Reabilitação intra-hospitalar após transplante cardíaco

Jamine Vasconcelos Martinis; Mayron Faria de Oliveira

doi:10.23925/1984-4840.2017v19i2a2

Authors

Jamine Vasconcelos Martinis Departamento de Fisioterapia, Faculdade de Ciências Humanas e da Saúde, Pontifícia Universidade Católica de São Paulo (PUC-SP), São Paulo, SP, Brasil.
Mayron Faria de Oliveira Unidade de Fisioterapia, Centro de Ciências da Saúde, Universidade Fortaleza (UNIFOR), Fortaleza, CE, Brasil.

DOI:

https://doi.org/10.23925/1984-4840.2017v19i2a2

Keywords:

heart failure, heart transplantation, rehabilitation, exercise, physical therapy specialty

Abstract

Heart failure (HF) is characterized as a complex syndrome with dyspnea, peripheral myopathy and reduction in quality of life. Heart transplantation (HTx) is one of the latest therapies in HF. However, even after the HTx, peripheral muscle alterations can still contribute to the exercise intolerance. Cardiac rehabilitation (CR) is a complex intervention and enhances/ promotes a faster conditioning and return to daily activities. CR also improves endothelial function, hemodynamics, sympathetic nervous activity, oxygen consumption and tissue delivery/utilization. After HTx, CR should be performed as early as possible, promoting better recovery and early hospital discharge. Moreover, exercise prescription should take into account the fact that the heart rate in exercise response is different and should be based on Borgs scale. In-hospital cardiac rehabilitation can reduce and enhance physiological response and exercise intolerance in patients submitted to HTx.

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Author Biography

Mayron Faria de Oliveira, Unidade de Fisioterapia, Centro de Ciências da Saúde, Universidade Fortaleza (UNIFOR), Fortaleza, CE, Brasil.

Supervisor responsável da pós graduação em "Fisioterapia na Reabilitação Cardiovascular" no setor de Reabilitação Cardiovascular do Instituto Dante Pazzanese de Cardiologia. Pesquisador e orientador no Instituto Dante Pazzanese de Cardiologia nas áreas de reabilitação, insuficiência cardíaca e UTI. Professor do curso de Fisioterapia da Universidade de Fortaleza (UNIFOR)

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