Efeito da atividade física de lazer no prognóstico da cirurgia de revascularização do miocárdio

Abstract

Efeito da atividade física de lazer no prognóstico da cirurgia de revascularização do miocárdioEffect of leisure-time physical activity on the prognosis of coronary artery bypass graft surgery Abstract Objective: The aim of this study was to evaluate the effect of leisure-time physical activity (LTPA) in the early outcome of coronary artery bypass graft surgery (CABG).Methods: This prospective cohort study analyzed 202 patients submitted to CABG. The patients were assigned to two groups, active or sedentary, according to the practice of LTPA in the preoperative period. The independent variable LTPA practiced by the patients in the previous year of the surgery was evaluated. The occurrence of the major adverse cardiac events as death, acute myocardial infarction, reoperation and the hospital stay after surgery were planned to be evaluated.Results: The mean age of patients was 62 ± 10 years, and 134 (66%) were men. Sixty-six (33%) patients practiced LTPA and were classified as active, and 136 (67%) were sedentary. The active group showed 78% less probability (OR= 0 . 74NERY, RM -Effect of leisure-time physical activity on the prognosis of coronary artery bypass graft surgery Bras Cir Cardiovasc 2010; 25(1): 73-78 impairment that could impair the accomplishment of the walking test were also excluded. Rev

Alterações na capacidade funcional de pacientes após dois anos da cirurgia de revascularização do miocárdio

“…Studies have suggested that physical activity is beneficial in both the prevention and treatment of patients with ischemic heart disease, and it should be recommended for those undergoing CABG [2]. Therefore, the maintenance of physical activity in operated patients should be recommended.…”

Expectations of patients submitted to myocardial revascularization surgery at the time of hospital discharge

“…Surgery seems to be perceived by the subject, as associated with the limitation to labor activity, and there are psychoemotional importance of the situation, repercussions in terms of perception of low self-esteem and financial dependence, 25 as can be seen below. However, we see the hope on the part of respondents, when they deal with not knowing anything, but everything will depend on physician's guidance.…”

“…25 States promote health means, therefore, strengthen the balance between all rehabilitation. 26 Noted that the subject of this study did not have the habit of such practice, relating the activities of work with physical exercise, as noted below.…”

“…It is believed that the practice of daily physical activities produces beneficial effects, such as decreased anxiety, reduces emotional stress, lowers the metabolic disorders and improves vasodilation ability in different vascular beds. 25 Some guys are believed unable to practice physical activity.…”

Descoberta da doença cardiovascular: associando causas e vivenciando o contexto da instituição hospitalar de referência [Discovery of cardiovascular disease: associating causes and experiencing the context of a referral hospital]

“…As orientações e práticas educativas iniciadas neste período favorecem o enfrentamento da cirurgia pelo paciente, permitindo a diminuição das taxas de complicações pós-operatórias e do tempo de internação hospitalar. Logo, agilizam a recuperação, possibilitando ao paciente o retorno mais rápido ao seu cotidiano habitual 26,27 . Neste estudo, a permanência do paciente no programa de reabilitação cardíaca é atribuída ao acesso facilitado à terapia medicamentosa e à realização de exames e consultas, assim como às oportunidades de interação, convivência e socialização em grupo.…”