| Texto completo | |
| Autor(es): |
Mendes, Renata Goncalves
;
Simoes, Rodrigo Polaquini
;
Melo Costa, Fernando de Souza
;
Falasco Pantoni, Camila Bianca
;
Di Thommazo, Luciana
;
Luzzi, Sergio
[1]
;
Amaral-Neto, Othon
[1]
;
Catai, Aparecida Maria
;
Arena, Ross
[2]
;
Borghi-Silva, Audrey
[3]
Número total de Autores: 10
|
| Afiliação do(s) autor(es): | [1] Irmandade Santa Casa Misericordia Hosp, Sao Paulo - Brazil
[2] Univ New Mexico, Phys Therapy Program, Albuquerque, NM 87131 - USA
[3] Univ Fed Sao Carlos, Physiotherapy Dept, Cardiopulm Physiotherapy Lab, Sao Paulo - Brazil
Número total de Afiliações: 3
|
| Tipo de documento: | Artigo Científico |
| Fonte: | JOURNAL OF REHABILITATION MEDICINE; v. 43, n. 8, p. 720-727, JUL 2011. |
| Citações Web of Science: | 12 |
| Resumo | |
Objective: Cardiac rehabilitation is associated with cardiac autonomic and physiological benefits. However, it is unclear whether baseline left ventricular function (LVF) impacts on training-induced cardiac autonomic adaptations. The aim of this study was to assess the cardiac autonomic adaptations in patients with varying left ventricular function profiles undergoing coronary artery bypass grafting and cardiac rehabilitation. Design: Assessor-blinded prospective trial. Patients: Forty-four patients undergoing coronary artery bypass grafting, divided into normal LVFN (>= 5%, n=23) or reduced LVFR (35-54%, n=21) were evaluated. Method: Cardiac autonomic function was evaluated by heart rate variability indexes obtained both pre- and post-cardiac rehabilitation. All patients participated in a short-term (approximately 5 days) supervised inpatient physiotherapy program. Results: There were differences in heart rate variability indexes, correlation dimension and SD2 according to time and group (e.g. interaction time (effect of cardiac rehabilitation) vs group (LVFN vs LVFR), p=0.04). Simple main effects analysis showed that the LVFR group benefited to a greater degree from cardiac rehabilitation compared with the LVFN group. Heart rate variability indexes increased significantly in the former group compared with the latter. Conclusion: Among post-coronary artery bypass grafting patients engaged in short-term inpatient rehabilitation, those with reduced left ventricular function are most likely to have better cardiac autonomic adaptations to exercise-based rehabilitation. (AU) | |
| Processo FAPESP: | 09/54194-5 - Impacto do exercício físico associado à aplicação de CPAP no pós-operatório de cirurgia de revascularização do miocárdio |
| Beneficiário: | Camila Bianca Falasco Pantoni |
| Modalidade de apoio: | Bolsas no Brasil - Doutorado |
| Processo FAPESP: | 05/59427-7 - Efeito da modulação autonômica cardíaca em pacientes submetidos à cirurgia de revascularização do miocárdio e programa de fisioterapia: fase I da reabilitação cardiovascular |
| Beneficiário: | Audrey Borghi Silva |
| Modalidade de apoio: | Auxílio à Pesquisa - Regular |