Reabilitação cardiovascular na coronariopatia discreta com diminuição da capacidade funcional

Abstract

Introduction: Pharmacological treatment to control the triggering factors of coronary artery disease (CAD) is the initial front line. However, an adjuvant option to pharmacological treatment is Cardiovascular Rehabilitation (CR). Therefore, the aim of this study is to show the results of CR in improving the quality of life and functionality of a patient with mild coronary artery disease. Case description: Male, 52 years old, sedentary, former smoker for 12 years, with clinical diagnosis of mild CAD, arrhythmia, systemic arterial hypertension and dyslipidemia. The patient enters CR in August of 2017, complaining of shortness of breath, fatigue, difficulty climbing and descending stairs, limitations to perform daily life and work activities. Results: Decreased blood pressure 140/90 vs. 110/70 mmHg, increased VO2 max 32 vs. 52 ml/kg.min, improved left ventricular ejection fraction 50 vs. 68%, decreased concentric hypertrophy with LV posterior wall diastolic thickness and 12 vs. 9 mm interventricular septum and left ventricular mass reduction 299 vs. 213 g. He gets a 87% improvement in quality of life assessed by the Minnesota 72 vs. 9 points, plus decrease and withdrawal of drugs. Conclusion: An individualized Cardiovascular Rehabilitation program seems to promote improvement of quality of life, functionality and clinical aspects of patients with mild coronary artery disease.Keywords: coronary obstruction, surgery, cardiac rehabilitation.