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Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?

dc.contributor.authorDelgado, Bruno
dc.contributor.authorNovo, André
dc.contributor.authorOliveira, Maria Filomena
dc.contributor.authorPreto, Leonel
dc.contributor.authorMendes, Eugénia
dc.date.accessioned2016-01-04T15:20:02Z
dc.date.available2016-01-04T15:20:02Z
dc.date.issued2015
dc.description.abstractHeart failure is characterized, from a functional point of view, as a pathology that causes limitations in carrying out the activities of daily living and consequent loss of functional and instrumental autonomy due to its classic symptoms such as: dyspnea, edema, easy tiredness and intolerance to activity. These symptoms make the patient become increasingly dependent and searching for inactivity as a way to preserve energy and avoid those symptoms. It is known that exercise is beneficial and safe when applied according to the characteristics of the patient and his medical condition, even in the process of stabilization of the acute phase of its pathology. Through the exploratory method, clinic and physiologic variables have been identified that could change with exercise and which allow a better response to exercise in the acute phase of the disease. Patients with decompensated heart failure of a cardiology ward were selected to comply with a minimum of 3 sessions of a program of physical exercise with increasing levels of intensity. Vital signs, Borg scale to subjective perception of effort and the London Chest Activity Daily Living (LCADL) scale for dyspnea associated with activities of daily living were assessed before and after the implementation of the program. Intensity and progression on the program were also evaluated by exercise parameters such as number of laps on the exercise peddler, number of meters walked and number of steps climbed. The study involved 20 patients with 64±9.9 years, 80% men, with a length of stay of 18.6 days on cardiology ward, between September 2013 and April 2014, with an average of 4.4 program sessions. Data obtained in LCADL (29.9±8.9 vs 20.9±6.8), exercise parameters and Borg score after the exercise showed a positive variation, meaning that patients improved their functional capacity along the program, despite being in acute phase of heart failure. Descriptive and inferential statistics analysis of the data allows us to conclude that patients with previous practice of exercise, lower basal heart rate, higher oxygen saturation, lower number of associated cardiovascular risk factors presented a better response to the exercise and with a better evolution throughout the program.pt_PT
dc.identifier.citationDelgado, Bruno; Novo, André; Oliveira, Maria Filomena; Preto, Leonel; Mendes, Eugénia (2015). Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?. Jounal of Rehabilitation Medicine. ISSN 1650-1977. 47:8, p. 795-796pt_PT
dc.identifier.issn1650-1977
dc.identifier.urihttp://hdl.handle.net/10198/12546
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFoundation Rehabilitation Informationpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHeart failurept_PT
dc.subjectExercisept_PT
dc.subjectFunctional rehabilitationpt_PT
dc.subjectFunctional capacitypt_PT
dc.titleIntervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?pt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceRigapt_PT
oaire.citation.endPage796pt_PT
oaire.citation.startPage795pt_PT
oaire.citation.titleJounal of Rehabilitation Medicinept_PT
oaire.citation.volume47pt_PT
person.familyNameNovo
person.familyNamePreto
person.familyNameMendes
person.givenNameAndré
person.givenNameLeonel
person.givenNameEugénia
person.identifierH-1386-2012
person.identifierhttps://scholar.google.com.br/citations?user=YMih_6QAAAAJ&hl=pt-PT&oi=ao
person.identifier.ciencia-id7D14-8584-AB2B
person.identifier.ciencia-id451C-C9C6-C5D6
person.identifier.ciencia-id7114-2BCC-DE82
person.identifier.orcid0000-0001-8583-0406
person.identifier.orcid0000-0002-8126-7051
person.identifier.orcid0000-0001-6528-4284
person.identifier.ridM-7528-2016
person.identifier.scopus-author-id612710
person.identifier.scopus-author-id56465995600
person.identifier.scopus-author-id56465467200
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
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relation.isAuthorOfPublication.latestForDiscoveryb761cb87-ecdb-4c95-8cb0-d58849faee1f

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