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Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation

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Resumo:Heart failure (HF) is characterized by dyspnea, fatigue and edema that leads to decreased exercise tolerance, functional dependence and impairment of performance in activities of daily living (ADL). Exercise is a well stablish intervention, for patients with stable cronic HF, which leads to improvement of symptoms, promotes functional capacity and decrease exercise intolerance. Exercise its not yet tested for patients during the phase of stabilization. Purpose: To evaluate the safety and feasibility of an aerobic exercise training program for patients admitted due to decompensated HF: the ERIC program. Methods: Patients are randomized in training group (TG) or control (CG). Data includes cardiovascular history, HF history and two functional tools: London Chest of Daily Living Activities (LCADL) and Barthel Index (BI). TG patients perform the ERIC program twice a day, 6 days a week. ERIC program is a supervised aerobic exercise program, with increasing levels of intensity, divided into 5 stages: respiratory raining, gait training and climbing stairs, for progressive duration periods. In all sessions are valuated vital signs before and after the exercise, as well as Borg Modified Perceived Exertion scale. CG patients are supervised too and perform freely physical activity. At discharge, all patients perform a 6 minute walking test (6MWT), and evaluation of LCADL scale and BI. Results: Until now, 47 patients are randomized (24 in TG - 275 sessions) with an average age of 71 (11) years old. 31 are male, 80% are in NHYA class III and 20% are class IV. At admission both groups (training vs control) of patients have the same level of functional dependence. At discharge, TG present lower LCADL and Borg score and higher BI score. Those differences are statistically significant (p=0,038 LCADL; p=0,024 Barthel). The average distance on 6MWT by TG is 72 meters higher, which is a statistically significant (p=0,031). No adverse events had occurred, like precordial pain, falls or worsening of clinical state. Conclusions: ERIC program can safely lead patients to a better functional capacity state.
Autores principais:Delgado, Bruno
Outros Autores:Novo, André; Gomes, Bárbara
Assunto:Exercise in patients Cardiac rehabilitation
Ano:2018
País:Portugal
Tipo de documento:póster em conferência
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Delgado, Bruno
author2 Novo, André
Gomes, Bárbara
author2_role author
author
author_facet Delgado, Bruno
Novo, André
Gomes, Bárbara
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Delgado, Bruno\"},{\"Person.name\":\"Novo, André\",\"Person.identifier.orcid\":\"0000-0001-8583-0406\"},{\"Person.name\":\"Gomes, Bárbara\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Delgado, Bruno
Novo, André
Gomes, Bárbara
datacite.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2019-09-17T13:13:34Z
datacite.date.embargoed.fl_str_mv 2019-09-17T13:13:34Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Exercise in patients
Cardiac rehabilitation
datacite.titles.title.fl_str_mv Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Delgado, Bruno
Novo, André
Gomes, Bárbara
dc.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
dc.date.available.fl_str_mv 2019-09-17T13:13:34Z
dc.date.embargoed.fl_str_mv 2019-09-17T13:13:34Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/19605
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv ESC- European Society of Cardiology
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Exercise in patients
Cardiac rehabilitation
dc.title.fl_str_mv Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6670
description Heart failure (HF) is characterized by dyspnea, fatigue and edema that leads to decreased exercise tolerance, functional dependence and impairment of performance in activities of daily living (ADL). Exercise is a well stablish intervention, for patients with stable cronic HF, which leads to improvement of symptoms, promotes functional capacity and decrease exercise intolerance. Exercise its not yet tested for patients during the phase of stabilization. Purpose: To evaluate the safety and feasibility of an aerobic exercise training program for patients admitted due to decompensated HF: the ERIC program. Methods: Patients are randomized in training group (TG) or control (CG). Data includes cardiovascular history, HF history and two functional tools: London Chest of Daily Living Activities (LCADL) and Barthel Index (BI). TG patients perform the ERIC program twice a day, 6 days a week. ERIC program is a supervised aerobic exercise program, with increasing levels of intensity, divided into 5 stages: respiratory raining, gait training and climbing stairs, for progressive duration periods. In all sessions are valuated vital signs before and after the exercise, as well as Borg Modified Perceived Exertion scale. CG patients are supervised too and perform freely physical activity. At discharge, all patients perform a 6 minute walking test (6MWT), and evaluation of LCADL scale and BI. Results: Until now, 47 patients are randomized (24 in TG - 275 sessions) with an average age of 71 (11) years old. 31 are male, 80% are in NHYA class III and 20% are class IV. At admission both groups (training vs control) of patients have the same level of functional dependence. At discharge, TG present lower LCADL and Borg score and higher BI score. Those differences are statistically significant (p=0,038 LCADL; p=0,024 Barthel). The average distance on 6MWT by TG is 72 meters higher, which is a statistically significant (p=0,031). No adverse events had occurred, like precordial pain, falls or worsening of clinical state. Conclusions: ERIC program can safely lead patients to a better functional capacity state.
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oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/19605
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person_str_mv Delgado, Bruno
Novo, André
Novo, André
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Gomes, Bárbara
publishDate 2018
publisher.none.fl_str_mv ESC- European Society of Cardiology
reponame_str Biblioteca Digital do IPB
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spelling engESC- European Society of Cardiologypt_PTHeart failure (HF) is characterized by dyspnea, fatigue and edema that leads to decreased exercise tolerance, functional dependence and impairment of performance in activities of daily living (ADL). Exercise is a well stablish intervention, for patients with stable cronic HF, which leads to improvement of symptoms, promotes functional capacity and decrease exercise intolerance. Exercise its not yet tested for patients during the phase of stabilization. Purpose: To evaluate the safety and feasibility of an aerobic exercise training program for patients admitted due to decompensated HF: the ERIC program. Methods: Patients are randomized in training group (TG) or control (CG). Data includes cardiovascular history, HF history and two functional tools: London Chest of Daily Living Activities (LCADL) and Barthel Index (BI). TG patients perform the ERIC program twice a day, 6 days a week. ERIC program is a supervised aerobic exercise program, with increasing levels of intensity, divided into 5 stages: respiratory raining, gait training and climbing stairs, for progressive duration periods. In all sessions are valuated vital signs before and after the exercise, as well as Borg Modified Perceived Exertion scale. CG patients are supervised too and perform freely physical activity. At discharge, all patients perform a 6 minute walking test (6MWT), and evaluation of LCADL scale and BI. Results: Until now, 47 patients are randomized (24 in TG - 275 sessions) with an average age of 71 (11) years old. 31 are male, 80% are in NHYA class III and 20% are class IV. At admission both groups (training vs control) of patients have the same level of functional dependence. At discharge, TG present lower LCADL and Borg score and higher BI score. Those differences are statistically significant (p=0,038 LCADL; p=0,024 Barthel). The average distance on 6MWT by TG is 72 meters higher, which is a statistically significant (p=0,031). No adverse events had occurred, like precordial pain, falls or worsening of clinical state. Conclusions: ERIC program can safely lead patients to a better functional capacity state.application/pdfpt_PTExercise in patients admitted for decompensated heart failure - cardiac rehabilitationDelgado, BrunoPersonalNovo, AndréDSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885DSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885NovoAndréCiência IDhttps://www.ciencia-id.pt7D14-8584-AB2BORCIDhttp://orcid.org0000-0001-8583-0406Scopus Author IDhttps://www.scopus.com612710Gomes, BárbaraHostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.pt2019-09-17T13:13:34Z20182018-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/19605http://purl.org/coar/access_right/c_abf2open accessExercise in patientsCardiac rehabilitation683591 bytesother research producthttp://purl.org/coar/resource_type/c_6670conference poster2018http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/9780a443-b3c2-4275-9cee-9e4c36af2658/downloadEuroHeartCareDublin-Ireland
spellingShingle Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
Delgado, Bruno
Exercise in patients
Cardiac rehabilitation
status SINGLETON
subject.fl_str_mv Exercise in patients
Cardiac rehabilitation
title Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
title_full Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
title_fullStr Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
title_full_unstemmed Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
title_short Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
title_sort Exercise in patients admitted for decompensated heart failure - cardiac rehabilitation
topic Exercise in patients
Cardiac rehabilitation
topic_facet Exercise in patients
Cardiac rehabilitation
url http://hdl.handle.net/10198/19605
visible 1