Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFS |
Texto Completo: | http://ri.ufs.br/jspui/handle/riufs/7409 |
Resumo: | INTRODUCTION: The coronary computed tomography angiography (CTA) with evaluation of coronary artery calcium score (CACS) and coronary stenosis by reducing luminal is a method that enables evaluation of cardiovascular risk in patients with subclinical atherosclerosis. The diagnosis of coronary artery disease (CAD) may contribute to the perception of possible impact on daily activities that affect the autonomy of the person. OBJECTIVE: To evaluate the functionality and physical ability and your association with CACS and coronary stenosis in patients with CAD. METHODOLOGY: Cross-sectional study with 208 consecutive patients, both genders, in two hospitals that perform CTA in Aracaju/Brazil. Patients underwent the assessment functional through the functional independence measure (FIM), Katz index modified, Barthel index and the 6-minute walk test. Then, patients underwent CTA for quantification of CACS and the degree of coronary stenosis and the number of vessels affected. We used the chi-square test, ANOVA and Tukey for analysis between intra-group, and linear regression to assess association between variables. A significance level of 5% using the SPSS 21.0. RESULTS: The mean age was 57.0±11.2 years, with 61.5% female. The most frequent risk factors were high blood pressure (78.4%), followed by family history (72.1%). 9.9% of the sample had previous CAD. The most frequent symptoms was typical precordialgia (39%). The CACS was changed in 49.5% of the patients, being the group of CACS intermediate (23.8%). The FIM presented 81% of the maximum value, and the distance traveled of 67.9% of the predicted distance, and difference was observed between the distance travelled between the CACS groups (p = 0.03). The functional dependence showed dependence of with the sedentary lifestyle (p=0.007), and dyspnea (p=0.008), while the physical capacity independently influence presented with dyspnea (p=0.03). CONCLUSION: Reduction in physical capacity was associated with a higher increase in the CACS and greater luminal reduction in patients with CAD, and functionality reduced in the higher CACS groups, presenting sedentary lifestyle and dyspnea as independent associated factors, which suggests a greater impact functional in these patients. |
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Matos, Carlos José Oliveira deOliveira, Joselina Luzia Menezes2018-02-21T21:18:00Z2018-02-21T21:18:00Z2017-12-22MATOS, Carlos José Oliveira de. Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária. 2017. 165 f. Tese (doutorado em Ciências da Saúde) – Universidade Federal de Sergipe, Aracaju, 2017.http://ri.ufs.br/jspui/handle/riufs/7409INTRODUCTION: The coronary computed tomography angiography (CTA) with evaluation of coronary artery calcium score (CACS) and coronary stenosis by reducing luminal is a method that enables evaluation of cardiovascular risk in patients with subclinical atherosclerosis. The diagnosis of coronary artery disease (CAD) may contribute to the perception of possible impact on daily activities that affect the autonomy of the person. OBJECTIVE: To evaluate the functionality and physical ability and your association with CACS and coronary stenosis in patients with CAD. METHODOLOGY: Cross-sectional study with 208 consecutive patients, both genders, in two hospitals that perform CTA in Aracaju/Brazil. Patients underwent the assessment functional through the functional independence measure (FIM), Katz index modified, Barthel index and the 6-minute walk test. Then, patients underwent CTA for quantification of CACS and the degree of coronary stenosis and the number of vessels affected. We used the chi-square test, ANOVA and Tukey for analysis between intra-group, and linear regression to assess association between variables. A significance level of 5% using the SPSS 21.0. RESULTS: The mean age was 57.0±11.2 years, with 61.5% female. The most frequent risk factors were high blood pressure (78.4%), followed by family history (72.1%). 9.9% of the sample had previous CAD. The most frequent symptoms was typical precordialgia (39%). The CACS was changed in 49.5% of the patients, being the group of CACS intermediate (23.8%). The FIM presented 81% of the maximum value, and the distance traveled of 67.9% of the predicted distance, and difference was observed between the distance travelled between the CACS groups (p = 0.03). The functional dependence showed dependence of with the sedentary lifestyle (p=0.007), and dyspnea (p=0.008), while the physical capacity independently influence presented with dyspnea (p=0.03). CONCLUSION: Reduction in physical capacity was associated with a higher increase in the CACS and greater luminal reduction in patients with CAD, and functionality reduced in the higher CACS groups, presenting sedentary lifestyle and dyspnea as independent associated factors, which suggests a greater impact functional in these patients.Introdução: A angiotomografia computadorizada de coronárias (ATCC) com avaliação do escore de cálcio coronário (EC) e estenose coronariana, através da redução luminal é um método que possibilita avaliação de risco cardiovascular em pacientes com aterosclerose subclínica. O diagnóstico da doença arterial coronária (DAC) pode contribuir para percepção de possível impacto nas atividades diárias que afetam a autonomia da pessoa. OBJETIVO: Avaliar a funcionalidade e capacidade física e sua associação com EC e redução luminal de pacientes com DAC. METODOLOGIA: Estudo transversal com 208 pacientes consecutivos, ambos os sexos, em dois hospitais que realizam exame de ATCC em Aracaju/Brasil. Os pacientes foram submetidos a avaliação funcional através da medida de independência funcional (MIF), índice de Katz modificado, índice de Barthel e o teste de caminhada de 6 minutos. Em seguida, os pacientes foram submetidos a ATCC para a quantificação do EC e o grau de estenose coronariana e o número dos vasos afetados, sendo separado por grupos de EC. Usamos o teste do qui-quadrado, ANOVA e Tukey para análise intragrupo e regressão linear para avaliar a associação entre as variáveis. Utilizado o software SPSS 21.0 e nível de significância de 5%. RESULTADOS: A idade média foi de 57.0±11.2 anos, com 61,5% do sexo feminino. Os fatores de risco mais frequentes foram hipertensão arterial (78,4%), seguido por história familiar (72,1%). 9,9% da amostra já apresentava DAC prévia. O sintoma mais frequente foi precordialgia típica (39%). O EC foi alterado em 49,5% dos pacientes, sendo o EC intermediário (101-400) apresentou 23,8%. A MIF apresentou 81% do valor máximo e a distância percorrida de 67,9% da distância prevista, e foi observada diferença entre a distância percorrida entre os grupos de centros (p=0,03). A análise da funcionalidade mostrou dependência de com o sedentarismo (p=0,007) e a dispneia (p=0,008), enquanto a capacidade física apresentou influência com a dispneia, de forma independente (p=0,03). CONCLUSÃO: A redução da capacidade física foi associada a maior elevação do EC e a maior redução luminal em pacientes com DAC, sendo que a funcionalidade reduziu nos grupos de EC mais elevados, apresentando o sedentarismo e a dispneia como fatores independentes associados, o que sugerem maior impacto funcional nestes pacientes.AracajuporCiências da saúdeArtérias coronáriasTeste de esforçoAngiografiaTomografia computadorizadaArtérias coronáriasEstenoseDoença arterial coronáriaAvaliação da deficiênciaEstenose coronáriaCoronary artery diseaseDisability evaluationExercise testComputed tomographyAngiographyCoronary stenosisCIENCIAS DA SAUDEEscore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronáriaCoronary artery calcium score and luminal reduction associated with functionality and physical capacity in patients with coronary arterial diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisPós-Graduação em Ciências da SaúdeUniversidade Federal de Sergipereponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/7409/1/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD51ORIGINALCARLOS_JOSE_OLIVEIRA_MATOS.pdfCARLOS_JOSE_OLIVEIRA_MATOS.pdfapplication/pdf46329529https://ri.ufs.br/jspui/bitstream/riufs/7409/2/CARLOS_JOSE_OLIVEIRA_MATOS.pdf698ab8093fa26fa8fdc70926f521a84cMD52TEXTCARLOS_JOSE_OLIVEIRA_MATOS.pdf.txtCARLOS_JOSE_OLIVEIRA_MATOS.pdf.txtExtracted texttext/plain246648https://ri.ufs.br/jspui/bitstream/riufs/7409/3/CARLOS_JOSE_OLIVEIRA_MATOS.pdf.txtb9745e2ab96f14bbe8b8e2b5f2e979ccMD53THUMBNAILCARLOS_JOSE_OLIVEIRA_MATOS.pdf.jpgCARLOS_JOSE_OLIVEIRA_MATOS.pdf.jpgGenerated Thumbnailimage/jpeg1279https://ri.ufs.br/jspui/bitstream/riufs/7409/4/CARLOS_JOSE_OLIVEIRA_MATOS.pdf.jpgdf8667316f58b267e0203f342291f9ffMD54riufs/74092018-02-21 18:18:00.697oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2018-02-21T21:18Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false |
dc.title.pt_BR.fl_str_mv |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
dc.title.alternative.eng.fl_str_mv |
Coronary artery calcium score and luminal reduction associated with functionality and physical capacity in patients with coronary arterial disease |
title |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
spellingShingle |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária Matos, Carlos José Oliveira de Ciências da saúde Artérias coronárias Teste de esforço Angiografia Tomografia computadorizada Artérias coronárias Estenose Doença arterial coronária Avaliação da deficiência Estenose coronária Coronary artery disease Disability evaluation Exercise test Computed tomography Angiography Coronary stenosis CIENCIAS DA SAUDE |
title_short |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
title_full |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
title_fullStr |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
title_full_unstemmed |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
title_sort |
Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária |
author |
Matos, Carlos José Oliveira de |
author_facet |
Matos, Carlos José Oliveira de |
author_role |
author |
dc.contributor.author.fl_str_mv |
Matos, Carlos José Oliveira de |
dc.contributor.advisor1.fl_str_mv |
Oliveira, Joselina Luzia Menezes |
contributor_str_mv |
Oliveira, Joselina Luzia Menezes |
dc.subject.por.fl_str_mv |
Ciências da saúde Artérias coronárias Teste de esforço Angiografia Tomografia computadorizada Artérias coronárias Estenose Doença arterial coronária Avaliação da deficiência Estenose coronária |
topic |
Ciências da saúde Artérias coronárias Teste de esforço Angiografia Tomografia computadorizada Artérias coronárias Estenose Doença arterial coronária Avaliação da deficiência Estenose coronária Coronary artery disease Disability evaluation Exercise test Computed tomography Angiography Coronary stenosis CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Coronary artery disease Disability evaluation Exercise test Computed tomography Angiography Coronary stenosis |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
INTRODUCTION: The coronary computed tomography angiography (CTA) with evaluation of coronary artery calcium score (CACS) and coronary stenosis by reducing luminal is a method that enables evaluation of cardiovascular risk in patients with subclinical atherosclerosis. The diagnosis of coronary artery disease (CAD) may contribute to the perception of possible impact on daily activities that affect the autonomy of the person. OBJECTIVE: To evaluate the functionality and physical ability and your association with CACS and coronary stenosis in patients with CAD. METHODOLOGY: Cross-sectional study with 208 consecutive patients, both genders, in two hospitals that perform CTA in Aracaju/Brazil. Patients underwent the assessment functional through the functional independence measure (FIM), Katz index modified, Barthel index and the 6-minute walk test. Then, patients underwent CTA for quantification of CACS and the degree of coronary stenosis and the number of vessels affected. We used the chi-square test, ANOVA and Tukey for analysis between intra-group, and linear regression to assess association between variables. A significance level of 5% using the SPSS 21.0. RESULTS: The mean age was 57.0±11.2 years, with 61.5% female. The most frequent risk factors were high blood pressure (78.4%), followed by family history (72.1%). 9.9% of the sample had previous CAD. The most frequent symptoms was typical precordialgia (39%). The CACS was changed in 49.5% of the patients, being the group of CACS intermediate (23.8%). The FIM presented 81% of the maximum value, and the distance traveled of 67.9% of the predicted distance, and difference was observed between the distance travelled between the CACS groups (p = 0.03). The functional dependence showed dependence of with the sedentary lifestyle (p=0.007), and dyspnea (p=0.008), while the physical capacity independently influence presented with dyspnea (p=0.03). CONCLUSION: Reduction in physical capacity was associated with a higher increase in the CACS and greater luminal reduction in patients with CAD, and functionality reduced in the higher CACS groups, presenting sedentary lifestyle and dyspnea as independent associated factors, which suggests a greater impact functional in these patients. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-12-22 |
dc.date.accessioned.fl_str_mv |
2018-02-21T21:18:00Z |
dc.date.available.fl_str_mv |
2018-02-21T21:18:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MATOS, Carlos José Oliveira de. Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária. 2017. 165 f. Tese (doutorado em Ciências da Saúde) – Universidade Federal de Sergipe, Aracaju, 2017. |
dc.identifier.uri.fl_str_mv |
http://ri.ufs.br/jspui/handle/riufs/7409 |
identifier_str_mv |
MATOS, Carlos José Oliveira de. Escore de cálcio e redução luminal associado a funcionalidade e capacidade física em pacientes com doença arterial coronária. 2017. 165 f. Tese (doutorado em Ciências da Saúde) – Universidade Federal de Sergipe, Aracaju, 2017. |
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http://ri.ufs.br/jspui/handle/riufs/7409 |
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por |
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Pós-Graduação em Ciências da Saúde |
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Universidade Federal de Sergipe |
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