Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2016 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/31725 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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Mediano, Mauro Felippe FelixMendes, Fernanda de Souza Nogueira SardinhaPinto, Vivian Liane MattosSilva, Gilberto Marcelo Sperandio daSilva, Paula Simplício daCarneiro, Fernanda MartinsSangenis, Luiz Henrique CondeSaraiva, Roberto MagalhãesXavier, Sergio SallesBrasil, Pedro Emmanuel Alvarenga Americano doHasslocher-Moreno, Alejandro MarcelSousa, Andrea Silvestre de2019-02-19T11:38:03Z2019-02-19T11:38:03Z2016MEDIANO, Mauro Felippe Felix et al. Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 3, p. 319-328, May/June, 2016.0037-8682https://www.arca.fiocruz.br/handle/icict/3172510.1590/0037-8682-0083-20161678-9849engSociedade Brasileira de Medicina TropicalCardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Introduction: The benefit of a cardiac rehabilitation (CR) program for patients with Chagas heart failure (CHF) remains unclear. Therefore, we aimed to investigate the effects of CR for CHF patients. Methods: A single-arm pilot study, including 12 patients with CHF, was performed. Patients participated in an 8-month physical exercise intervention, comprising aerobic, strength, and stretching exercises (3 times per week, 60 minutes per session). Nutritional and pharmaceutical counseling were also performed. Functional capacity cardiopulmonary exercise test), muscle respiratory strength (manovacuometry), and body composition (anthropometry and skinfolds) were evaluated at baseline, and after 4 and 8 months of intervention. Cardiac function (echocardiography), biomarkers (lipid profile, glucose, and glycated hemoglobin) and quality of life (Minnesota Living with Heart Failure Questionnaire) were assessed at baseline and at the end of the intervention. Results: Seven of 12 patients included in the study completed the 8-month follow-up period. Only 2 moderate adverse events occurred during the exercise training. Functional capacity improved after 4 months of CR, while left ventricular ejection fraction (LVEF) and respiratory strength improved after 8 months. Patients with right ventricular (RV) dysfunction at baseline exhibited an improvement in functional capacity after 4 months, and improvements in left ventricular (LV) diastolic pressure, respiratory strength, and quality of life at the end of follow-up. Conversely, those with normal baseline RV function demonstrated LVEF increases that were not observed in patients with RV dysfunction. Conclusions: CR was feasible, safe, and has important clinical benefits for patients with CHF, specifically for cardiac function and muscle respiratory strength.Chagas diseasePhysical activityCardiac rehabilitationinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/31725/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Mediano_Mauro_etal_INI_2016.pdfve_Mediano_Mauro_etal_INI_2016.pdfapplication/pdf956832https://www.arca.fiocruz.br/bitstream/icict/31725/2/ve_Mediano_Mauro_etal_INI_2016.pdf702e9f1602edc20a632844fb01a4b606MD52TEXTve_Mediano_Mauro_etal_INI_2016.pdf.txtve_Mediano_Mauro_etal_INI_2016.pdf.txtExtracted texttext/plain44382https://www.arca.fiocruz.br/bitstream/icict/31725/3/ve_Mediano_Mauro_etal_INI_2016.pdf.txt0984a097bd8c8fdcb1f8a8221104bd88MD53icict/317252019-02-20 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| dc.title.pt_BR.fl_str_mv |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| title |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| spellingShingle |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study Mediano, Mauro Felippe Felix Chagas disease Physical activity Cardiac rehabilitation |
| title_short |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| title_full |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| title_fullStr |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| title_full_unstemmed |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| title_sort |
Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study |
| author |
Mediano, Mauro Felippe Felix |
| author_facet |
Mediano, Mauro Felippe Felix Mendes, Fernanda de Souza Nogueira Sardinha Pinto, Vivian Liane Mattos Silva, Gilberto Marcelo Sperandio da Silva, Paula Simplício da Carneiro, Fernanda Martins Sangenis, Luiz Henrique Conde Saraiva, Roberto Magalhães Xavier, Sergio Salles Brasil, Pedro Emmanuel Alvarenga Americano do Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de |
| author_role |
author |
| author2 |
Mendes, Fernanda de Souza Nogueira Sardinha Pinto, Vivian Liane Mattos Silva, Gilberto Marcelo Sperandio da Silva, Paula Simplício da Carneiro, Fernanda Martins Sangenis, Luiz Henrique Conde Saraiva, Roberto Magalhães Xavier, Sergio Salles Brasil, Pedro Emmanuel Alvarenga Americano do Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Mediano, Mauro Felippe Felix Mendes, Fernanda de Souza Nogueira Sardinha Pinto, Vivian Liane Mattos Silva, Gilberto Marcelo Sperandio da Silva, Paula Simplício da Carneiro, Fernanda Martins Sangenis, Luiz Henrique Conde Saraiva, Roberto Magalhães Xavier, Sergio Salles Brasil, Pedro Emmanuel Alvarenga Americano do Hasslocher-Moreno, Alejandro Marcel Sousa, Andrea Silvestre de |
| dc.subject.en.pt_BR.fl_str_mv |
Chagas disease Physical activity Cardiac rehabilitation |
| topic |
Chagas disease Physical activity Cardiac rehabilitation |
| description |
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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2016 |
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2016 |
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2019-02-19T11:38:03Z |
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2019-02-19T11:38:03Z |
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MEDIANO, Mauro Felippe Felix et al. Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 3, p. 319-328, May/June, 2016. |
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https://www.arca.fiocruz.br/handle/icict/31725 |
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0037-8682 |
| dc.identifier.doi.none.fl_str_mv |
10.1590/0037-8682-0083-2016 |
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1678-9849 |
| identifier_str_mv |
MEDIANO, Mauro Felippe Felix et al. Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study. Revista da Sociedade Brasileira de Medicina Tropical, v. 49, n. 3, p. 319-328, May/June, 2016. 0037-8682 10.1590/0037-8682-0083-2016 1678-9849 |
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Sociedade Brasileira de Medicina Tropical |
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Sociedade Brasileira de Medicina Tropical |
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