Capacidade Funcional e Força Muscular de Pacientes Submetidos à Revascularização do Miocárdio

Abstract

do miocárdio - CRM é um dos procedimentos cirúrgicos mais comuns após IAM, com alta probabilidade de melhora da função ventricular, diminuição dos sintomas, melhor prognóstico e redução da morbimortalidade. O objetivo da pesquisa foi avaliar a capacidade funcional e força de quadríceps de pacientes submetidos a CRM. Foi realizado um estudo do tipo transversal, em pacientes com indicação de cirurgia eletiva de CRM. Os pacientes realizaram o teste de caminhada de seis minutos (TC6M) e dinamometria através do dinamômetro Microfet Handheld para avaliação da capacidade funcional e força do músculo quadríceps no pré-operatório e no 5º dia do pós-operatório, respectivamente. Houve redução significativa da distância percorrida no TC6M no 5º PO quando comparada aos valores do pré-operatório (p<0,05). A força muscular do quadríceps no 5o PO não demonstrou diferença significante quando comparada aos valores de pré-operatório. Apesar de apresentarem déficit na capacidade funcional no 5º dia de pós-operatório, os pacientes submetidos a CRM apresentaram preservação da força muscular de quadríceps.Palavras-chave: Força Muscular. Revascularização Miocárdica. Condicionamento Físico Humano.Abstract Cardiovascular diseases are the leading causes of death in developed and underdeveloped countries. Myocardial revascularization surgery (CABG) is one of the most common surgical procedures after AMI, with a high probability of improvement in ventricular function, a decrease in symptoms, a better prognosis and a reduction in morbidity and mortality. To evaluate the functional capacity and quadriceps strength of patients undergoing CABG. A cross-sectional study was performed in patients with elective CABG surgery. Patients underwent a sixminute walk test (6MWT) and dynamometry using the Microfet Handheld dynamometer to evaluate the functional capacity and strength of the quadriceps muscle in the preoperative period and on the 5th postoperative day, respectively. There was a significant reduction of the distance covered in the 6MWT in the 5th PO when compared to the preoperative values (p <0.05). The muscular strength of the quadriceps in the 5th postoperative did not show a significant difference when compared to the preoperative values. Although patients presented functional capacity deficit on the 5th postoperative day, patients undergoing CABG presented preservation of quadriceps muscle strength.Keywords: Muscle Strength. Myocardial Revascularization. Physical Conditioning, Human.

Correlation between Surgical Risk Scales with Respiratory Muscle Strength and Functional Independence in Patients Submitted to Coronary Artery Bypass Grafting

“…Coronary artery bypass grafting (CABG) is the most common surgical procedure used to treat coronary heart disease, with a high probability of improving ventricular function, reducing symptoms and improving patients' prognosis. 1 The main complications of CABG are related to comorbidities that affect respiratory function, such as chronic obstructive pulmonary disease, pulmonary congestion and prolonged mechanical ventilation, in addition to systemic infections, diabetes mellitus, renal failure and hemodynamic stability. 1,2 Ethics Committee of Faculdade Nobre (approval number 2.490.540), and all participating patients signed an informed consent form.…”

Inspiratory Muscle Training on Functional Capacity After Coronary Artery Bypass Grafting in Patients With High Risk of Pulmonary Complication: Clinical Trial

“…The number of cardiac surgeries, mainly myocardial revascularization (MRI), has been increasing worldwide. Approximately 45,000 surgeries in this category are performed in the United States annually 1,2 . Despite being frequently performed, CABG is still a high-risk procedure, from its completion to the postoperative period, due to the impairments caused by this procedure 3,4 .…”