%0 Journal Article
%T Resposta circulat¨®ria ¨¤ caminhada de 50 m na unidade coronariana, na s¨ªndrome coronariana aguda
%A Dias
%A Cristiane Maria Carvalho Costa
%A Maiato
%A Ana C¨¦lia Carneiro de Almeida
%A Baqueiro
%A K¨¢tia Maria Moreno
%A Fiqueredo
%A Alessandra Maia Furtado
%A Rosa
%A Fernanda Warken
%A Pitanga
%A Janaina Oliveira
%A Souza
%A Ludmila Ivo Cat£¿o de
%A Guimar£¿es
%A Arm¨ºnio Costa
%J Arquivos Brasileiros de Cardiologia
%D 2009
%I Sociedade Brasileira de Cardiologia - SBC
%R 10.1590/S0066-782X2009000200010
%X background: lack of a standardized and monitored technique to start rehabilitation of patients with acute coronary syndrome (acs) in the coronary care unit. objective: to describe the technique of and circulatory response to a 50-m walk (w50m). methods: experimental cross-sectional study of 65 patients with acs; of these, 36 (54%) with acute myocardial infarction (ami), killip i, 29 (45.2%) with unstable angina (ua), 61.5% males with age of 62.8 ¡À 12.7 years. walk was started 45¡À23h after hospitalization. parameters measured: systolic blood pressure (sbp mmhg), diastolic blood pressure (dbp mmhg), heart rate (hr bpm), double product (sbp mmhg x hr bpm), peripheral oxygen saturation (spo2%), walking time, and exercise tolerance by borg scale (bs). measurements were taken while supine, sitting, in orthostasis (phase 1 [gravitational stress]), end of the walk, and after a 5-minute rest (phase 2 [exercise stress]). results: increased hr in response to the sitting gravitational stress (¦Ä=4.18) and with orthostasis (¦Ä=2.69) (p<0.001) was observed. at the end of walk, there was an elevation in sbp (¦Ä=4.84), (p<0.001), hr (¦Ä=4.68), (p<0.001) and dp (¦Ä=344.97), (p=0.004), and a reduction in spo2 (¦Ä=-1.42), (p<0.001), with return to baseline values after 5 minutes. walking time was 2'36"¡À1'17", and exercise tolerance by bs was good. sbp response > 142 mmhg when sitting was associated with a significant increase (p=0.031) of 11 mmhg at exercise in 13 patients with overweight/obesity and 85% with hypertension. adverse effects occurred in 19 (29.2%) patients and dizziness in 23.1%, which impaired the walk in three of them. conclusion: in this sample, patients did not present severe collateral effects to w50m. 24 hours after a coronary event.
%K myocardial infarction
%K unstable angina
%K rehabilitation
%K motor activity.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0066-782X2009000200010&lng=en&nrm=iso&tlng=en