Influência da carga da doença, carga medicamentosa e carga funcional em pacientes com insuficiência cardíaca participantes de um programa de reabilitação cardíaca

Abstract

Introduction: Heart Failure is a clinical syndrome characterized by the reduction of Cardiac Output that compromises multiple systems and has as one of the main symptoms the progressive intolerance to physical effort. Cardiac Rehabilitation is considered the main nonpharmacological intervention in the treatment of these individuals. In the case of patients with heart disease, the probability of an acute cardiac event during physical exertion is higher in this group. Risk stratification from maximal stress tests is essential for the initiation of CR. Objectives: To trace a risk stratification profile of individuals with HF and analyze the burden of disease, drug burden and functional burden on cardiovascular risk. Methodology: This is a retrospective study with analysis of medical records of patients with heart failure referred for rehabilitation between 2014 and 2019 at the Cardiac Rehabilitation Unit undergoing cardiopulmonary stress testing. Results: A relationship was found between the functional burden and Delta PetCO2 (p < 0,05). The other variables analyzed did not demonstrate a significant value in relation to risk stratification. Conclusion: The preliminary results of this study point to the importance of physical effort in improving mortality predictors of individuals with HF.