Alterações no segmento ST, freqüência cardí­aca, pressão arterial e percepção de esforço durante treino de força, de resistência muscular localizada e isometria entre pacientes pós-infarto agudo do miocárdio póstreinamento aeróbio

Autores

  • Wladimir Musetti Medeiros UNISA

DOI:

https://doi.org/10.33233/fb.v9i5.1685

Resumo

Objetivo: Verificar as diferenças de PAS/PAD/FC, percepção de esforço e segmento ST durante o treino de força, de resistência muscular localizada (RML) e isometria, em pacientes pós-IAM, treinados e não-treinados. Randomizados dois grupos: controle (NT), 14 pacientes, 53,5 anos, sedentários. Treinado (T), 14 pacientes, 54,2 anos, submetidos a exercí­cios aeróbios durante 1 mês, 3/semana, 30minutos. Avaliados: Segmento ST e FC, PAS/PAD, oximetria e ipeBorg nos momentos A,B,C,D. A) 4 repetições 80% 1RM extensão de joelho, B) 15 repetições 50% 1RM extensão de joelho, (C) 4 repetições 80% 1RM flexão de cotovelo, D) isometria de 40 seg em flexão de cotovelo 80% 1RM e Teste Ergométrico. ANOVA, post-hoc de Tukey"™s e o teste Chi-square. Ní­vel de significância p < 0,05. Resultados: Segmento ST e oximetria sem alterações. PAS/PAD/FC do grupo NT apresentou médias superiores ao do grupo T nas situações C,D. Conclusão: Treinamento de força e de RML foram seguros para infartados sedentários e treinados. Exercí­cios de RML apresentam maiores valores de PAS/PAD/FC em relação aos exercí­cios de força. Exercí­cios com membros superiores apresentaram maiores respostas de PAS/PAD/FC em infartados treinados ou não. A ausência de um treinamento aeróbio não foi contra-indicação para os exercí­cios resistidos, exercí­cios isométricos entram numa faixa de risco para pacientes com ou sem um treinamento prévio.

Palavras-chave: reabilitação, força, resistência muscular localizada, coração.

Biografia do Autor

Wladimir Musetti Medeiros, UNISA

Universidade de Santo Amaro (UNISA), Hospital Geral do Grajaú (HGG), grupo de Estudos em Reabilitação e Fisiologia do Exercí­cio, Dep. de Cardiologia da Escola Paulista de Medicina -Universidade Federal de São Paulo (EPM-UNIFESP

Referências

Stewart KJ, McFarland LD, Weinhofer JJ, Brown C, Shapiro EP. Weight training soon after myocardial infarction. Med Sci Sports Exerc1994;26:S32.

Daub WD, Knapik GP, Black WR. Strength training early after myocardial infarction. J Cardiopulm Rehabil 1996;16(2):100-8.

Ferreira JAC. Weight training exercise in cardiac rehabilitation. Rev Socerj 1997;10(4):211-8.

Feigenbaum MS, Pollock ML Prescription of resistance training for health and disease. Med Sci Sports Exerc.1999;31(1):38-45.

Squires RW, Muri AJ, Anderson LJ, Allison TG, Miller TD, Gau GT. Weight training during phase II cardiac rehabilitation. J Cardiopulm Rehabil1991;11(6):360-4.

Fletcher GF, Balady G, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Exercises standards – a statement for healthcare professionals from the American Heart Association. Circulation 1995;91:580-615.

AACVPR. Guidelines for cardiac rehabilitation programs.2nd ed. Champaign: Human Kinetics; 1995.

ACMS. Guidelines for exercise testing and prescription. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2000.

Medeiros WM, Rodrigues RM, Scarparo CDB, Freire CS, Gun C, Araújo EBJ, De Luca FA et al. Segurança do teste de resistência máxima em pacientes pós-infarto agudo do miocárdio. Rev Soc Cardiol Estado de São Paulo 2003;13(6)supl A:1-8.

Stone MH, Conley MS. Essentials of strength and conditioning. Champaigne: Human Kinetics; 1994.

Delorme TL, Watkins AL. Techniques of progressive resistance exercise. Arch Phys Med1948;29:263-273.

MacQueen IJ. Recent advances in the technique of progressive resistance exercise. Br Med J 1954;II:1193-8.

Zinovieff AN. Heavy resistance exercise: the Oxford techniques. Br J Phys Med 1951;14:129-132.

Rogers MA, Hagberg JM, Martim VH et al. Decline in VO2max with aging in master athletes and secondary men. J Appl Physiol 1990;68:2195-9.

Fleg JL, Schulman SP, O’Connor FC, Gerstenblith G, Becker Lc, Fortney S et al. Cardiovascular responses to exhaustive upright cycle exercise in highly trained older men. J Appl Physiol 1994;77:1500-6.

Seals DR, Hagberg JM, Spina RJ, Rogers MA, Schechtman RB, Ehsani AA. Enhanced left ventricular performance in endurance trained older men. Circulation 1994;89:198-205.

Proctor DN, Joyner MJ. Skeletal muscle mass and the reduction of VO2max in trained older subjects. J Appl Physiol 1997;82:1411-5.

Tanaka H, Desouza CA, Jones PP, Stevenson ET, Davy KP, Seals DR. Greater rate of decline in maximal aerobic capacity with age in physically active vs sedentary health women. J Appl Physiol 1997;83:1947-53.

Braith RW, Mills RM, Wesch MA, Keller JW, Pollock ML. Resistance exercise training restores bone mineral density in heart transplant recipients. JACC 1996;28:1471-7.

Braith RW, Leggett SH, Pollock ML. Skeletal muscle strength in heart transplant recipients. J Heart Lung Transplant 1993;12:1018-23.

Meyer K, Hajric R, Westbrook S, Haag-Wildi S, Holtkamp R, Leyk D, et al. Hemodynamic response during leg press exercise in patients with chronic congestive heart failure. Am J Cardiol 1999;83:1537-43.

Petrofsky JS, Phillips CA, Lind AR. The influence of fiber composition, recruitment orders and muscle temperature on the pressor response to isometric contraction in skeletal muscle of the cat. Circ Res 1981;48(6):32-36.

Mitchell JR, Payne FC, Saltin B, Schibye B. The role of muscle mass in the cardiovascular response to static contractions. J Physiol 1980;309:45-54.

Ghilarducci LEC, Holly RG, Amsterdam EA. Effects of high resistance training in coronary artery disease. Am J Cardiol 1989;64:866-70.

Mitchell JR, Schibye B, Payne FC, Saltin B. Response of arterial blood pressure to static exercise in relation to muscle mass, force development and eletromyographic activity. Circ Res 1981;48(6):70-75.

Seals DR, Washburn RA, Hanson PG, Panter PL, Nagle FJ. Increased cardiovascular response to static contraction of longer muscle group. J Appl Physiol 1983;54(2):434-7.

Sagiv M, Hanson PG, Besozzi M, Nagle FJ. Left ventricular response to upright isometric handgrip and weight-lift in man with coronary artery disease. Am J Cardiol.1985;55:1298-1302.

McCartney N. Acute responses to resistance training and safety. Med Sci Sports Exerc 1999;31(1):31-37.

Stralow CR, Ball TE, Loney M. Acute cardiovascular responses of patients with coronary disease to dynamic variable resistance exercise of different intensities. J Cardiopulm Rehabil.1993;13:255-63.

Haennel RG, Quinney HA, Kappagoda CT. Effects of hydraulic circuit training following coronary artery bypass surgery. Med Sci Sports Exerc 1991;23:158-65.

Verrill DE, Ribisl PM. Resistive exercise training in cardiac rehabilitation. Med Sci Sports Exerc 1996;21(5):347-83.

MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985;58:785-90.

Lentini AC, McKelvie RS, McCartney N, Tomlinson CW, MacDougal JD. Left ventricular response in healthy young men during heavy intensity weight lifting exercise. J Appl Physiol 1993;75:2703-10.

MacCarteny N, McKelvie RS, McCartney N, Martin J, Sale DG, MacDougal JD. Weight training induced attenuation of the circulatory response to weightlifting in older males. J Appl Physiol 1993;74:1056-60.

McKelvie RS, Teo KK, MacCartney N, Humen D, Montague T, Yusuf S. Effects of exercise training in patients with congestive heart failure: a critical review. J Am Coll Cardiol.1995;25:789-96.

Featherstone JF, Holly RG, Amsterdam EA. Physiologic responses to weight lifting in coronary artery disease.Am J Cardiol 1993;71(4):287-92.

Wilke NA, Sheldahl LM, Levandoski SG. Transfer effect of upper extremity training to weight carrying in men with ischemic heart disease. J Cardiopulm Rehab 1991;11:365-372.

Kerber RE, Miller RA, Najjar SM. Myocardial ischemic effects of isometric dynamic and combined exercise in coronary artery disease. Chest 1975:67:388-93.

Amsterdan EA, Hughes JL, Demaria AN, Zelis R, Mason DT. Indirect assessment of myocardial oxygen consumption in the valuation of mechanisms and therapy of angina pectoris. Am J Cardiol 1974;33:737-43.

Atkins JM, Matthews OA, Blomqvist CG, Mullins CB. Incidence of arrihythmias induced by isometric and dynamic exercise. Br Heart J 1976;38:465-71.

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2017-12-30

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