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Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation

2018Conference paper Open access
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dc.contributor.authorDelgado, Bruno
dc.contributor.authorNovo, André
dc.contributor.authorGomes, Bárbara
dc.date.accessioned2019-03-20T15:14:48Z
dc.date.available2019-03-20T15:14:48Z
dc.date.issued2018
dc.description.abstractHeart failure (HF) is characterized by dyspnea, fatigue and edema that leads to decreased exercise tolerance, functional dependence and impairment of performance in activities of daily living (ADL). Exercise is a well stablish intervention, for patients with stable cronic HF, which leads to improvement of symptoms, promotes functional capacity and decrease exercise intolerance. Exercise its not yet tested for patients during the phase of stabilization. Purpose: To evaluate the safety and feasibility of an aerobic exercise training program for patients admitted due to decompensated HF: the ERIC program. Methods: Patients are randomized in training group (TG) or control (CG). Data includes cardiovascular history, HF history and two functional tools: London Chest of Daily Living Activities (LCADL) and Barthel Index (BI). TG patients perform the ERIC program twice a day, 6 days a week. ERIC program is a supervised aerobic exercise program, with increasing levels of intensity, divided into 5 stages: respiratory raining, gait training and climbing stairs, for progressive duration periods. In all sessions are valuated vital signs before and after the exercise, as well as Borg Modified Perceived Exertion scale. CG patients are supervised too and perform freely physical activity. At discharge, all patients perform a 6 minute walking test (6MWT), and evaluation of LCADL scale and BI. Results: Until now, 47 patients are randomized (24 in TG - 275 sessions) with an average age of 71 (11) years old. 31 are male, 80% are in NHYA class III and 20% are class IV. At admission both groups (training vs control) of patients have the same level of functional dependence. At discharge, TG present lower LCADL and Borg score and higher BI score. Those differences are statistically significant (p=0,038 LCADL; p=0,024 Barthel). The average distance on 6MWT by TG is 72 meters higher, which is a statistically significant (p=0,031). No adverse events had occurred, like precordial pain, falls or worsening of clinical state. Conclusions: ERIC program can safely lead patients to a better functional capacity state.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDelgado, Bruno; Novo, André; Gomes,Bárbara (2018). Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation. European Journal of Cardiovascular Nursing. p.13-13. ISSN 1474-5151pt_PT
dc.identifier.issn1474-5151
dc.identifier.urihttp://hdl.handle.net/10198/19179
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSage Publications LTDpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectExercise in patientspt_PT
dc.subjectCardiac rehabilitationpt_PT
dc.titleExercise in patients admitted for decompensated heart failure - cardiac rehabilitationpt_PT
dc.typeconference paper
dspace.entity.typePublication
oaire.citation.conferencePlaceDublinpt_PT
oaire.citation.endPage13pt_PT
oaire.citation.issue1_supplpt_PT
oaire.citation.startPage13pt_PT
oaire.citation.titleEuropean Journal of Cardiovascular Nursingpt_PT
oaire.citation.volume17pt_PT
person.familyNameNovo
person.givenNameAndré
person.identifierH-1386-2012
person.identifier.ciencia-id7D14-8584-AB2B
person.identifier.orcid0000-0001-8583-0406
person.identifier.scopus-author-id612710
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublicationf17cfa22-2a97-4396-bdc6-4570baee6885
relation.isAuthorOfPublication.latestForDiscoveryf17cfa22-2a97-4396-bdc6-4570baee6885

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