Efeito agudo e crônico do treinamento aquático nas variáveis hemodinâmicas de pacientes cardiopatas: uma análise retrospectiva
DOI:
https://doi.org/10.33233/fb.v19i6.2119Abstract
Introdução: A Insuficiência Cardíaca é uma patologia causada por várias desordens estruturais e funcionais que resultam na intolerância ao exercício, porém o treinamento aquático tem-se mostrado um importante método para a reabilitação de cardiopatas. Objetivo: Avaliar o comportamento hemodinâmico agudo e crônico de pacientes cardiopatas submetidos a um protocolo de treinamento aquático. Material e métodos: A amostra foi constituída por seis indivíduos com diagnóstico de cardiopatia, com idade de 68,3 ± 8,9 anos. Foram levantados dados dos prontuários referentes a características da amostra, pressão arterial sistólica (PAS), pressão arterial diastólica (PAD), frequência cardíaca (FC) e duplo produto (DP) pré e pós-sessão de treinamento aquático com frequência de duas vezes semanais, durante noventa dias. Resultados: Quanto ao efeito agudo, observou-se um aumento da FC no 2º (p=0,001) no 3º mês (p=0,033) e um aumento do DP no 2º mês (p=0,033) e no 3º mês (p=0,028) no pós-exercício em relação ao pré-exercício. Quanto ao efeito crônico, observou-se aumento na FC entre o segundo e o terceiro mês (p=0,044). Conclusão: O treinamento aquático foi capaz de aumentar aguda e cronicamente a FC e o DP em pacientes cardiopatas, sem alterações na pressão arterial.
Palavras-chave: cardiopatia, treinamento aquático,Hidroterapia frequência cardíaca.
References
Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. 2009 focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 2009;119(14):e391-479. https://doi.org/10.1161/circulationaha.109.192064
Cardiologia SBd. II Guidelines on Ergometric Tests of the Brazilian Society of Cardiology. Arq Bras Cardiol 2002;78 Suppl 2:1-17.
Larsen AI, Lindal S, Aukrust P, Toft I, Aarsland T, Dickstein K. Effect of exercise training on skeletal muscle fibre characteristics in men with chronic heart failure. Correlation between skeletal muscle alterations, cytokines and exercise capacity. Int J Cardiol 2002;83(1):25-32. https://doi.org/10.1016/s0167-5273(02)00014-1
Nolte K, Herrmann-Lingen C, Wachter R, Gelbrich G, Dungen HD, Duvinage A et al. Effects of exercise training on different quality of life dimensions in heart failure with preserved ejection fraction: the Ex-DHF-P trial. Eur J Prev Cardiol 2015;22(5):582-93. https://doi.org/10.1177/2047487314526071
Ghadieh AS, Saab B. Evidence for exercise training in the management of hypertension in adults. Can Fam Physician 2015;61(3):233-9.
Green S, Egana M, Baldi JC, Lamberts R, Regensteiner JG. Cardiovascular control during exercise in type 2 diabetes mellitus. J Diabetes Res 2015;2015:654204. https://doi.org/10.1155/2015/654204
Mann S, Beedie C, Jimenez A. Differential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: review, synthesis and recommendations. Sports Med 2014;44(2):211-21. https://doi.org/10.1007/s40279-013-0110-5
Taylor RS, Davies EJ, Dalal HM, Davis R, Doherty P, Cooper C et al. Effects of exercise training for heart failure with preserved ejection fraction: a systematic review and meta-analysis of comparative studies. Int J Cardiol 2012;162(1):6-13. https://doi.org/10.1016/j.ijcard.2012.05.070
Pandey A, Parashar A, Kumbhani D, Agarwal S, Garg J, Kitzman D et al. Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials. Circ Heart Fail 2015;8(1):33-40. https://doi.org/10.1161/circheartfailure.114.001615
O'Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 2009;301(14):1439-50. https://doi.org/10.1001/jama.2009.454
Murad K, Kitzman DW. Frailty and multiple comorbidities in the elderly patient with heart failure: implications for management. Heart Fail Rev 2012;17(4-5):581-8. https://doi.org/10.1007/s10741-011-9258-y
Chrysohoou C, Angelis A, Tsitsinakis G, Spetsioti S, Nasis I, Tsiachris D, et al. Cardiovascular effects of high-intensity interval aerobic training combined with strength exercise in patients with chronic heart failure. A randomized phase III clinical trial. Int J Cardiol 2015;179:269-74. https://doi.org/10.1016/j.ijcard.2014.11.067
Haykowsky MJ, Timmons MP, Kruger C, McNeely M, Taylor DA, Clark AM. Meta-analysis of aerobic interval training on exercise capacity and systolic function in patients with heart failure and reduced ejection fractions. Am J Cardiol 2013;111(10):1466-9. https://doi.org/10.1016/j.amjcard.2013.01.303
Kitzman DW, Brubaker PH, Herrington DM, Morgan TM, Stewart KP, Hundley WG, et al. Effect of endurance exercise training on endothelial function and arterial stiffness in older patients with heart failure and preserved ejection fraction: a randomized, controlled, single-blind trial. J Am Coll Cardiol 2013;62(7):584-92. https://doi.org/10.1016/j.jacc.2013.04.033
Avelar NC, Bastone AC, Alcantara MA, Gomes WF. Effectiveness of aquatic and non-aquatic lower limb muscle endurance training in the static and dynamic balance of elderly people. Rev Bras Fisioter 2010;14(3):229-36.
Adsett JA, Mudge AM, Morris N, Kuys S, Paratz JD. Aquatic exercise training and stable heart failure: A systematic review and meta-analysis. Int J Cardiol 2015;186:22-8. https://doi.org/10.1016/j.ijcard.2015.03.095
Piazza L, Menta MR, Castoldi C, Reolão J, Schmidt R, Calegari L. Efeitos de exercÃcios aquáticos sobre a aptidão cardiorrespiratória e a pressão arterial em hipertensas. Fisioter Pesqui 2008;15(3):285-91. https://doi.org/10.1590/s1809-29502008000300012
Carvalho VO, Bocchi EA, Guimaraes GV. The Borg scale as an important tool of self-monitoring and self-regulation of exercise prescription in heart failure patients during hydrotherapy. A randomized blinded controlled trial. Circ J 2009;73(10):1871-6. https://doi.org/10.1253/circj.cj-09-0333
IV Diretrizes Brasileiras de Hipertensão Arterial. Rev Bras Hipertens 2002;9(4).
Miranda H, Simão R, Lemos A, Dantas B, Baptista L, Novaes J. Análise da frequência cardÃaca, pressão arterial e duplo-produto em diferentes posições corporais nos exercÃcios resistidos. Rev Bras Med Esporte 2005;11(5):295-8. https://doi.org/10.1590/s1517-86922005000500010
O'Brien PC. The appropriateness of analysis of variance and multiple-comparison procedures. Biometrics 1983;39(3):787-94. https://doi.org/10.2307/2531110
Hall J, Bisson D, O’Hare PT. The physiology of immersion. Physiotherapy 1990;76(9):517-21. https://doi.org/10.1016/s0031-9406(10)63019-2
Brum PC, Forjaz CLM, Tinucci T, Negrão CE. Adaptações agudas e crônicas do exercÃcio fÃsico no sistema cardiovascular. Rev Paul Educ FÃs 2004;18:21-31.
Arca EA, Martinelli B, Martin LC, Waisberg CB, Franco RJS. Aquatic exercise is as effective as dry land training to blood pressure reduction in postmenopausal hypertensive women. Physiotherapy Research International 2014;19(2):93-8. https://doi.org/10.1002/pri.1565
Brandão Rondon MU, Alves MJ, Braga AM, Teixeira OT, Barretto AC, Krieger EM et al. Postexercise blood pressure reduction in elderly hypertensive patients. J Am Coll Cardiol 2002;39(4):676-82. https://doi.org/10.1016/s0735-1097(01)01789-2
Medicine ACoS. ACSM’s Guidelines for Exercise Testing and Prescription. 6 ed: Baltimore: Lippincott Williams & Wilkins; 2000.
Polito M. Respostas de frequência cardÃaca, pressão arterial e duplo-produto ao exercÃcio contra-resistência: uma revisão da literatura. Revista Portuguesa de Ciências do Desporto. 2003;8(1):79-91. https://doi.org/10.5628/rpcd.03.01.79
Gobel F, Norstrom L, Nelson R, Jorgensen C, Wang Y. The rate-pressure product as an index of myocardial oxygen consumption during exercise in patients with angina pectoris. Circulation 1978;57:549-56. https://doi.org/10.1161/01.cir.57.3.549
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