Keywords
heart failure
safety
efficacy
Rehabilitation Nursing
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Abstract
Background: Heart failure (HF) promomtes limitations on the activities of daily living and consequent loss of functional and instrumental autonomy. It represents one of the most concerning health problems due to its significant economic impact.
Objective: To identify the impact of a physical exercise program on patients with HF in compensatory phase in hospital context.
Methods: A retrospective exploratory study was carried out in which twenty patients who performed a minimum of 3 sessions of the ERIC program participated. Vital signs, ECG monitoring and subjective effort perception (PSE) were assessed before and after each training session, as well as LCADL scale and exercise parameters (number of laps in the pedal, number of meters walked in the hall and number of steps). The study presented took place over a period of 3 months.
Results: Patients (mean age of 64 years) had a positive variation in the performance parameters of the exercise, a negative variation in LCADL scale (29.9 to 20.9) and SPE after exercise (4.85 to 3.82), which means that they improve their functional capacity throughout the program. None of them presented adverse events or trained outside the safety heart rate interval (mean value of 11.2 bpm to 12.9bpm).
Conclusions: The ERIC program demonstrates safety and improvement of the Functional Capacity of the patient, based on the statistical analysis of this sample. These results allow us to infer that exercise can be an effective resource for the adjuvant treatment of patients admitted with decompensated heart failure. However, further studies with larger samples and a randomized design are needed.
References
Chung CJ, Schulze PC. Exercise as a nonpharmacologic intervention in patients with heart failure. Phys Sportsmed. 2011;39(4):37-43.
Savage PA, Shaw AO, Miller MS, VanBuren P, LeWinter MM, Ades PA, et al. Effect of resistance training on physical disability in chronic heart failure. Med Sci Sports Exerc. 2011;43(8):1379-86.
Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, et al. 2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure. Rev Esp Cardiol (Engl Ed). 2016;69(12):1167.
Dec WG, DiSalvo T, Hajjar RJ, Semigran MJ. Heart Failure, a comprhensive guide for diagonsis and treatment. USA2005.
Gary RA, Cress ME, Higgins MK, Smith AL, Dunbar SB. A combined aerobic and resistance exercise program improves physical functional performance in patients with heart failure: a pilot study. J Cardiovasc Nurs. 2012;27(5):418-30.
DGS. Portugal, Doenças cérebro cardiovasculares em números - 2015. In: Saúde Md, editor. 2016.
McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2012;33(14):1787-847.
Piepoli MF, Conraads V, Corrà U, Dickstein K, Francis DP, Jaarsma T, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13(4):347-57.
Bjarnason-Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, et al. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil. 2010;17(4):410-8.
Abreu A, Bettencourt N, Fontes P. Panorama Nacional de Reabilitação Cardíaca 2007-2009. Revi Port Cardiol. 2010;29:545-58.
ACSM. Guidelines for Exercise Testing and Prescription. In: Agiovlasitis S, Baruth M, Baynard T, Beck, Darren T., Brawner CA, editors. Tenth Edition ed2016.
Normandin E, Nigam A, Meyer P, Juneau M, Guiraud T, Bosquet L, et al. Acute responses to intermittent and continuous exercise in heart failure patients. Can J Cardiol. 2013;29(4):466-71.
Corrà U, Piepoli MF, Carré F, Heuschmann P, Hoffmann U, Verschuren M, et al. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010;31(16):1967-74.
Medicine ACoSa. ACSM's Guidelines For Exercise Testing and Prescription. 19th ed: Lippincott Williams & Wilkins; 2013.
Simon KM, Carpes MF, Corrêa KS, dos Santos K, Karloh M, Mayer AF. The relationship between daily living activities (ADL) limitation and the BODE índex in patients with chronic obstructive pulmonar disease. Ver Bras Fisioter. 2011;15 (3):212-8.
Rodriguez Gonzalez-Moro JM, de Lucas Ramos P, Izquierdo Alonso JL, López-Muñiz Ballesteros B, Antón Díaz E, Ribera X, et al. Impact of COPD severity on physical disability and daily living activities: EDIP-EPOC I and EDIP-EPOC II studies. Int J Clin Pract. 2009;63(5):742-50.
Borg GAV. Psychophysical bases of perceived exertion. Medicine and science in sports and medicine. 1982:377-81.
Heran BS, Chen JM, Ebrahim S, Moxham T, Oldridge N, Rees K, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2011(7):CD001800.
Oliveira NL, Ribeiro F, Teixeira M, Campos L, Alves AJ, Silva G, et al. Effect of 8-week exercise-based cardiac rehabilitation on cardiac autonomic function: A randomized controlled trial in myocardial infarction patients. Am Heart J. 2014;167(5):753-61.e3.
Passantino A, Lagioia R, Mastropasqua F, Scrutinio D. Short-term change in distance walked in 6 min is an indicator of outcome in patients with chronic heart failure in clinical practice. J Am Coll Cardiol. 2006;48(1):99-105.
Pollentier B, Irons SL, Benedetto CM, Dibenedetto AM, Loton D, Seyler RD, et al. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010;21(1):13-21.
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