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(Referência obtida automaticamente do SciELO, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

High-Intensity Inspiratory Protocol Increases Heart Rate Variability in Myocardial Revascularization Patients

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Autor(es):
Flavia Cristina Rossi Caruso [1] ; Rodrigo Polaquini Simões [2] ; Michel Silva Reis [3] ; Solange Guizilini [4] ; Vera Lucia dos Santos Alves [5] ; Valeria Papa [6] ; Ross Arena [7] ; Audrey Borghi-Silva [8]
Número total de Autores: 8
Afiliação do(s) autor(es):
[1] Federal University of São Carlos. Laboratory of Cardiopulmonary Physiotherapy - Brasil
[2] Federal University of São Carlos. Laboratory of Cardiopulmonary Physiotherapy - Brasil
[3] Federal University of Rio de Janeiro. Faculty of Medicine. Department of Physiotherapy - Brasil
[4] Federal University of São Paulo. Department of Sciences of Human Movement - Brasil
[5] Faculty of Medical Sciences at Santa Casa de São Paulo - Brasil
[6] Hospital São Francisco of Ribeirão Preto - Brasil
[7] University of Illinois Chicago. College of Applied Health Sciences. Department of Physical Therapy and Integrative Physiology Laboratory - Estados Unidos
[8] Federal University of São Carlos. Laboratory of Cardiopulmonary Physiotherapy - Brasil
Número total de Afiliações: 8
Tipo de documento: Artigo Científico
Fonte: Revista Brasileira de Cirurgia Cardiovascular; v. 31, n. 1, p. 38-44, 2016-02-00.
Resumo

Abstract Objective: To evaluate heart rate variability during an inspiratory muscle endurance protocol at three different load levels [30%, 60% and 80% of maximal inspiratory pressure], in patients who had previously undergone coronary artery bypass grafting. Methods: Nineteen late postoperative myocardial revascularization patients participating in a cardiovascular rehabilitation program were studied. Maximal inspiratory pressure maneuvers were performed. An inspiratory muscle endurance protocol at 30%, 60% and 80% of maximal inspiratory pressure was applied for four minutes each, in random order. Heart rate and RR intervals were recorded and heart rate variability was analyzed by time (RMSSD-the mean of the standard deviations for all R-R intervals, and RMSM-root-mean square differences of successive R-R intervals) and frequency domains indices (high and low frequency) in normalized units. ANOVA for repeated measurements was used to compare heart rate variability indices and Student t-test was used to compare the maximal inspiratory pressure and maximal expiratory pressure values. Results: Heart rate increased during performance of maximal respiratory pressures maneuvers, and the maximal inspiratory pressure and maximal expiratory pressure mean values were significantly lower than predicted values (P <0.05). RMSSD increased significantly at 80% in relation to rest and 30% of maximal inspiratory pressure and RMSM decreased at 30% and 60% of maximal inspiratory pressure in relation to rest (P <0.05). Additionally, there was significant and progressive decrease in low frequency and increase in high frequency at 30%, 60% and 80% of maximal inspiratory pressure in relation to the resting condition. Conclusion: These results suggest that respiratory muscle training at high intensities can promote greater parasympathetic activity and it may confer important benefits during a rehabilitation program in post-coronary artery bypass grafting. (AU)

Processo FAPESP: 09/01842-0 - Análise dos ajustes centrais e metabólicos periféricos durante o exercício físico dinâmico versus resistido em pacientes com DAC: efeitos de um programa de treinamento resistido baseado na determinação do limiar anaeróbio por diferentes metodologias
Beneficiário:Audrey Borghi Silva
Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores