Resposta circulatória à caminhada de 50 m na unidade coronariana, na síndrome coronariana aguda

Dias, Cristiane Maria Carvalho Costa; Maiato, Ana Célia Carneiro de Almeida; Baqueiro, Kátia Maria Moreno; Fiqueredo, Alessandra Maia Furtado; Rosa, Fernanda Warken; Pitanga, Janaina Oliveira; Souza, Ludmila Ivo Catão de; Guimarães, Armênio Costa

doi:10.1590/s0066-782x2009000200010

Cited by 8 publications

(13 citation statements)

References 16 publications

(23 reference statements)

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“…The ischemic asymptomatic episodes are very frequent and seem to imply a worse prognosis [11,12]. Thoracotomy is an intervention that will limit movements, and the position in bed leads to pain in varying degrees.…”

Section: Introductionmentioning

confidence: 99%

“…The patient undergoing cardiac surgery shall remain on mechanical ventilation (MV) in the immediate postoperative period until he covers total lucidity, in some cases for even longer, and should remain in bed for three to six weeks [3,[12][13][14]. Because of hemodynamic instability that can happen in the immediate postoperative period, the patient may need inotropic support (VAD) and must remain in the Intensive Care Unit (ICU) while there is need [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

Laizo¹,

Delgado²,

Rocha³

2010

Rev Bras Cir Cardiovasc

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Objective: To present the complications that prolong the stay in the Intensive Care Unit (ICU) of the patients undergoing cardiac surgery.Methods: We retrospectively analyzed records of 85 patients undergoing cardiac surgery during the period of March to May 2009, at the Santa Casa de Misericordia de Juiz de Fora (MG), and, of these patients we studied 14 (16.47%) who stayed for more than five days in ICU. Amongst the 85 patients, there were three deaths, being two patients operated on an emergency basis, which increases morbidity, and one patient who remained in the hospital and under mechanical ventilation (MV) for 21 days.Results: The study showed that complications that increased the length of stay in ICU were respiratory and metabolic disorders, according to the literature. Conclusion:The complications that increase length of stay in ICU are related to respiratory function, chronic obstructive pulmonary disease, smoking, lung congestion, prolonged switch-off from MV, diabetes, infections, kidney failure, stroke and hemodynamic instability. 167LAIZO, A ET AL -Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery Bras Cir Cardiovasc 2010; 25(2): 166-171 Rev

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

Laizo¹,

Delgado²,

Rocha³

2010

Rev Bras Cir Cardiovasc

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“…In 2010, the 50MWT was considered the first functional test in the cardiology intensive care unit environment [7]. Until now, CVR1 patients were guided by programs pre-established by equivalent of metabolic consumption (METS) [8,15,17] , therefore they were programs that did not respect patients individuality and previous functional capacity. The 50 m test enables a secure, individual progression based not only on nosological diagnosis, but mainly on the functional response of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…The evaluated variables were driving speed, perceived exertion rate and cardio-circulatory response. This study aims to compare the functional response and cardiovascular 50 MWT in patients with ACS who underwent CVR1 [8].…”

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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“…The circulatory response to a 50-meter walk in acute coronary syndrome was presented by Dias et al3 Furtado et al reported on blood pressure measurements during aerobic exercise in cardiac rehabilitation,4 whereas Oliveira et al reported on the effect of the walk test on the length of hospital stay for cardiac surgery patients 5. The relationships between fitness, waist circumference and hypertension in elderly Brazilian women were investigated by Krause et al6 Pelegrino et al studied the influence of lean body mass on cardiopulmonary repercussions during the six-minute walk test in patients with chronic obstructive pulmonary disease (COPD) 7…”

Section: Methodsmentioning

confidence: 99%

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

Serrano

Silva

2010

Clinics

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Research in the field of cardiopulmonary disease in Brazil has been very active in recent decades. The combination of PUBMED, SCieLO, open access and online searching has provided a significant increase in the visibility of Brazilian journals. This newly acquired international visibility has in turn resulted in the appearance of more original research reports in the Brazilian scientific press. This review is intended to highlight part of this work for the benefit of the readers of “Clinics.” We searched through PUBMED for noteworthy articles published in Brazilian medical journals included in the Journal of Citation Reports of the Institute of Scientific Information to better expose them to our readership. The following journals were examined: “Arquivos Brasileiros de Cardiologia,” “Arquivos Brasileiros de Endocrinologia e Metabologia,” “Brazilian Journal of Medical and Biological Reviews,” “Jornal Brasileiro de Pneumologia,” “Jornal de Pediatria,” “Revista Brasileira de Cirurgia Cardiovascular,” “Revista da Associação Médica Brasileira,” Revista da Escola de Enfermagem U.S.P.” and “São Paulo Medical Journal.” These journals publish original investigations in the field of cardiopulmonary disease. The search produced 71 references, which are briefly examined.

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Resposta circulatória à caminhada de 50 m na unidade coronariana, na síndrome coronariana aguda

Abstract: SummaryBackground: Lack of a standardized and monitored technique to start rehabilitation of patients with acute coronary syndrome (ACS) in the coronary care unit.

Cited by 8 publications

References 16 publications

Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

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

A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

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