Reabilitação cardíaca precoce em pacientes pós-infarto agudo do miocárdio

Mary Silvia da Cruz Neves; Mayron Faria de Oliveira

doi:10.23925/1984-4840.2017v19i3a2

Authors

Mary Silvia da Cruz Neves Fisioterapeuta do Hospital Santa Lúcia - Hospital do Coração, Poços de Caldas, MG, Brazil.
Mayron Faria de Oliveira Docente da Universidade de Fortaleza (UNIFOR)

DOI:

https://doi.org/10.23925/1984-4840.2017v19i3a2

Keywords:

myocardial infarction, exercise, rehabilitation, physiotherapy

Abstract

Studies have demonstrated that cardiac rehabilitation (CR) is effective in acute miocardial infarction (AMI) after hospital discharge. However, it remains unclear if early CR is effective in AMI. The aim was investigate if the early CR in AMI is effective, identify how long supervised CR can be started after the AMI event, identify exercise intensity and modality as well as indications and side effects for exercise prescription during hospital stay. The greatest benefits occur when CR is indicated within a week. Studies that started CR in the first 24hrs showed improvement in autonomic heart rate modulation, without hemodynamic effects or exercise intolerance. Improvements in quality of life and functional capacity have been shown with CR after hospital discharge. In-hospital CR is beneficial, it should be initiated as early as possible, and is related to better recovery. However, further studies should be directed to the Phase I CR to better understand the exercise prescription and possible reductions in re-hospitalizations and deaths.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Mayron Faria de Oliveira, Docente da Universidade de Fortaleza (UNIFOR)

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).

References

Aguero F, Marrugat J, Elosua R, Sala J, Masiá R, Ramos R, et al. New myocardial infarction definition affects incidence, mortality, hospitalization rates and prognosis. Eur J Prev Cardiol. 2015;22(10):1272-80.

Chen HM, Liu CK, Chen HW, Shia BC, Chen M, Chung CH. Efficiency of rehabilitation after acute myocardial infarction. Kaohsiung J Med Sci. 2015;31(7):351-7.

Garza MA, Wason EA, Zhang JQ. Cardiac remodeling and physical training post myocardial infarction. World J Cardiol. 2015;7(2):52-64.

National Institute for Health and Care Excellence. Myocardial infarction: secondary prevention: secondary prevention in primary and secondary care for patients following a myocardial infarction: Partial Update of NICE CG48. London: NICE; 2013.

Reddy K, Khaliq A, Henning RJ. Recent advances in the diagnosis and treatment of acute myocardial infarction. World J Cardiol. 2015;7(5):243-76.

Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics – 2015 update: a report from the American Heart Association. Circulation. 2015;131(4):e29-322.

Ribeiro AL, Duncan BB, Brant LC, Lotufo PA, Mill JG, Barreto SM. Cardiovascular Health in Brazil: Trends and Perspectives. Circulation. 2016;133(4):422-33.

Teich V, Araújo DV. Estimativa de custo da síndrome coronariana aguda no Brasil. Rev Bras Cardiol. 2011;24(2):85-94.

Piepoli MF, Corrà U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010;17(1):1-17.

Avezum Junior A, Feldman A, Carvalho AC, Sousa AC, Mansur A de P, Bozza AE, et al. [V Guideline of the Brazilian Society of Cardiology on Acute Myocardial Infarction Treatment with ST Segment Elevation]. Arq Bras Cardiol. 2015;105(2 Suppl 1):1-105.

Rodrigues B, Lira FS, Consolim-Colombo FM, Rocha JA, Caperuto EC, De Angelis K, et al. Role of exercise training on autonomic changes and inflammatory profile induced by myocardial infarction. Mediators Inflamm. 2014;2014:702473.

Berry JRS, Cunha AB. Avaliação dos efeitos da reabilitação cardíaca em pacientes pós-infarto do

miocárdio. Rev Bras Cardiol. 2010;23(2):101-10.

Bernard S, Whittom F, Leblanc P, Jobin J, Belleau R, Bérubé C, et al. Aerobic and strength training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1999;159(3):896-901.

Santos-Hiss MD, Neves VR, Hiss FC, Silva E, Silva AB, Catai AM. Segurança da intervenção fisioterápica precoce após o infarto agudo do miocárdio. Fisioter Mov. 2012;25(1):153-63.

Dias CM, Maiato AC, Baqueiro KM, Figueiredo AMF, Rosa FW, Pitanga JO, et al. Circulatory response to a 50-m walk in the coronary care unit in acute coronary syndrome. Arq Bras Cardiol. 009;92(2):128-42.

Certo CM. History of cardiac rehabilitation. Phys Ther. 1985;65(12):1793-5.

Sociedade Brasileira de Cardiologia. [Guidelines for cardiac rehabilitation]. Arq Bras Cardiol. 2005;84(5):431-40.

Zhang YM, Lu Y, Tang Y, Yang D, Wu HF, Bian ZP, et al. The effects of different initiation time of exercise training on left ventricular remodeling and cardiopulmonary rehabilitation in patients with left ventricular dysfunction after myocardial infarction. Disabil Rehabil. 2016;38(3):268-76.

Haykowsky M, Scott J, Esch B, Schopflocher D, Myers J, Paterson I, et al. A meta-analysis of the effects of exercise training on left ventricular remodeling following myocardial infarction: start early and go longer for greatest exercise benefits on remodeling. Trials. 2011;12:92.

Piotrowicz R, Wolszakiewicz J. Cardiac rehabilitation following myocardial infarction. Cardiol J. 2008;15(5):481-7.

Pantelic S, Popovic M, Miloradovic V, Kostic R, Milanovic Z, Bratic M. Effects of short-term exercise training on cardiorespiratory fitness of male adults with Myocardial Infarction. J Phys Ther Sci. 2013;25(8):929-35.

Oliveira MF, Zanussi G, Sprovieri B, Lobo DM, Mastrocolla LE, Umeda II, et al. Alternatives to aerobic exercise prescription in patients with chronic heart failure. Arq Bras Cardiol. 2016;106(2):97-104.

Fletcher GF, Balady G, Blair SN, Blumenthal J, Caspersen C, Chaitman B, et al. Statement on exercise: benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation. 1996;94(4):857-62.

Umeda IIK, Ramos RF, Meneghelo RS, Ferraz AS. Teste de caminhada de seis minutos após infarto agudo do miocárdio: comparação com teste ergométrico. Ver Soc Cardiol Estado São Paulo. 2015;25(3):93-7.

Peixoto TC, Begot I, Bolzan DW, Machado L, Reis MS, Papa V, et al. Early exercise-based rehabilitation improves health-related quality of life and functional capacity after acute myocardial infarction: a randomized controlled trial. Can J Cardiol. 2015;31(3):308-13.

Babu AS, Noone MS, Haneef M, Naryanan SM. Protocol-Guided Phase-1 cardiac rehabilitation in patients with st-elevation myocardial infarction in a rural hospital. Heart Views. 2010;11(2):52-6.

Cabiddu R, Trimer R, Monteiro CI, Borghi-Silva A, Trimer V, Carvalho P, et al. Correlation between autonomous function and left ventricular performance after acute myocardial infarction. Conf Proc IEEE Eng Med Biol Soc. 2015;2015:3343-6.

Santos-Hiss MD, Melo RC, Neves VR, Hiss FC, Verzola RM, Silva E, et al. Effects of progressive exercise during phase I cardiac rehabilitation on the heart rate variability of patients with acute myocardial infarction. Disabil Rehabil. 2011;33(10):835-42.

Santos MDB, Hiss FC, Melo RC, Verzola RMM, Canotilho MM, Oliveira L, et al. Heart rate variability of patients with acute myocardial infarction submitted to a physiotherapy intervention 24 hours after the cardiac event: phase I of cardiac rehabilitation. Crit Care. 2005;9(Suppl 2):P19.

Jorat M, Raafat S, Ansari Z, Mahdavi-Anari L, Ghanbari-Firoozabadi M. The impact of hospital-based cardiac rehabilitation on signal average ECG parameters of the heart after myocardial infarction. Res Cardiovasc Med. 2015;4(3):e26353.