Change in Profile of Entrants in a Brazilian Large Cardiovascular Rehabilitation Service

Abstract

BACKGROUND:There are references regarding physical activity and cardiovascular disease since the nineteenth century. New evidences support that cardiac rehabilitation is closely related to therapeutic success after major coronary events. Although the benefits of cardiac rehabilitation programs are well established, referencing and enrolment in such services remain low.AIM:The aim of this paper is to describe the profile changes throughout the years in a large cardiac rehabilitation service in Brazil.MATERIAL AND METHODS:This is a retrospective analysis of medical records of all patients referred to cardiac rehabilitation service of the Institute of Sports Medicine, University of Caxias do Sul from March 2003 to July 2014. Data collection was carried out using SPSS software and the statistical analysis with Student’s t-test, ANOVA test and chi square test.RESULTS:It has seen a substantial increase of patients, mostly routed via universal health system, also an increase of post-myocardial infarction patients and ex-smokers. Also, it was seen few patients in the 7th and 8th life decades, and men were in majority since the beginning.CONCLUSION:An increase in the number of patients referred by universal health system occurred because there is a governmental interest in this type of program. About tobacco, hospitalizations appear to be influential in the decision of abandonment. There was a substantial increase of patients with more severe disease which is in accordance with the latest guidelines of Cardiovascular and Metabolic Rehabilitation.

Treatment of the Aged Patients at a Large Cardiac Rehabilitation Center in the Southern Brazil and Some Aspects of Their Dropout from the Therapeutic Programs

“…The prevalence of males in the literature varies due to differences in selection of participants in the studies, but it is clear that men, among older patients, are also most in this type of service [8, 17-19]. Our findings show same results.…”

“…However, it is not associated with ‘poor’ adherence of AMI patients but rather with higher adherence to the program of CABG patients. This could be explained by the severity of CABG which serves as a motivator for changes in lifestyle [8]. …”

“…Despite the low representation of older people in most experimental and observational studies on cardiac rehabilitation (CR), there seems to be clear that CR has the most beneficial effect of on younger patients compared to elder ones [8, 9]. At the same time, the risk of adverse reactions and complications for the elderly during the exercise sessions is similar to that of younger patients.…”

“…At the same time, the risk of adverse reactions and complications for the elderly during the exercise sessions is similar to that of younger patients. Even though the age is not a determining factor for physical, functional and psychosocial response to a CRP, the existing stereotypes often prevent health professionals from prescription these exercises to the aged patients [8]. It seems clear that for many reasons the most important predictive factor for not entering in a CRP is the age [9].…”

Perfil De Idosos Com Doenças Cardiovasculares No Momento Da Admissão Para Reabilitação Cardíaca

“…O diagnóstico médico mais observado e relacionado com as disfunções cardíacas foi DAC, que evoluiu com maior frequência para revascularização do miocárdio. A DAC é a principal etiologia de incapacidade e óbito nos países desenvolvidos (13) . Com o tempo a lesão endotelial acarreta isquemia miocárdica, levando à necessidade de intervençãocirúrgica.…”