Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/7486 |
Resumo: | Objective: to analyze the impact of dorsal, left and right lateral positions of patients with acute coronary syndrome on oxyhemodynamic variables. Method: Randomized, uncontrolled, single-blinded clinical trial, performed at the Coronary Unit of a private hospital in Niterói, Brazil. The impact of positioning in the supine position, left and right sides on the following variables was analyzed: heart rate, stroke volume, heart index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, cardiac work index, maximum ventricular contraction and O2 consumption, measured using an impedance cardiography device. The randomization of the initial lateral decubitus position was performed with the aid of an electronic spreadsheet. Convenience sample made up of 16 consecutively recruited volunteers. For the comparison of means, analysis of variance (ANOVA) and t-Student test for paired samples were performed, with a pre-established significance level of 5%. Results: Mostly male sample, with an average age of 67 ± 11 years, non-alcoholic and non-smoker. Systolic blood pressure showed a significant decrease in the right lateral and dorsal decubitus (p < 0.01), not reflected in changes in mean arterial pressure. The other variables showed noticeable oscillations in the left lateral decubitus, without statistical significance. Conclusion: The change in position of patients with coronary syndrome, hemodynamically stable, is safe and does not have a deleterious impact on the oxyhemodynamic variables. One must consider the clinical repercussions that occurred in the left lateral decubitus, to support decision-making in clinical practice. |
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Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trialRepercusiones oxihemodinámicas de la lateralización en pacientes hasta 72 h después del síndrome coronario agudo: ensayo clínicoRepercussões oxi-hemodinâmicas da lateralização de pacientes até 72 h após síndrome coronariana aguda: ensaio clínicoAcute coronary syndromePatient positioningCardiography, impedanceHemodynamics.Síndrome coronario agudoPosicionamiento del pacienteCardiografía de impedanciaHemodinámica.Síndrome coronariana agudaPosicionamento do pacienteCardiografia de impedânciaHemodinâmica.Objective: to analyze the impact of dorsal, left and right lateral positions of patients with acute coronary syndrome on oxyhemodynamic variables. Method: Randomized, uncontrolled, single-blinded clinical trial, performed at the Coronary Unit of a private hospital in Niterói, Brazil. The impact of positioning in the supine position, left and right sides on the following variables was analyzed: heart rate, stroke volume, heart index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, cardiac work index, maximum ventricular contraction and O2 consumption, measured using an impedance cardiography device. The randomization of the initial lateral decubitus position was performed with the aid of an electronic spreadsheet. Convenience sample made up of 16 consecutively recruited volunteers. For the comparison of means, analysis of variance (ANOVA) and t-Student test for paired samples were performed, with a pre-established significance level of 5%. Results: Mostly male sample, with an average age of 67 ± 11 years, non-alcoholic and non-smoker. Systolic blood pressure showed a significant decrease in the right lateral and dorsal decubitus (p < 0.01), not reflected in changes in mean arterial pressure. The other variables showed noticeable oscillations in the left lateral decubitus, without statistical significance. Conclusion: The change in position of patients with coronary syndrome, hemodynamically stable, is safe and does not have a deleterious impact on the oxyhemodynamic variables. One must consider the clinical repercussions that occurred in the left lateral decubitus, to support decision-making in clinical practice.Objetivo: analizar el impacto de las posiciones dorsal, lateral izquierda y lateral derecha de pacientes con síndrome coronario agudo sobre variables oxihemodinámicas. Método: Ensayo clínico aleatorizado, no controlado, simple ciego, realizado en la Unidad Coronaria de un hospital privado de Niterói, Brasil. Se analizó el impacto del posicionamiento en decúbito dorsal, laterales izquierdo y derecho sobre las siguientes variables: frecuencia cardíaca, volumen sistólico, índice cardíaco, presión arterial sistólica, presión arterial diastólica, presión arterial media, índice de trabajo cardíaco, contracción ventricular máxima y consumo de O2, medido con un dispositivo de cardiografía de impedancia. La aleatorización de la posición inicial de decúbito lateral se realizó con la ayuda de una hoja de cálculo electrónica. Muestra de conveniencia compuesta por 16 voluntarios reclutados consecutivamente. Para la comparación de medias se realizaron análisis de varianza (ANOVA) y test t-Student para muestras pareadas, con un nivel de significancia preestablecido del 5%. Resultados: muestra mayoritariamente masculina, con una edad promedio de 67 ± 11 años, no alcohólicos y no fumadores. La presión arterial sistólica mostró una disminución significativa en el decúbito lateral y dorsal derecho (p < 0.01), no reflejada en cambios en la presión arterial media. Las otras variables mostraron oscilaciones notables en la posición lateral izquierda, sin significación estadística. Conclusión: el cambio de posición en pacientes con síndrome coronario hemodinámicamente estables es seguro y no tiene un impacto deletéreo sobre las variables oxihemodinámicas. Hay que considerar las repercusiones clínicas que se produjeron en la posición lateral izquierda para apoyar la toma de decisiones en la práctica clínica.Objetivo: analisar o impacto dos posicionamentos dorsal, lateral esquerdo e lateral direito de pacientes com síndrome coronariana aguda sobre variáveis oxi-hemodinâmicas. Método: Ensaio clínico randomizado, não controlado, unicego, realizado na Unidade Coronariana de um hospital da rede privada em Niterói, Brasil. Foi analisado o impacto do posicionamento nos decúbitos dorsal, lateral esquerdo e lateral direito sobre as seguintes variáveis: frequência cardíaca, volume sistólico, índice cardíaco, pressão arterial sistólica, pressão arterial diastólica, pressão arterial média, índice de trabalho cardíaco, contração ventricular máxima e consumo de O2, mensuradas por meio de um aparelho de cardiografia por impedância. A randomização do decúbito lateral inicial foi realizada com auxílio de uma planilha eletrônica. Amostra de conveniência composta por 16 voluntários consecutivamente recrutados. Para a comparação das médias, procederam-se as análises de variância (ANOVA) e teste t-Student para amostras pareadas, com nível de significância pré-estabelecido de 5%. Resultados: Amostra majoritariamente masculina, com idade média de 67±11 anos, não etilista e não tabagista. A pressão arterial sistólica apresentou queda significativa em decúbito lateral direito e em dorsal (p < 0,01), não se refletindo em alterações na pressão arterial média. As demais variáveis apresentaram oscilações perceptíveis em decúbito lateral esquerdo, sem significância estatística. Conclusão: A mudança de posicionamento em pacientes com síndrome coronariana, hemodinamicamente estáveis é segura e não gera impacto deletério sobre as variáveis oxi-hemodinâmicas. Há de se considerar as repercussões clínicas em ocorridas em decúbito lateral esquerdo para subsídio na tomada de decisão na prática clínica.Research, Society and Development2020-08-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/748610.33448/rsd-v9i9.7486Research, Society and Development; Vol. 9 No. 9; e401997486Research, Society and Development; Vol. 9 Núm. 9; e401997486Research, Society and Development; v. 9 n. 9; e4019974862525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/7486/6566Copyright (c) 2020 Lucelia dos Santos Silva; Monyque Evelyn dos Santos Silva; Fernanda Faria Reis; Viviane de Moraes Sptiz; Silvia Regina Martins dos Santos; Aretha Pereira de Oliveira; Dalmo Valério Machado de Limahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Lucelia dos Santos Silva, Monyque Evelyn dos SantosReis, Fernanda Faria Sptiz, Viviane de Moraes Santos, Silvia Regina Martins dos Oliveira, Aretha Pereira de Lima, Dalmo Valério Machado de 2020-09-18T01:42:11Zoai:ojs.pkp.sfu.ca:article/7486Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:30:11.532679Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial Repercusiones oxihemodinámicas de la lateralización en pacientes hasta 72 h después del síndrome coronario agudo: ensayo clínico Repercussões oxi-hemodinâmicas da lateralização de pacientes até 72 h após síndrome coronariana aguda: ensaio clínico |
title |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
spellingShingle |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial Silva, Lucelia dos Santos Acute coronary syndrome Patient positioning Cardiography, impedance Hemodynamics. Síndrome coronario agudo Posicionamiento del paciente Cardiografía de impedancia Hemodinámica. Síndrome coronariana aguda Posicionamento do paciente Cardiografia de impedância Hemodinâmica. |
title_short |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
title_full |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
title_fullStr |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
title_full_unstemmed |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
title_sort |
Oxyhemodynamic repercussions of lateralization of patients up to 72 h after acute coronary syndrome: clinical trial |
author |
Silva, Lucelia dos Santos |
author_facet |
Silva, Lucelia dos Santos Silva, Monyque Evelyn dos Santos Reis, Fernanda Faria Sptiz, Viviane de Moraes Santos, Silvia Regina Martins dos Oliveira, Aretha Pereira de Lima, Dalmo Valério Machado de |
author_role |
author |
author2 |
Silva, Monyque Evelyn dos Santos Reis, Fernanda Faria Sptiz, Viviane de Moraes Santos, Silvia Regina Martins dos Oliveira, Aretha Pereira de Lima, Dalmo Valério Machado de |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Lucelia dos Santos Silva, Monyque Evelyn dos Santos Reis, Fernanda Faria Sptiz, Viviane de Moraes Santos, Silvia Regina Martins dos Oliveira, Aretha Pereira de Lima, Dalmo Valério Machado de |
dc.subject.por.fl_str_mv |
Acute coronary syndrome Patient positioning Cardiography, impedance Hemodynamics. Síndrome coronario agudo Posicionamiento del paciente Cardiografía de impedancia Hemodinámica. Síndrome coronariana aguda Posicionamento do paciente Cardiografia de impedância Hemodinâmica. |
topic |
Acute coronary syndrome Patient positioning Cardiography, impedance Hemodynamics. Síndrome coronario agudo Posicionamiento del paciente Cardiografía de impedancia Hemodinámica. Síndrome coronariana aguda Posicionamento do paciente Cardiografia de impedância Hemodinâmica. |
description |
Objective: to analyze the impact of dorsal, left and right lateral positions of patients with acute coronary syndrome on oxyhemodynamic variables. Method: Randomized, uncontrolled, single-blinded clinical trial, performed at the Coronary Unit of a private hospital in Niterói, Brazil. The impact of positioning in the supine position, left and right sides on the following variables was analyzed: heart rate, stroke volume, heart index, systolic blood pressure, diastolic blood pressure, mean arterial pressure, cardiac work index, maximum ventricular contraction and O2 consumption, measured using an impedance cardiography device. The randomization of the initial lateral decubitus position was performed with the aid of an electronic spreadsheet. Convenience sample made up of 16 consecutively recruited volunteers. For the comparison of means, analysis of variance (ANOVA) and t-Student test for paired samples were performed, with a pre-established significance level of 5%. Results: Mostly male sample, with an average age of 67 ± 11 years, non-alcoholic and non-smoker. Systolic blood pressure showed a significant decrease in the right lateral and dorsal decubitus (p < 0.01), not reflected in changes in mean arterial pressure. The other variables showed noticeable oscillations in the left lateral decubitus, without statistical significance. Conclusion: The change in position of patients with coronary syndrome, hemodynamically stable, is safe and does not have a deleterious impact on the oxyhemodynamic variables. One must consider the clinical repercussions that occurred in the left lateral decubitus, to support decision-making in clinical practice. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/7486 10.33448/rsd-v9i9.7486 |
url |
https://rsdjournal.org/index.php/rsd/article/view/7486 |
identifier_str_mv |
10.33448/rsd-v9i9.7486 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/7486/6566 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 9; e401997486 Research, Society and Development; Vol. 9 Núm. 9; e401997486 Research, Society and Development; v. 9 n. 9; e401997486 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052803639672832 |