Parâmetros clínicos e ecocardiográficos associados a baixo índice cronotrópico em pacientes não idosos

Secundo, Paulo Fernando Carvalho; Santos, Bruno Fernandes de Oliveira; Júnior, José Alves Secundo; Silva, Joiciane Bárbara da; Souza, Adriana Ribeiro de; Faro, Gustavo Baptista de Almeida; Filho, Jose Augusto Barreto; Sousa, Antônio Carlos Sobral; Oliveira, Joselina Luzia Menezes

doi:10.1590/s0066-782x2012005000033

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…Most protocols use additional tests as reference, among which the ergometric test can be considered as a well-established methodology for risk stratification of cardiac patients [ 21 ] . For cardiac risk stratification the metabolic equivalent (METs) obtained from the ergometric test is indicated in many of the protocols as one of the main references for determining the risk level of each individual.…”

Section: Discussionmentioning

confidence: 99%

Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols

Silva¹,

Barbosa²,

Bernardo³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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Objective Gather and describe general characteristics of different protocols of risk stratification for cardiac patients undergoing exercise. Methods We conducted searches in LILACS, IBECS, MEDLINE, Cochrane Library, and SciELO electronic databases, using the following descriptors: Cardiovascular Disease, Rehabilitation Centers, Practice Guideline, Exercise and Risk Stratification in the past 20 years. Results Were selected eight studies addressing methods of risk stratification in patients undergoing exercise. Conclusion None of the methods described could cover every situation the patient can be subjected to; however, they are essential to exercise prescription.

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Section: Discussionmentioning

confidence: 99%

Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols

Silva¹,

Barbosa²,

Bernardo³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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“…Among the tests used for risk stratification of heart patients, the ergometric test stands out due to its well-established methodology 22 . This test is used to identify myocardial ischemia and arrhythmia induced by exercise and it provides the value of the metabolic equivalent (MET), which is utilized in all protocols that use complementary tests as one of the main references to determine the risk level 7 .…”

Section: Discussionmentioning

confidence: 99%

Analysis of agreement between cardiac risk stratification protocols applied to participants of a center for cardiac rehabilitation

Santos¹,

Silva²,

Vanderlei³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundCardiac risk stratification is related to the risk of the occurrence of events induced by exercise. Despite the existence of several protocols to calculate risk stratification, studies indicating that there is similarity between these protocols are still unknown.ObjectiveTo evaluate the agreement between the existing protocols on cardiac risk rating in cardiac patients.MethodThe records of 50 patients from a cardiac rehabilitation program were analyzed, from which the following information was extracted: age, sex, weight, height, clinical diagnosis, medical history, risk factors, associated diseases, and the results from the most recent laboratory and complementary tests performed. This information was used for risk stratification of the patients in the protocols of the American College of Sports Medicine, the Brazilian Society of Cardiology, the American Heart Association, the protocol designed by Frederic J. Pashkow, the American Association of Cardiovascular and Pulmonary Rehabilitation, the Société Française de Cardiologie, and the Sociedad Española de Cardiología. Descriptive statistics were used to characterize the sample and the analysis of agreement between the protocols was calculated using the Kappa coefficient. Differences were considered with a significance level of 5%.ResultsOf the 21 analyses of agreement, 12 were considered significant between the protocols used for risk classification, with nine classified as moderate and three as low. No agreements were classified as excellent. Different proportions were observed in each risk category, with significant differences between the protocols for all risk categories.ConclusionThe agreements between the protocols were considered low and moderate and the risk proportions differed between protocols.

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Chronotropic incompetence, echocardiographic abnormalities and exercise intolerance in renal transplant recipients

et al. 2014

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Parâmetros clínicos e ecocardiográficos associados a baixo índice cronotrópico em pacientes não idosos

Abstract: Background: Despite abundant evidence of increased morbidity and mortality, chronotropic incompetence (CI) is not a routine diagnosis well defined in protocols of cardiac evaluation and its clinical importance is still underestimated.

Cited by 6 publications

References 34 publications

Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols

Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols

Analysis of agreement between cardiac risk stratification protocols applied to participants of a center for cardiac rehabilitation

Chronotropic incompetence, echocardiographic abnormalities and exercise intolerance in renal transplant recipients

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