Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca
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| Hlavní autor: | |
|---|---|
| Datum vydání: | 2017 |
| Médium: | Master thesis |
| Jazyk: | por |
| Zdroj: | Repositório Comum do Brasil - Deposita |
| Download full: | https://deposita.ibict.br/handle/deposita/211 |
Shrnutí: | Heart failure (HF) is a clinical syndrome, with a systemic characteristic, that presents with symptoms of fatigue and dyspnoea in the affected patients, which can lead to reduced functional capacity (FC). Among the existing indirect measurement CF tests, the Glittre test (TGlittre) stands out as encompassing a wide range of functions of the body, representing more globally the activities of daily living. The evaluation of ventilatory efficiency is one of the valued variables in the prognosis of HF. Therefore, the analysis of the association of these variables is important to guide the treatment plan and indicate the clinical prognosis in patients with HF. Objectives: To investigate the association between functional capacity and ventilatory variables in patients with heart failure measured during the Glittre test. Methods: We included 8 patients with HF, with NYHA functional classification between II and III, of both sexes and over 55 years of age. Patients were submitted to anamnesis, physical examination and Spirometry. In a second moment they performed the TGlittre test with a metabolic gas analyzer by means of telemetry. Before and after the test, blood pressure, heart rate, saturation, and assessment of dyspnoea and fatigue were measured using the Borg Effort Perception Scale. Results: The median TGIreter time in the studied patients was 4min39s (3min29s-5min53s), while the values before and after TGlitre for the lower limb Borg effort perception scale was 2.00 (0.00-9.00 ) And 3.00 (1.00- 10.00) (p <0.05) and for dyspnea assessment was 1.50 (1.00-3.00) and 4.00 (3.00-7.00). Regarding the hemodynamic variables, HR, SBP and DBP values after TGlittre were significantly higher than resting values (p <0.05), whereas SpO2 did not present statistical difference between the two measures (p> 0.05). The significant correlations were found between the VE / VCO2 and the time of execution of the TGlittre (r = 0.714; p = 0.047) and between the VE / VCO2 and the Borg fatigue stress perception scale (r = 0.761; p = 0.028). The other ventilatory variables did not present a significant correlation (p> 0.05). Conclusion: The results of the present study demonstrate an association between HRT measured by TGlittre and ventilatory efficiency (VE / VCO2) in patients with HF. Although this variable is not strongly influenced by other intrinsic and extrinsic factors, the TGlittre interpretation should take into account the comorbidities, age, physical conditioning, as well as the other particularities presented by the individuals evaluated. It may be suggested that the TGlittre execution time has applicability to determine ventilatory efficiency, being it directly proportional to this variable (VE / VCO2), which values its application in patients with HF in conjunction with other capacity tests To guide the treatment plan and indicate the clinical prognosis. |
| _version_ | 1872168167172734976 |
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| author | Olímpio Júnior, Hebert |
| author_browse | Olímpio Júnior, Hebert |
| author_facet | Olímpio Júnior, Hebert |
| author_role | author |
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| bitstream.checksumAlgorithm.fl_str_mv | MD5 MD5 MD5 MD5 |
| bitstream.url.fl_str_mv | https://deposita.ibict.br/bitstreams/616689d4-b1d2-4b11-bf2d-167e45c5bd90/download https://deposita.ibict.br/bitstreams/08c4f806-ee25-4c9d-92f4-9722afb367da/download https://deposita.ibict.br/bitstreams/e58958c2-fa56-4381-9a59-3cca707df247/download https://deposita.ibict.br/bitstreams/081fca7e-e4ce-4b0a-bf22-dece286f965a/download |
| collection | Repositório Comum do Brasil - Deposita |
| contributor_str_mv | Menezes, Sara |
| dc.contributor.advisor1.fl_str_mv | Menezes, Sara |
| dc.contributor.author.fl_str_mv | Olímpio Júnior, Hebert |
| dc.contributor.authorLattes.fl_str_mv | http://lattes.cnpq.br/0823521905158922 |
| dc.date.accessioned.fl_str_mv | 2021-05-05T18:40:15Z |
| dc.date.issued.fl_str_mv | 2017 |
| dc.format.none.fl_str_mv | application/pdf application/pdf |
| dc.identifier.uri.fl_str_mv | https://deposita.ibict.br/handle/deposita/211 |
| dc.language.iso.fl_str_mv | por |
| dc.publisher.country.fl_str_mv | Brasil |
| dc.publisher.department.fl_str_mv | Centro Universitário Augusto Motta |
| dc.publisher.none.fl_str_mv | Centro Universitário Augusto Motta |
| dc.publisher.program.fl_str_mv | Programa de Pós-graduação em Ciências da Reabilitação |
| dc.rights.driver.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:Repositório Comum do Brasil - Deposita instname:Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict) instacron:IBICT |
| dc.subject.cnpq.fl_str_mv | Fisioterapia e Terapia Ocupacional |
| dc.subject.por.fl_str_mv | Insuficiência Cardíaca Capacidade Funcional Teste de Glittre |
| dc.title.por.fl_str_mv | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| dc.type.driver.fl_str_mv | info:eu-repo/semantics/masterThesis |
| dc.type.status.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | Heart failure (HF) is a clinical syndrome, with a systemic characteristic, that presents with symptoms of fatigue and dyspnoea in the affected patients, which can lead to reduced functional capacity (FC). Among the existing indirect measurement CF tests, the Glittre test (TGlittre) stands out as encompassing a wide range of functions of the body, representing more globally the activities of daily living. The evaluation of ventilatory efficiency is one of the valued variables in the prognosis of HF. Therefore, the analysis of the association of these variables is important to guide the treatment plan and indicate the clinical prognosis in patients with HF. Objectives: To investigate the association between functional capacity and ventilatory variables in patients with heart failure measured during the Glittre test. Methods: We included 8 patients with HF, with NYHA functional classification between II and III, of both sexes and over 55 years of age. Patients were submitted to anamnesis, physical examination and Spirometry. In a second moment they performed the TGlittre test with a metabolic gas analyzer by means of telemetry. Before and after the test, blood pressure, heart rate, saturation, and assessment of dyspnoea and fatigue were measured using the Borg Effort Perception Scale. Results: The median TGIreter time in the studied patients was 4min39s (3min29s-5min53s), while the values before and after TGlitre for the lower limb Borg effort perception scale was 2.00 (0.00-9.00 ) And 3.00 (1.00- 10.00) (p <0.05) and for dyspnea assessment was 1.50 (1.00-3.00) and 4.00 (3.00-7.00). Regarding the hemodynamic variables, HR, SBP and DBP values after TGlittre were significantly higher than resting values (p <0.05), whereas SpO2 did not present statistical difference between the two measures (p> 0.05). The significant correlations were found between the VE / VCO2 and the time of execution of the TGlittre (r = 0.714; p = 0.047) and between the VE / VCO2 and the Borg fatigue stress perception scale (r = 0.761; p = 0.028). The other ventilatory variables did not present a significant correlation (p> 0.05). Conclusion: The results of the present study demonstrate an association between HRT measured by TGlittre and ventilatory efficiency (VE / VCO2) in patients with HF. Although this variable is not strongly influenced by other intrinsic and extrinsic factors, the TGlittre interpretation should take into account the comorbidities, age, physical conditioning, as well as the other particularities presented by the individuals evaluated. It may be suggested that the TGlittre execution time has applicability to determine ventilatory efficiency, being it directly proportional to this variable (VE / VCO2), which values its application in patients with HF in conjunction with other capacity tests To guide the treatment plan and indicate the clinical prognosis. |
| eu_rights_str_mv | openAccess |
| format | masterThesis |
| id | IBICT-1_bffbebf62898fe3f3333265d5eb75d4d |
| instacron_str | IBICT |
| institution | IBICT |
| instname_str | Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict) |
| language | por |
| network_acronym_str | IBICT-1 |
| network_name_str | Repositório Comum do Brasil - Deposita |
| oai_identifier_str | oai:deposita.ibict.br:deposita/211 |
| publishDate | 2017 |
| publishDateSort | 2017 |
| publisher.none.fl_str_mv | Centro Universitário Augusto Motta |
| reponame_str | Repositório Comum do Brasil - Deposita |
| repository.mail.fl_str_mv | deposita@ibict.br |
| repository.name.fl_str_mv | Repositório Comum do Brasil - Deposita - Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict) |
| repository_id_str | 4658 |
| spelling | Menezes, Sarahttp://lattes.cnpq.br/0823521905158922Olímpio Júnior, Hebert2021-05-05T18:40:15Z2017https://deposita.ibict.br/handle/deposita/211Heart failure (HF) is a clinical syndrome, with a systemic characteristic, that presents with symptoms of fatigue and dyspnoea in the affected patients, which can lead to reduced functional capacity (FC). Among the existing indirect measurement CF tests, the Glittre test (TGlittre) stands out as encompassing a wide range of functions of the body, representing more globally the activities of daily living. The evaluation of ventilatory efficiency is one of the valued variables in the prognosis of HF. Therefore, the analysis of the association of these variables is important to guide the treatment plan and indicate the clinical prognosis in patients with HF. Objectives: To investigate the association between functional capacity and ventilatory variables in patients with heart failure measured during the Glittre test. Methods: We included 8 patients with HF, with NYHA functional classification between II and III, of both sexes and over 55 years of age. Patients were submitted to anamnesis, physical examination and Spirometry. In a second moment they performed the TGlittre test with a metabolic gas analyzer by means of telemetry. Before and after the test, blood pressure, heart rate, saturation, and assessment of dyspnoea and fatigue were measured using the Borg Effort Perception Scale. Results: The median TGIreter time in the studied patients was 4min39s (3min29s-5min53s), while the values before and after TGlitre for the lower limb Borg effort perception scale was 2.00 (0.00-9.00 ) And 3.00 (1.00- 10.00) (p <0.05) and for dyspnea assessment was 1.50 (1.00-3.00) and 4.00 (3.00-7.00). Regarding the hemodynamic variables, HR, SBP and DBP values after TGlittre were significantly higher than resting values (p <0.05), whereas SpO2 did not present statistical difference between the two measures (p> 0.05). The significant correlations were found between the VE / VCO2 and the time of execution of the TGlittre (r = 0.714; p = 0.047) and between the VE / VCO2 and the Borg fatigue stress perception scale (r = 0.761; p = 0.028). The other ventilatory variables did not present a significant correlation (p> 0.05). Conclusion: The results of the present study demonstrate an association between HRT measured by TGlittre and ventilatory efficiency (VE / VCO2) in patients with HF. Although this variable is not strongly influenced by other intrinsic and extrinsic factors, the TGlittre interpretation should take into account the comorbidities, age, physical conditioning, as well as the other particularities presented by the individuals evaluated. It may be suggested that the TGlittre execution time has applicability to determine ventilatory efficiency, being it directly proportional to this variable (VE / VCO2), which values its application in patients with HF in conjunction with other capacity tests To guide the treatment plan and indicate the clinical prognosis.A insuficiência cardíaca (IC) é uma síndrome clínica, com característica sistêmica, que cursa com sintomas de fadiga e dispneia nos pacientes acometidos, o que pode levar a redução da capacidade funcional (CF). Entre os testes de CF de medida indireta existentes, o teste de Glittre (TGlittre) se destaca por englobar uma ampla gama de funções do corpo, representando de maneira mais global as atividades de vida diária. A avaliação da eficiência ventilatória é uma das variáveis valorizadas no prognóstico da IC. Portanto, a análise da associação destas variáveis é importante para direcionar o plano de tratamento e indicar o prognóstico clínico em pacientes com IC. Objetivos: Investigar a associação entre a capacidade funcional e as variáveis ventilatórias em pacientes com Insuficiência Cardíaca medidas durante a realização do teste de Glittre. Métodos: Foram incluídos no estudo 8 pacientes com IC, com classificação funcional NYHA entre II e III, de ambos os sexos e com idade superior a 55 anos. Os pacientes foram submetidos à anamnese, exame físico e a Espirometria. Em um segundo momento realizaram o teste TGlittre com analisador metabólico de gases por meio de telemetria. Antes e depois da realização do teste foram medidas a pressão arterial, frequência cardíaca, saturação e avaliação da dispneia e fadiga por meio da Escala de Percepção de esforço de Borg. Resultados: O valor da mediana referente ao tempo de execução do TGlittre nos pacientes estudados foi de 4min39s (3min29s-5min53s), enquanto os valores antes e após o TGlitrre para escala de percepção de esforço de Borg de membros inferiores foi 2.00 (0.00-9.00) e 3.00 (1.00-10.00)(p<0.05) e para avaliação da dispneia foi 1.50 (1.00-3.00) e 4.00 (3.00-7.00). Quanto às variáveis hemodinâmicas, os valores de FC, PAS e PAD após o TGlittre foram significativamente maiores que os valores em repouso (p<0.05), ao passo que a SpO2 não apresentou diferença estatística entre as duas medidas (p>0.05). As correlações significativas encontradas foram entre o VE/VCO2 e o tempo de execução do TGlittre (r = 0.714; p=0.047) e entre o VE/VCO2 e a escala de percepção de esforço de fadiga de Borg (r = 0.761; p=0.028). As demais variáveis ventilatórias não apresentaram correlação significativa (p>0.05). Conclusão: Os resultados do presente estudo demonstram uma associação entre a CF medida pelo TGlittre e a eficiência ventilatória (VE/VCO2) em pacientes com IC. Ainda que esta variável não seja fortemente influenciada por outros fatores intrínsecos e extrínsecos, a interpretação do TGlittre deve levar em consideração as comorbidades, a idade, o condicionamento físico, bem como as demais particularidades apresentadas pelos indivíduos avaliados. Pode-se sugerir que o tempo de execução do TGlittre possui aplicabilidade para determinar a eficiência ventilatória, sendo o mesmo diretamente proporcional a esta variável (VE/VCO2), o que valoriza a sua aplicação em pacientes com IC em conjunto com outros testes de capacidade funcional para direcionar o plano de tratamento e indicar o prognóstico clínico.Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorSudeste-1application/pdfapplication/pdfporCentro Universitário Augusto MottaPrograma de Pós-graduação em Ciências da ReabilitaçãoBrasilCentro Universitário Augusto MottaInsuficiência CardíacaCapacidade FuncionalTeste de GlittreFisioterapia e Terapia OcupacionalAssociação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíacainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Comum do Brasil - Depositainstname:Instituto Brasileiro de Informação em Ciência e Tecnologia (Ibict)instacron:IBICTTEXT2017 Dissertação Hebert Olímpio Júnior.pdf.txtWritten by FormatFilter org.dspace.app.mediafilter.TikaTextExtractionFilter on 2025-06-06T20:17:37Z (GMT).Extracted texttext/plain102734https://deposita.ibict.br/bitstreams/616689d4-b1d2-4b11-bf2d-167e45c5bd90/downloadd2ddf3e634ba7350fdb8c7dc64ab47e9MD53falseAnonymousREADTHUMBNAIL2017 Dissertação Hebert Olímpio Júnior.pdf.jpgWritten by FormatFilter org.dspace.app.mediafilter.PDFBoxThumbnail on 2025-06-06T20:17:37Z (GMT).Generated Thumbnailimage/jpeg2968https://deposita.ibict.br/bitstreams/08c4f806-ee25-4c9d-92f4-9722afb367da/downloadd71dab8d0e409ce78e66aa6826702a9fMD54falseAnonymousREADLICENSElicense.txtWritten by org.dspace.content.LicenseUtilstext/plain; 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| spellingShingle | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca Olímpio Júnior, Hebert Insuficiência Cardíaca Capacidade Funcional Teste de Glittre Fisioterapia e Terapia Ocupacional |
| status_str | publishedVersion |
| title | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| title_full | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| title_fullStr | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| title_full_unstemmed | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| title_short | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| title_sort | Associação entre eficiência ventilatória, consumo de oxigênio e o teste de Glittre em pacientes com insuficiência cardíaca |
| topic | Insuficiência Cardíaca Capacidade Funcional Teste de Glittre Fisioterapia e Terapia Ocupacional |
| url | https://deposita.ibict.br/handle/deposita/211 |