Avaliação de um programa de exercícios monitorado e integrado no tratamento de pacientes com Síncope Vasovagal

• Ano de defesa: 2019
• Autor(a) principal: Leite, Renata Pimentel [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Physical Exercise; Vasovagal Syncope; Convencional Treatment; Exercício Físico; Síncope Vasovagal; Tratamento Convencional
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7693982; https://repositorio.unifesp.br/handle/11600/59106

Although many different treatments have been proposed for vasovagal syncope (VVS), long-term evidence-based results have not shown them to be effective. The authors hypothesized that a wide-ranging integrative monitored exercise program (IMEP) could have an effect on the multiple mechanisms involved in VVS. The aim of this study is to evaluate the effect of IMEP on VVS recurrence and the quality of life Methods: Patients referred with a diagnosis of VVS were included. The IMEP protocol included aerobic exercise, tilt training, resistance and isometric exercise and lifestyle modification. The control group was managed by conventional treatment according to the current guidelines. The recurrence rate and Euroqol EQ-5D-3L was evaluated at the beginning and end of the study. The statistical significance was set at the level of 5%. Results: Twenty VVS patients were eligible for the IMEP group. The control group comprised 20 patients matched for age and gender. The number of syncope in the previous month decreased significantly in the IMEP group when compared to the control group (p>0.001). The same was observed in pre-syncope events in the previous month; syncope and presyncope in the previous 3 months (p <0.001). Fifty percent of patients in the IMEP group showed improvement in the mobility dimension compared to 10% in the control group (p=0.01), and all IMEP patients reduce anxiety/depression dimension compared to none in the control group (p<0.001). Conclusion: A integrative monitored exercise program was shown to be able to reduce the recurrence of syncope and improve their quality of life.