultados Os principais fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca foram: idade avançada, presença de comorbidades e outras doenças associadas, tempo de intubação e condições cirúrgicas. Conclusão Os estudos foram bastante heterogêneos, demonstrando que sujeitos submetidos a procedimentos cirúrgicos cardíacos, em especial idosos, apresentam diversos fatores relacionados à disfagia orofaríngea no pós-operatório, como o uso de circulação extracorpórea e ecocardiografia transesofágica, comorbidades associadas, desenvolvimento de sepse pós-operatória e condições cardíacas prévias.

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“…Many are the physical symptoms such as pain, chest discomfort, orthopnea, syncope and tachycardia. Beside those, swelling, loss of appetite, dry mouth, and daytime sleepiness, difficulty in maintaining a refreshing sleep, dyspnea and fatigue are commonly present (DI NASO et al, 2011;PELEGRINO et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Correlation between clinical and socioeconomic characteristics and perceived health status of patients with heart failure

Neto¹,

Cunha²,

Silva³

et al. 2018

Biosci. J.

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ABSTRACT:Associations between generic and specific perceived health status have been little used in the clinical practice of the cardiovascular sciences. Describe the clinical and socio-economic profile of heart failure patients (HF) and correlate their perceived health status (PHS) (generic and specific) with clinical and socio-economic variables. Cross-sectional, quantitative and analytical study approved by the ethics committee -Federal University of Triangulo Mineiro (number 833.007). A sample of 91 individuals with different functional classes and etiologies of HF and who were in outpatient follow-up answered the following questionnaire: 1. Clinical and socioeconomic questionnaire; 2. Visual Analog Scale (VAS); 3. Minnesota Questionnaire (MLWHFQ). We studied 91 patients with HF; the majority was male (50.5%) married (52.7%), inactive (working condition) (83.51%), NYHA functional class IV (29.7%) hypertension etiology (46.2%). The VAS was correlated significantly (p <0.05) with the variables family income (r = 0.173) and left ventricular ejection fraction (LVEF) (r = 0.221) and significant (p <0.01) comorbidities (r = 0.237) and medications (r = 0.475). Significant associations (p <0.05) were established between the VSA, gender, surgical procedure and NYHA functional class IV. All MLWHFQ domains were significantly associated (p <0.01) with the female gender and functional class IV. Perceived health status showed significant decline in all dimensions when compared to other published studies, demanding attention from the health professionals and new clinical strategies to manage heart failure.

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A classe da NYHA tem relação com a condição funcional e qualidade de vida na insuficiência cardíaca

Cited by 12 publications

References 28 publications

Impact of physical limitation in life quality health related of heart failure patients

Impact of physical limitation in life quality health related of heart failure patients

Fatores relacionados à disfagia orofaríngea no pós-operatório de cirurgia cardíaca: revisão sistemática

Correlation between clinical and socioeconomic characteristics and perceived health status of patients with heart failure

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