Medical care and deaths due to coronary artery disease in Brazil, 1980-1999

Lessa, Ínes

doi:10.1590/s0066-782x2003001200001

Cited by 9 publications

(8 citation statements)

References 23 publications

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“…2 Dentre as DCNT as Doenças Cardiovasculares (DCV) são a principal causa de mortalidade e invalidez, sendo a Doença Arterial Coronariana (DAC) a mais prevalente e uma das principais causas de morte no Brasil e no mundo, contribuindo para elevados custos governamentais com a saúde. [3][4][5] A DAC caracteriza-se pela insuficiência de irrigação sanguínea no coração por meio das artérias coronárias. Está diretamente relacionada ao grau de obstrução do fluxo sanguíneo pelas placas ateroscleróticas, resultando em estreitamento das artérias coronárias (estenose), o qual, devido à redução do fluxo sanguíneo coronariano, diminui a chegada do oxigênio ao coração.…”

Section: Introductionunclassified

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

et al. 2016

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. RESUMOUltimamente tem se optado por exercícios de reabilitação baseada em domicílio como alternativa para a reabilitação cardiopulmonar e metabólica (RCPM). Objetivo: verificar e comparar a aderência a um programa de reabilitação, baseado a domicilio e identificar as barreiras que interferem na adesão. Método: ensaio clí-nico controlado -estudo preliminar. Foram recrutados 11 pacientes diagnosticados com doença arterial coronariana (DAC), sedentários a pelo menos três meses e clinicamente estáveis, sendo estes divididos em dois grupos de intervenção, grupo RCPM convencional (GC) e grupo de RCPM baseada em domicílio (GD). Os pacientes ingressaram no estudo, em momentos distintos, ao longo de 21 meses de coleta de dados. Foram avaliados os resultados referentes à aderência aos diferentes protocolos de intervenção e as barreiras, através da Escala de Barreiras para Reabilitação Cardíaca (EBRC). Os dados foram analisados por meio da estatística descritiva (média, desvio padrão e frequência), utilizando o programa estatístico Statistical Package for the Social Sciences -SPSS versão 20.0. Resultados: dos 11 pacientes, 5 foram alocados no GC e 6 no GD. Foi observada aderência superior no GD (106,3%) e o GC apresentou 86,1%. As principais barreiras encontradas no GD e GC foram "comorbidades/estado funcional" e "necessidades percebidas", respectivamente. Considerações Finais: a aderência ao programa de RCPM baseado em domicílio foi superior quando comparado ao grupo que realizou RCPM convencional supervisionada. Adicionalmente, as barreiras que mais influenciaram na obtenção destes resultados foram igualmente relatadas por ambos os grupos.Palavras-chave: Reabilitação; Exercício; Doenças Coronarianas. ABSTRACT Lately the home-based rehabilitation exercises has emerged as an alternative to the Cardiopulmonary and Metabolic Rehabilitation (CPMR

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Section: Introductionunclassified

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

et al. 2016

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“…The therapeutic arsenal for these diseases consists of medications, surgery and cardiovascular rehabilitation [3,4]. The latter therapy comprises four phases: phase Cardiovascular Rehabilitation 1 (CVR1), initiated in a hospital environment, this first phase is the preparatory time for the following phases (II, III e IV) [5].…”

Section: Introductionmentioning

confidence: 99%

Use of 50-M Walk Test as a Tool to Assess Phase-1 Cardiovascular Rehabilitation after Acute Coronary Syndrome

Dias¹,

Oliveira²,

Tapioca³

et al. 2015

J Clin Exp Cardiolog

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Introduction:In 2009, Dias and colls made a contribution to this field by applying the first functional 50-M Walk Test (50MWT) in the Coronary Intensive care Unit (CICU), being able to direct the exercise prescription as well as evaluate the response to a cardiovascular rehabilitation program during hospitalization. As the Cardiovascular Rehabilitation Program 1 (CVR1) does not yet recommend the 50 MWT in CVR1 due to safety measures and cardiovascular repercussion on the program, the inclusion of this tool is necessary as it concerns a population at risk. Objective: Compare the functional response and cardiovascular 50 MWT in patients with ACS who underwent CVR1.Methodology: Single-arm clinical trial, conducted with ACS patients admitted to the CICU of a private Hospital in Salvador -Brazil, from 24 to 48 hours post-event. The inclusion criteria consisted ACS patients with medical permission to walk, and had not been submitted to acute surgical treatments, aged ≥ 18 years who were oriented in time and space. Exclusion criteria included patients with orthopaedic problems, neurological sequelae and the inability to walk independently. Results:A total of 66 patients were gathered to compare the response to tests before CVR1 and at the time of discharge; data of systolic arterial pressure (SBP), heart rate (HR), perceived exertion rate by the Borg Scale (BS), time and speed of walking were evaluated. Measurements were obtained in the supine, seated and orthostatic positions, at the end of the walk, after 5 minutes rest, and walking duration. Statistical significance for SBP, in the time of walking and BS was observed (p ≤ 0.05). HR presented no statistical significance; predominance was shown in the absence of adverse effects in 89.4% of patients. Conclusion:This sample proved that patients who underwent CVR1 program presented an impact on functional capacity interpreted by an increase in walking speed, perceived exertion rate decreased and better blood pressure control during hospital discharge. Furthermore, 50 MWT might safely be applied as a tool before beginning CVR1, and as a method of assessing cardiovascular repercussion in the hospital phase after the program.

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“…Among cardiovascular diseases, ischemic heart disease is considered the most frequent in some of the most highly populated States and large cities in Brazil 2 . Cardiovascular diseases account for approximately 500,000 deaths in Brazil every year, and are among the major causes of expenses with medical assistance 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Cardiopulmonary and Metabolic Rehabilitation is characterized by being a multidisciplinary treatment process to develop and maintain the levels of physical, social and psychological activities after the onset of multifactorial diseases. Formal Cardiac Rehabilitation programs effectively improve functional capacity, quality of life and symptoms related to ischemia; reduce stress, cardiovascular mortality, and the risk of subsequent coronary events;, and promote reversion of atherosclerosis 3 . Back in 1993, the World Health Organization (WHO) already recommended that all individuals with cardiovascular diseases, not only those with coronary artery diseases and hypertension, but also those with chronic rheumatic heart disease, congenital cardiac defects, heart failure of different etiologies, and others, should be necessarily referred to Rehabilitation programs to be considered satisfactorily treated.…”

Section: Introductionmentioning

confidence: 99%

Resultado clínico e econômico de um programa de reabilitação cardiopulmonar e metabólica

Rebelo¹,

Garcia²,

Andrade³

et al. 2007

Arq. Bras. Cardiol.

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Medical care and deaths due to coronary artery disease in Brazil, 1980-1999

Abstract: The results show a high frequency of sudden death and suggest errors in diagnosis or codification and overestimation of the statistics about mortality. Validation of the death certificate diagnosis and frequent surveillance are required.

Cited by 9 publications

References 23 publications

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

Use of 50-M Walk Test as a Tool to Assess Phase-1 Cardiovascular Rehabilitation after Acute Coronary Syndrome

Resultado clínico e econômico de um programa de reabilitação cardiopulmonar e metabólica

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