Document Detail


Perioperative variables of ventilatory function and physical capacity in heart transplant patients.
MedLine Citation:
PMID:  20802910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Heart transplantation is currently the only widely accepted surgical alternative to treat patients with severe heart failure (HF) drug therapy cannot maintain optimal quality of life appropriate.
OBJECTIVE: To describe and to compare the values between pre-and postoperative physical capacity and pulmonary patients who underwent heart transplantation.
METHODS: A retrospective cohort composed of patients undergoing heart transplantation between January 2001 to March 2005 in IC-FUC/RS.
RESULTS: Were included in the 21 individuals. We observed decreased levels of volume and lung capacity (FEV1 and FVC) in the first days after surgery compared to preoperatively (P <0.001) and recovery of these values in the 14th postoperative day (P <0.001). The values of muscle strength showed similar trends in reducing post-operative period compared to preoperative (P <0.001) and recovered on the 14th postoperative day (P <0.001). A useful functional capacity, measured by testing 6-minute walk test (T6') showed improvement in the 14th postoperative day in relation to pre-operatively (P <0.001).
CONCLUSION: Changes in ventilatory function of subjects undergoing cardiac transplantation are predictable, but these recover respiratory muscle strength and lung capacity within two weeks, and improve functional capacity useful in relation to pre-operative, the transplantation, when indicated, associated with good functional rehabilitation is very god treatment strategy.
Authors:
Christian Correa Coronel; Solange Bordignon; André Dias Bueno; Lidia Lucas Lima; Ivo Nesralla
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular     Volume:  25     ISSN:  1678-9741     ISO Abbreviation:  Rev Bras Cir Cardiovasc     Publication Date:    2010 Apr-Jun
Date Detail:
Created Date:  2010-08-30     Completed Date:  2011-06-17     Revised Date:  2012-04-02    
Medline Journal Info:
Nlm Unique ID:  9104279     Medline TA:  Rev Bras Cir Cardiovasc     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  190-6     Citation Subset:  IM    
Affiliation:
Fisioterapia Cardiologia Pós-Graduação em Fisioterapia Cardiorrespiratória, IC, FUC, Porto Alegre, RS, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Female
Forced Expiratory Volume / physiology
Heart Transplantation / rehabilitation*
Humans
Male
Middle Aged
Muscle Strength / physiology
Perioperative Care / statistics & numerical data*
Physical Fitness / physiology*
Postoperative Period
Respiratory Muscles / physiology
Retrospective Studies
Vital Capacity / physiology*

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