Cardiovascular rehabilitation in discrete coronaropathy with reduction of functional capacity

Daniela Santos de Jesus, Jackeline Barbosa Matias, Milena Cipriano Santos, Lucas Mendes Santa Cecília, Marvyn de Santana do Sacramento, José Francisco dos Santos, Jefferson Petto

Resumo


Introduction: Pharmacological treatment to control the triggering factors of coronary artery disease (CAD) is the initial front line. However, an adjuvant option to pharmacological treatment is Cardiovascular Rehabilitation (CR). Therefore, the aim of this study is to show the results of CR in improving the quality of life and functionality of a patient with mild coronary artery disease. Case description: Male, 52 years old, sedentary, former smoker for 12 years, with clinical diagnosis of mild CAD, arrhythmia, systemic arterial hypertension and dyslipidemia. The patient enters CR in August of 2017, complaining of shortness of breath, fatigue, difficulty climbing and descending stairs, limitations to perform daily life and work activities. Results: Decreased blood pressure 140/90 vs. 110/70 mmHg, increased VO2 max 32 vs. 52 ml/kg.min, improved left ventricular ejection fraction 50 vs. 68%, decreased concentric hypertrophy with LV posterior wall diastolic thickness and 12 vs. 9 mm interventricular septum and left ventricular mass reduction 299 vs. 213 g. He gets a 87% improvement in quality of life assessed by the Minnesota 72 vs. 9 points, plus decrease and withdrawal of drugs. Conclusion: An individualized Cardiovascular Rehabilitation program seems to promote improvement of quality of life, functionality and clinical aspects of patients with mild coronary artery disease.

Keywords: coronary obstruction, surgery, cardiac rehabilitation.


Texto completo:

HTML PDF português PDF english

Referências


Benjamin JE, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP et al. Heart Disease and Stroke Statistics—2019 Update: A Report from the American Heart Association. Circulation 2019;139:01–473. https://doi.org/10.1161/CIR.0000000000000659

Sociedade Brasileira de Cardiologia. [homepage na Internet]. Cardiômetro: Mortes por Doenças Cardiovasculares no Brasil. [Acesso em 2019 set 24]. Disponível em http://www.cardiometro.com.br/anteriores.asp

Girardi PBMA, Hueb W, Nogueira CRSR, Takiuti ME, Nakano T, Garzillo CL, et al. Custos comparativos entre a cirurgia de revascularização miocárdica com e sem circulação extracorpórea. Rev Bras Med 2013;70(5):174-8. https://doi.org/10.1590/S0066-782X2008001800003

Hillis D, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al. 2011 ACCF/AHA guideline for coronary artery by-pass graft surgery. J Am Coll Cardiol 2011;58:e123. https://doi.org/10.1016/j.jacc.2011.08.009

Sianos G, Morel MA, Kappetein AP, Morice MC, Colombo A, Dawkins K et al. The SYNTAX Score: an angiographic tool grading the complexity of coronary artery disease. EuroInterv 2005;1:219-27

Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N et al. Exercise-based cardiac rehabilitation for coronary disease. J Am Coll Cardiol 2016;67(1):1-12. https://doi.org/10.1002/14651858.CD001800.pub2

Ramos GC. Aspectos relevantes da doença arterial coronariana em candidatos à cirurgia não cardíaca. Rev Bras Anestesiol 2010;60(6):662-5. https://doi.org/10.1590/S0034-70942010000600013

Haykowsky MJ, Liang Y, Pechter D, Jones LW, McAlister FA, Clark AM. A meta-analysis of the effect of exercise training on left ventricular remodeling in heart failure patients: the benefit depends on the type of training performed. J Am Coll Cardiol 2007;49(24):2329-36. https://doi.org/10.1016/j.jacc.2007.02.055

Castro RRT, Negrão CE, Stein R, Serra SM, Teixeira JAC, Carvalho T et al. Diretriz de Reabilitação Cardíaca. Arq Bras Cardiol. 2005;84(5):431-9.

Stevens B, Pezzullo L, Verdian L, Tomlinson J, George A, Bacal F. Os custos das doenças cardíacas no Brasil. Arq Bras Cardiol 2018;111(1):29-36. https://doi.org/10.5935/abc.20180104

Wottrich SH, Quintana AM, Crepaldi MA, Oliveira SG, Quadros COP. A cirurgia cardíaca, o corpo e suas (im) possibilidades: significados atribuídos por pacientes pós-cirúrgicos. Psicol Rev 2016;22(3):654-671. https://doi.org/10.5752/P.1678-9523.2016V22N3P654

Petto J, Araújo PL, Garcia NL, Santos ACN, Gardenghi G. Fatores de impedimento ao encaminhamento para a reabilitação cardíaca supervisionada. Rev Bras Cardiol 2013;26(5):364-8.

Santos LSTA, Gomes E, Vilaronga J, Nunes W, Santos ACN, Almeida FOB et al. Barreiras da reabilitação cardíaca em uma cidade do nordeste do Brasil. Acta Fisiatrica 2017;24(2):67-1. https://doi.org/10.5935/0104-7795.20170013




DOI: http://dx.doi.org/10.33233/rbfe.v19i1.3986

Apontamentos

  • Não há apontamentos.