Reabilitação física no transplante de coração

Guimarães, Guilherme Veiga; d’Avila, Veridiana Moraes; Chizzola, Paulo Roberto; Bacal, Fernando; Stolf, Noedir A. G; Bocchi, Edimar Alcides

doi:10.1590/s1517-86922004000500008

Cited by 13 publications

(24 citation statements)

References 22 publications

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“…Moreover, the breathing efficiency is also improved during exercise [26]. These individuals showed that when implementing a basic program of mobilization and respiratory physiotherapy, they were able to recover the values of lung volumes and capacities and to improve useful functional capacity.…”

Section: Discussionmentioning

confidence: 90%

“…However, often present physical deconditioning, atrophy and muscle weakness and reduced aerobic capacity, resulting in part from inactivity and preoperative factors such as differences in body surface donor/recipient and denervation of the heart [26]. Regular physical activity has an important role post-transplant and should be started early for the restoration of physical capacity, enabling to patients to back to perform most of their daily activities and also recreation.…”

Section: Discussionmentioning

confidence: 99%

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Variáveis perioperatórias de função ventilatória e capacidade física em indivíduos submetidos a transplante cardíaco

Coronel

Bordignon²,

Bueno³

et al. 2010

Rev Bras Cir Cardiovasc

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Introduction: Heart transplantation is currently the only widely accepted surgical alternative to treat patients with severe heart failure (HF) drug therapy cannot maintain optimal quality of life appropriate.Objective: To describe and to compare the values between pre-and postoperative physical capacity and pulmonary patients who underwent heart transplantation.Methods: A retrospective cohort composed of patients undergoing heart transplantation between January 2001 to March 2005 in IC-FUC/RS.Results: Were included in the 21 individuals. We observed decreased levels of volume and lung capacity (FEV1 and FVC) in the first days after surgery compared to preoperatively (P <0.001) and recovery of these values in the 14th postoperative day (P <0.001). The values of muscle strength showed similar trends in reducing post-operative period compared to preoperative (P <0.001) and recovered on the 14 th postoperative day (P <0.001). A useful functional capacity, measured by testing 6-minute walk test (T6') showed improvement in the 14 th postoperative day in relation to pre-operatively (P <0.001). Conclusion:Changes in ventilatory function of subjects undergoing cardiac transplantation are predictable, but these recover respiratory muscle strength and lung capacity within two weeks, and improve functional capacity useful in relation to pre-operative, the transplantation, when indicated, associated with good functional rehabilitation is very god treatment strategy.Descriptors: Heart transplantation. Respiratory function tests. Forced expiratory flow rates. Exercise therapy. ResumoIntrodução: O transplante cardíaco é atualmente a única alternativa cirúrgica amplamente aceita para tratar pacientes com insuficiência cardíaca (IC) grave que a terapia medicamentosa otimizada não consiga manter qualidade de vida adequada.Objetivo: Descrever e comparar os valores entre pré e pós-operatório, das capacidades física e pulmonar de pacientes que realizaram transplante cardíaco. Bras Cir Cardiovasc 2010; 25(2): 190-196 bed, coughing and control techniques of pain [7,12], in addition to the practice of aerobic exercises. [17]. CORONEL, CC ET AL -Perioperative variables of ventilatory function and physical capacity in heart transplant patients RevDespite all the risks that patients with transplanted organ has to infection and rejection, this technique has shown great efficacy in survival, presenting results of survival rate of 90% in the first year and 87% in the fifth year posttransplant with good quality of life [18].This study aims to describe the values of physical and pulmonary abilities of patients who underwent heart transplant and who underwent conventional physiotherapy. Moreover, it aims to evaluate and compare the physical capacity of patients preoperatively and on day 14 th postoperative heart transplant and to evaluate and compare the forced vital capacity, forced expiratory volume in one second, maximum inspiratory muscle strength and the maximal expiratory muscle strength in pre-, 1st, 7th and 14 th postoperativ...

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Variáveis perioperatórias de função ventilatória e capacidade física em indivíduos submetidos a transplante cardíaco

Coronel

Bordignon²,

Bueno³

et al. 2010

Rev Bras Cir Cardiovasc

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“…Прирост и нормализация ФР после ТС были более значимы у физически активных пациентов. Среди факторов, приведших к улучшению ФР, выделяют: улучшение функции сердечно-сосудистой системы и утилиза-ции кислорода в мышцах [11,21,22]. Полученные данные согласуются с исследованиями Европей-ского сообщества кардиологов (European Society of Cardiology), где показано, что у физически актив-ных пациентов уровень ФР нормализуется быстрее, чем у ведущих сидячий образ жизни [23].…”

Section: Discussionunclassified

“…В настоящее время обсуждаются факторы, ко-торые могут влиять на динамику ФР. К ним можно отнести хронотропную недостаточность, низкую физическую активность или сидячий образ жиз-ни, низкую мышечную массу, а также побочные эффекты применения иммуносупрессивной тера-пии [10,11].…”

Section: Introductionunclassified

Dynamic of Physical Capacity and Quality of Life After Heart Transplantation

Simonenko

Березина

Федотов

et al. 2018

RJTAO

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ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России, Санкт-Петербург, Российская Федерация Цель. Оценить уровень физической работоспособности (ФР) и качества жизни (КЖ) у реципиентов пос-ле трансплантации сердца (ТС) и выявить факторы, влияющие на динамику этих показателей. Матери-алы и методы. С января 2010-го по сентябрь 2016 г. было обследовано 76 реципиентов до и после ТС (средний возраст -45,4 ± 1,6 года). Физическую активность (ФА) оценивали по результатам IPAQ-анке-тирования (через 6 месяцев, 1 год после ТС). Уровень ФР определяли методом кардиореспираторного тестирования (Oxycon Pro, Germany) исходно, через 6 месяцев (n = 32) и 1 год (n = 31) после ТС; в эти же сроки оценивали КЖ (опросник SF-36). Результаты. Уровень ФР через 6 месяцев после ТС улуч-шился (VO 2peak -12,6 ± 0,5 и 17,3 ± 0,6 мл/мин/кг, p < 0,001) по сравнению с результатами до ТС. Через 1 год после ТС у физически активных реципиентов (n = 21) уровень ФР был выше, чем у пациентов, продолжавших вести сидячий образ жизни (VO 2peak -18,7 ± 0,9 и 16,7 ± 0,4 мл/мин/кг, p < 0,05). Через 6 месяцев 59,4% (n = 19) и 1 год после ТС 77,4% (n = 24) пациентов достигли нормальных значений VO 2peak , характерных для данного пола и возраста (VO 2peak ≥ 84% и/или 40-60% от VO 2-АП ), из них 20 реципиентов были физически активными. Различий в динамике ФР в зависимости от исходной тяжести хронической сердечной недостаточности, давности заболевания, длительности пребывания в листе ожидания ТС не было выявлено. Через 6 месяцев после ТС КЖ улучшилось в сфере физического благополучия (32,2 ± 1,1 и 48,2 ± 1,6, p < 0,001), не изменилось в сфере психологического благополучия и оставалось стабиль-ным через 1 год после ТС. При этом КЖ у физически активных пациентов было выше, чем у тех, кто вел сидячий образ жизни. Выявлены корреляционные связи между показателем физического благополучия и длительностью ФА (r = 0,4; p < 0,05), VO 2peak (r = 0,3; p < 0,05), VO 2-АП (r = 0,4; p < 0,05), VE/VCO 2 (r = -0,5; p < 0,5). Выводы. Уровни физической работоспособности и качества жизни в сфере физического благополучия у больных после трансплантации сердца улучшились, результаты были лучше у физически активных пациентов. Факторами, влияющими на прирост физической работоспособности, были улучше-ние функционального состояния сердечно-сосудистой системы и физическая активность.Ключевые слова: трансплантация сердца, сердечная недостаточность, физическая активность, физическая работоспособность, кардиореспираторный тест (КРТ), качество жизни. M.A. Simonenko, A.V. Berezina, P.A. Fedotov, Y.V. Sazonova, T.M. Pervunina, T.A. Lelyavina, M.Y. Sitnikova, G.V. Nikolaev, M.L. Gordeev, M.A. Karpenko Almazov National Medical Research Centre, Saint-Petersburg, Russian Federation Aim: to estimate physical capacity and quality of life (QoL) and defi ne factors which impact on their dynamic in recipients after heart transplantation (HTx). Materials and methods. From January 2010 to September 2016 we performed 76 HTx (mean age -45,4 ± 1,6 yrs). Physical activ...

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“…But also often have physical deconditioning, muscle weakness and atrophy and lower aerobic capacity [27]. Regular physical activity plays an important posttransplant role and should be started early to restore physical capacity, enabling transplanted patients back to perform most of their daily activities and also recreation.…”

Section: Discussionmentioning

confidence: 99%

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

Mont’Alverne¹,

Galdino²,

Pinheiro³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objective: To evaluate patient with cardiomyopathy's progress after cardiac transplant, by analyzing his survival, complications and cardiovascular responses after nearly four years of surgery.Methods: The survey was conducted from February to May 2011, with patients undergoing cardiac transplantation at Dr. Carlos Alberto Studart Gomes Hospital -Messejana Hospital (HDM). The sample consisted of all transplanted patients in 2007 in this hospital. Initially an evaluation form developed by the researchers, which was based on collected data from patients' medical records, was applied, about trans and postoperative period. After collecting these informations, patients underwent the six-minute walk test (6WT). The marks found in walking distance were compared with reference marks expected for this population by using Enright and Sherrill's equation.Results: From all the 24 patients who underwent cardiac transplantation in HDM in 2007, 14 were evaluated and 10 were excluded. Regarding the complications, in the transoperatory period, the most evident was the right ventricular dysfunction (64.3%) and tachycardia (64.3%) was more evident on the postoperative period. Analyzing the 6WT it was observed a decrease of 11.6% in walking distance when compared with the estimated distance (486 ± 55 m, 550 ± 59 m, respectively).Conclusion: Survival of heart transplant patients was equivalent to about 70%. The results of this study before the 6WT showed that patients' cardiovascular responses are below the estimated, nevertheless within the normal range established.Descriptors: Cardiomyopathies. Cardiomyopathy, dilated. Heart transplantation. Walking. 563Rev Bras Cir Cardiovasc 2012;27(4) :562-9 Mont'Alverne DGB, et al. -Clinical and functional capacity of patients with dilated cardiomyopathy after four years

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Reabilitação física no transplante de coração

Cited by 13 publications

References 22 publications

Variáveis perioperatórias de função ventilatória e capacidade física em indivíduos submetidos a transplante cardíaco

Variáveis perioperatórias de função ventilatória e capacidade física em indivíduos submetidos a transplante cardíaco

Dynamic of Physical Capacity and Quality of Life After Heart Transplantation

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

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