Suporte ventilatório na capacidade funcional de pacientes com insuficiência cardíaca: estudo piloto

Lima, Eugênia da Silva; Cruz, Cláudia Ferreira da; Santos, Fabiane Costa; Gomes‐Neto, Mansueto; Bittencourt, Hugo Souza; Reis, Francisco José Farias Borges dos; Aras, Roque; Guimarães, Armênio Costa; Rodrigues-Junior, Erenaldo de Souza

doi:10.1590/s0066-782x2011005000002

Cited by 17 publications

(47 citation statements)

References 21 publications

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“…Two of the four studies selected4 , 5 , 20 , 21 were indexed in the PEDro Scale4 , 21 and had a score available in the database. Two studies5 , 20 were scored after reading the papers fully and consensus among the three assessors was achieved.…”

Section: Resultsmentioning

confidence: 99%

“…Abnormal ventilatory responses, which are common in patients with HF4, combine with peripheral muscle dysfunction to reduce the patients' ability to perform daily life tasks and impair their quality of life4 , 5, directly affecting their ability to perform physical exercise. Although studies have shown direct benefits from regular physical training in patients with HF by promoting a gradual improvement in tolerance to effort6, increased maximal oxygen consumption (VO 2 )7, and increased oxidative capacity of the skeletal muscles8, the blood flow to the respiratory muscles tends to rise significantly during exercise training because of the redistribution of blood flow from the locomotor muscles9.…”

Section: Introductionmentioning

confidence: 99%

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Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis

Bündchen¹,

Gonzáles²,

Noronha³

et al. 2014

Braz. J. Phys. Ther.

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Background: Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. Objective:To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF. Method: Search Strategy: Articles were searched in the following databases: Physiotherapy Evidence Database (PEDro), Scientific Electronic Library Online (SciELO), and MEDLINE. Selection Criteria: This review included only randomized controlled trials involving patients with HF undergoing NIV, with or without other therapies, that used exercise tolerance as an outcome, verified by the distance travelled in the six-minute walk test (6MWT), VO2peak in the cardiopulmonary test, time spent in testing, and dyspnea. Data Collection and Analysis: The methodological quality of the studies was rated according to the PEDro scale. Data were pooled in fixed-effect meta-analysis whenever possible. Results: Four studies were selected. A meta-analysis including 18 participants showed that the use of NIV prior to the 6MWT promoted increased distance, [mean difference 65.29 m (95% CI 38.80 to 91.78)]. Conclusions:The use of NIV prior to the 6MWT in patients with HF may promote increased distance. However, the limited number of studies may have compromised a more definitive conclusion on the subject.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis

Bündchen¹,

Gonzáles²,

Noronha³

et al. 2014

Braz. J. Phys. Ther.

View full text Add to dashboard Cite

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“…It is known that elderly individuals with low education have greater exposure to risk factors related to cardiovascular disease as a result of the peculiarities of its demographic and epidemiological profile (CARNELOSSO et al, 2010;FARIA et al, 2015;IMA et al, 2011). It's emphasized the importance of special attention to the health care of the targeted population with low social instruction and school education, either by recruitment of specialized health professionals and / or specific health policies.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the literature highlights serious deficits on the PHS of patients with heart failure NYHA IV, since it has negative impact on the functional capacity, exacerbated clinical symptoms and reduction of social life (GUIMARÃES; GARDENGHI; SILVA, 2015;IMA et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Correlation between clinical and socioeconomic characteristics and perceived health status of patients with heart failure

Neto¹,

Cunha²,

Silva³

et al. 2018

Biosci. J.

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ABSTRACT:Associations between generic and specific perceived health status have been little used in the clinical practice of the cardiovascular sciences. Describe the clinical and socio-economic profile of heart failure patients (HF) and correlate their perceived health status (PHS) (generic and specific) with clinical and socio-economic variables. Cross-sectional, quantitative and analytical study approved by the ethics committee -Federal University of Triangulo Mineiro (number 833.007). A sample of 91 individuals with different functional classes and etiologies of HF and who were in outpatient follow-up answered the following questionnaire: 1. Clinical and socioeconomic questionnaire; 2. Visual Analog Scale (VAS); 3. Minnesota Questionnaire (MLWHFQ). We studied 91 patients with HF; the majority was male (50.5%) married (52.7%), inactive (working condition) (83.51%), NYHA functional class IV (29.7%) hypertension etiology (46.2%). The VAS was correlated significantly (p <0.05) with the variables family income (r = 0.173) and left ventricular ejection fraction (LVEF) (r = 0.221) and significant (p <0.01) comorbidities (r = 0.237) and medications (r = 0.475). Significant associations (p <0.05) were established between the VSA, gender, surgical procedure and NYHA functional class IV. All MLWHFQ domains were significantly associated (p <0.01) with the female gender and functional class IV. Perceived health status showed significant decline in all dimensions when compared to other published studies, demanding attention from the health professionals and new clinical strategies to manage heart failure.

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“…The utilization of non-invasive ventilatory support (NIV) can improve tolerance to the exercise, as it improves the cardiorespiratory response during the exercise (10). The usage of this therapeutic modality is indicated in acute respiratory failure, chronic obstructive pulmonary disease (COPD), acute pulmonary edema, congestive heart failure (CHF) (11), among other situations.…”

Section: Introductionmentioning

confidence: 99%

Effects of non-invasive ventilatory support in tolerance to the effort of patients with hemodialysis

et al. 2017

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Introducti on: The kidney system is responsible for the maintenance of homeostasis and in patients with Chronic Kidney Disease the kidney functions changes, contributing for the development of various complications that will have adverse effects in tolerance to the physical exercise and in Quality of Life of this patients. Objective : To evaluate the Effects of non-invasive ventilatory support in tolerance to the patients' physical exercise in dialysis. Methods: Th e patient s performed two 6-minute walk tests, following an adapted protocol for treadmill, one of them without the use of non-invasive ventilatory support and the other with non-invasive ventilatory support during the walk. Besides, th e patients answered a questionnaire of quality of life and the KDQOL-SF TM speci ic for the population under study. Results: It was noti ced that there was not statistical difference in the distance recorded during the 6-minute walk tests. Regarding t he quality of life, the greater impact of the disease was in relation to "Professional Activity". Conclusion: In conclusion , a non-invasive ventilatory support did not cause signi icant effects in tolerance to the exercise of this population. However, we should take into consideration the limitations suffered during the research development. Keywords

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Suporte ventilatório na capacidade funcional de pacientes com insuficiência cardíaca: estudo piloto

Abstract: Background: Heart failure (HF) is an important public health problem, of which main clinical symptoms are dyspnea and fatigue. Noninvasive ventilatory support has been used as adjuvant therapy in cardiac rehabilitation in order to improve the functional capacity of patients.

Cited by 17 publications

References 21 publications

Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis

Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis

Correlation between clinical and socioeconomic characteristics and perceived health status of patients with heart failure

Effects of non-invasive ventilatory support in tolerance to the effort of patients with hemodialysis

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