Trabalho de Conclusão de Curso de Especialização
Efeitos da reabilitação cardíaca sobre o escore de Framingham após revascularização miocárdica
Fecha
2015-07-06Autor
Brancher, Elizabeth do Canto
Institución
Resumen
Introduction: Coronary artery disease (CAD) are characterized by circulatory changes in the coronary arteries, which can reverberate myocardial infarction, stroke or peripheral vascular disease.
Objective: To analyze the effectiveness of the Cardiac Rehabilitation Program (PRC) lasting 24 weeks on the Cardiovascular Risk (RCV) in patients previously submitted to Myocardial Revascularization Surgery (CABG) in Phase II cardiac rehabilitation.
Methods: Cross-sectional, descriptive and retrospective study with a sample of 49 patients (58.37 ± 10.86 years) of both sexes, post-CRM and Phase II cardiac rehabilitation. Patients were evaluated for age, sex, number of grafts, post-CABG hospital stay, medication use, weight, height, body mass index (BMI), waist circumference (WC), fasting glucose, total cholesterol (TC), LDL-C, HDL-C, triglycerides (TG), C-reactive protein (CRP) and RCV pre and post-rehabilitation. For data analysis we used the Student t test, chi-square and Pearson correlation. It was considered significant at p <0.05.
Results: positive and significant results were found in BMI, CC, TC, LDL-C, HDL-C, TG, PRC, EF, absolute risk for coronary artery disease (%) and smoking cessation (p <0.05) . There was a relationship TC, SBP and HDL-c with RCV in the pre-rehabilitation time and DC with post-rehabilitation RCV.
Conclusion: We conclude that the PRC of 24 weeks was effective in improving anthropometric measures, lipid profile, inflammatory marker, smoking cessation and reduction of cardiovascular risk post-CABG patients in Phase II.