bachelorThesis
Testes submáximos na avaliação do paciente com hipertensão pulmonar: Uma revisão narrativa da literatura
Fecha
2022-02-10Registro en:
ARAUJO, Kelton Bezerra Silva. Testes submáximos na avaliação do paciente com hipertensão
pulmonar: Uma revisão narrativa da literatura. 2022. 30f. Trabalho de conclusão de Curso (Graduação em Fisioterapia), Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, 2022.
Autor
Araujo, Kelton Bezerra Silva
Resumen
Introduction: Pulmonary hypertension (PH) is characterized as a circulatory abnormality that
causes increased pressure in the pulmonary arteries. Pulmonary hypertension is defined as
pressure greater than 25 mmHg at rest. This increase is due to a constriction or obstruction of
pulmonary blood vessels that will cause some symptoms in the individual such as: fatigue,
dyspnea on exertion, syncope and chest discomfort. The increased resistance of the vessels of
the lungs is caused by destruction of the vascular bed and/or pathological vasoconstriction or
thrombosis. The assessment of functional capacity is extremely important to determine
tolerance to physical effort, generate prognosis and outline the therapeutic plan. Due to the
clinical value that the assessment of the functional capacity of the patient with PH has, many
health professionals make use of stress tests to measure the functional status of each individual.
Objective: The study sought to understand and study the best strategy for assessing functional
capacity in patients with PH. Methodology: this study is a narrative review where a survey of
articles published in online databases (Pubmed, Physiotherapy evidence database (PEDro),
Academic Google, Scientific Electronic Library Online (SciELO), International Journal of
Cardiovascular Science, Revista Ciência & Saúde and Capes Journal Portal) with the main
maximum and submaximal tests performed in patients with PH, in which 8 articles were
selected that met the inclusion criteria. Results: It was observed that the 6-minute walk test
(6MWT) is still the main test used in the assessment of functional capacity because it combines
its practicality, low cost and still has its result linked to the prognosis of the disease. However,
more recent studies have brought the shuttle walking test (SWT) as an alternative to the 6MWT
because it combines the advantages that a maximal test has with the simplicity of performance
similar to the 6MWT. The study observed that there is still a deficit of works that correlate HP
with some tests, such as the up and go test (TUG) and the 30-second sit-and-stand test (STS30).
Conclusion: Studies show the 6MWT as the most used test in clinical practice. However, the
literature has been seeking and signaling other tests to assess functional capacity that present
similar or superior characteristics to the 6MWT.