Pacemaker implications in the functional capacity and quality of life of cardiopathic patients

Abstract

Introduction: Cardiovascular diseases are among the main causes of death, and in recent years there has been an increase in pacemaker implants (PM), which is intended not only to increase survival, but also to improve quality of life. Objective: To evaluate the quality of life, cardiorespiratory fitness and level of physical activity of patients before and after permanent PM implant in a large hospital in the north of the state of Rio Grande do Sul. Method: The study comprised 19 patients submitted to PM surgery who had their electronic health record and quality of life (AQUAREL) evaluated as well as their cardiorespiratory fitness and the limit of daily physical activity (VSAQ), peripheral muscle strength (PMS), respiratory muscle strength (manovacuometry), their degree of dyspnea (modified PMS) and the hemodynamic parameters, all of which were assessed in the preoperative period and after 30 days. Results: A mean age of 71.79 years was observed and in 63.1% of the cases Total Atrioventricular Block was the pathology, while 89.5% of the participants presented systemic arterial hypertension and 31.6% also presented Diabetes Melittus. Statistically significant improvement was observed in all the values under evaluation, namely: dyspnea (p = 0.0001), peripheral muscle strength (p = 0.0001) and respiratory muscle strength (PIMAX p = 0.0001 and PEMAX p = 0.0001), Quality of Life (p = 0.0001) and Cardiorespiratory Fitness and level of physical activity p=0.0001). Conclusion: Improvement was verified in all parameters analyzed, thus suggesting that the PM positively influences the quality of life and the functionality of the patients.

Educational technology for people living with implantable heart device

“…Cardiovascular diseases are among the leading causes of death in the world, becoming a public health problem. [6] It is noted that the lack of information to pacemaker users patients has generated many doubts regarding daily life after the implantation of the device, so it is important to develop a technology aimed at health education in this population.…”

Técnicas respiratórias na melhora da função pulmonar de cardiopatas: Uma Revisão Integrativa

“…O tratamento das DCV, na maioria dos casos, está relacionado a realização de cirurgias, embora haja avanços nos procedimentos minimamente invasivos ampliando as possibilidades de tratamento, sendo as cirurgias de revascularização do miocárdio e valvares, os procedimentos cirúrgicos mais comuns. O implante de DOI 10.21727/rs.v12i3.2641 marcapasso cardíaco permanente (MP) tem aumentado nos últimos anos com a finalidade de tratar bradiarritmia, bloqueios atrioventriculares (BAV) (segundo grau ou total), doença do nó sinusal, fibrilação atrial ventricular de alta frequência e síndromes neuromediadas 5,6 .…”

Mobile health para portadores de dispositivos cardíacos eletrônicos implantáveis: ensaio clínico randomizado ApPaceMove

“…Enquanto que na fase pós implante, foi verificado melhora dos escores de QdV, classificada como boa qualidade de vida e de aumento dos aspectos relacionados a funcionalidade. 75 Em concordância com esses achados, foi identificado no estudo Cesarino et al, a avaliação de QdV com questionário SF-36 de portadores de CDI, que identificou como escores de maior comprometimento os de aspectos físicos e emocionais, independentemente da idade. Também foram resultados, a percepção de melhor condição de saúde, ao se comparar com essa condição a um ano atrás -apesar do medo de choque-, destaca-se a importância de acompanhamento da saúde física e mental de portadores de CDI.…”