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- ItemSomente MetadadadosAlterações da VE/VCO2 e OUES durante exercício progressivo máximo em pacientes com insuficiência cardíaca(Universidade Federal de São Paulo (UNIFESP), 2019-12-06) Aguillar, Iago Nunes [UNIFESP]; Medeiros, Alessandra [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Heart failure is a complex clinical syndrome that originated from various etiologies resulting in cardiorespiratory impairment during physical exertion. Objective: To compare the behavior of cardiorespiratory variables, inclination of oxygen absorption efficiency (OUES) and the relationship between pulmonary ventilation and carbon dioxide production (VE/VCO2 ) between heart failure and healthy individuals. Methods: A total of 61 male subjects (61.2 ± 7,8 years) were separated into two groups: Patients with heart failure (n = 40) and Control Group (n = 21), All patients underwent assessments of the following anthropometric parameters: age, height, body mass and body mass index. The ergospirometric test was also performed, which consisted of performing a treadmill exercise with direct respiratory gas analysis: VE/VCO2, VO2peak, PetCO2, OUES and hemodynamic variables: Maximum heart rate, Recovery heart rate after 1 Minute and echocardiography for ejection fraction a nalysis. The Kolmorovsminoff test was performed for normality, the data were expressed as mean and standard error, and the inferential analysis was performed with the Anova Tests and Post-Hoc Scheffé Test, considering p≤0.05. Results: The anthropometric, hemodynamic and respiratory variables results for group IC and C are: age = 61.0±8.2 vs. 61.5±7.4 years (p>0.05), Height = 1.72±5.8 vs. 1.72±6.8m (p>0.05), body mass = 77.3±9.9 vs. 78.3±9.0kg (p>0.05), body mass index = 26.5±3.0 vs. 26.2±2.8 kg/m2 (p>0.05), ejection fraction = 31.2±4.1 vs. 64.7±3.9mL (p <0.001), maximum heart rate = 128.6±22.9 vs. 143.6±15.5bpm (p <0.02), recovery heart rate after the first minute = - 17.4±5.4 vs. -25.0±4.9bpm (p <0.05), VE/VCO2slope = 38.8±5.6 vs. 28.2±3.9L/min (p <0.003), VO2peak = 20.0±4.0 vs. 36.7±5.5ml/kg/min (p <0.05), PetCO2 = 29.5±3.0 vs. 31.7±2.4mmHg (p <0.05) and OUES = 1.81±0.4 vs. 2.3±0.3 (p <0.05). Conclusion: Heart failure patients present high VE/VCO2 and low OUES values which limits the functional capacity and causes early onset of metabolic acidosis.
- ItemAcesso aberto (Open Access)Anxiety, stress and depression in family members of patients with heart failure(Univ Sao Paolo, 2017) Lacerda, Marianna Sobral [UNIFESP]; Cirelli, Melissa Alves [UNIFESP]; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Lopes, Juliana de Lima [UNIFESP]Objective: Identifying the level of anxiety, stress and depression symptoms in family members of patients with heart failure
- ItemAcesso aberto (Open Access)Association of Oscillatory Ventilation during Cardiopulmonary Test to Clinical and Functional Variables of Chronic Heart Failure Patients(Soc Brasil Cirurgia Cardiovasc, 2018) Reis, Hugo Valverde; Sperandio, Priscila Abreu [UNIFESP]; Correa, Clynton Lourenco; Guizilini, Solange [UNIFESP]; Neder, Jose Alberto [UNIFESP]; Borghi-Silva, Audrey; Reis, Michel SilvaObjective: The aim of this study is to characterize the presence of exercise oscillatory ventilation (EOV) and to relate it with other cardiopulmonary exercise test (CET) responses and clinical variables. Methods: Forty-six male patients (age: 53.1 +/- 13.6 years old
- ItemSomente MetadadadosAvaliação Da Força E Fatigabilidade Muscular Periférica Por Dinamometria Isocinética Em Pacientes Com Doença Pulmonar Obstrutiva Crônica Associada À Insuficiência Cardíaca(Universidade Federal de São Paulo (UNIFESP), 2017-07-31) Medina, Luiz Antonio Rodrigues [UNIFESP]; Medeiros, Wladimir Musetti [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The coexistence of chronic obstructive pulmonary disease (COPD) and heart failure with ejection fraction reduced left ventricular (IC) is underdiagnosed and is associated with poor prognosis. Cardiocirculatory and pulmonary changes found in both diseases can impair the supply of oxygen (O2) to the peripheral muscles resulting in decreased muscle strength and endurance, resulting in the exercise intolerance and the decline in functional capacity. Fifty male patients, with twentyfive COPD + IC (age 67.8 ± 6.9; FEV1 62.5 ± 17.4% predicted; EF = 36.1 ± 10.7) and twenty-five COPD (age 66.1 ± 9.1; FEV1 51.3 ± 17.0% predicted; EF = 67.6 ± 4.7) underwent clinical evaluation, resting echocardiography, pulmonary function, cardiopulmonary test incremental exercise (CPET), step test 4 minutes, 6 minute walk test and peripheral muscle isokinetic evaluation. The groups did not differ in demographic and anthropometric characteristics (p> 0.05). The functional capacity measured in 6-minute walk test showed a trend of smaller distance in COPD + IC group (401.4 ± 92.7) compared to COPD (451.5 ± 99.4) maximum effort COPD + IC group had significantly lower values load achieved when compared with the COPD group (57.6 ± 24.3 vs. 73.5 ± 22.7; P <0.05). The muscle performance is compromised in both COPD and in COPD + IC group. The lower torque, power and work, it is most evident in COPD + IC group. The most significant findings were in the flexor muscles of the knee, the isokinetic evaluation at 60°/s and 300 °/s respectively. The 60 °/s work and the torque peak as a percentage of predicted in COPD + IC group was lower than the COPD group (54.7 ± 13.3 vs. 65.8 ± 13.1; P < 0.05), (87.0 ± 24.0 vs. 94.8 ± 22.8; P < 0.05). The COPD + HF group showed significantly lower values in the fatigue index in percentage corrected by muscle mass in the torque variables (1.5 ± 0.4 vs. 1.2 ± 0.3; P < 0.05), work (1.4 ± 0.4 vs. 1.1 ± 0.3; P < 0.05), and power (1.8 ± 0.4 vs. 1.4 ± 0.4; P < 0.05). The overlap of HF in patients with COPD worsens muscle dysfunction observed in patients with isolated COPD. However, this increase is not uniform over the entire lower limb muscles, specifically affecting the knee flexors.
- ItemSomente MetadadadosAvaliação E Correlação Clínica Da Força Muscular Do Quadríceps Femoral Em Pacientes Hospitalizados Com Insuficiência Cardíaca.(Universidade Federal de São Paulo (UNIFESP), 2018-09-14) Peres, Monique Fernanda [UNIFESP]; Guizilini, Solange [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Abstract Purpose: To Verify Whether A Maximal Voluntary Contraction Of The Quadriceps Femoralis Muscle (Qf) Can Predict Functional And Inspiratory Muscle Capacity, As Well As Determine Cutoff Values For Qf Peak Muscle Strength In Hospitalized Heart Failure (Hf) Patients. Methods: Prospective Cross-Sectional Study. A Total Of 130 Hospitalized Hf Patients, Functional Class Ii And Iii (Nyha) Were Eligible After 24 Hours Of Hospitalization And Stabilization Of The Clinical Status. Patients Were Submitted To An Evaluation Of Qf Isometric Strength (Maximum Voluntary Contraction), Performed By A Portable Dynamometer; To An Inspiratory Muscle Testing Performed By Manovacuometry (Maximal Inspiratory Pressure - Mip); Functional Capacity Using The Six-Minute Walk Test (6mwt) And To A Quality Of Life Questionnaire (Minnesota Living With Heart Failure Questionnaire). Results: Data Revealed A Modest And Positive Association Between Left Ventricular Ejection Fraction And Qf Peak Muscle Strength (R = 0.38, P = 0.0053); (R =
- ItemSomente MetadadadosA cycle ergometer exercise program improves exercise capacity and inspiratory muscle function in hospitalized patients awaiting heart transplantation: a pilot study(Hospital Clinicas, Univ Sao Paulo, 2016) Forestieri, Patricia [UNIFESP]; Guizilini, Solange [UNIFESP]; Peres, Monique [UNIFESP]; Bublitz, Caroline [UNIFESP]; Bolzan, Douglas Willian [UNIFESP]; Rocco, Isadora Salvador [UNIFESP]; Santos, Vinicius Batista [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Breda, João Roberto [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Carvalho, Antonio Carlos de Camargo [UNIFESP]; Arena, Ross; Gomes, Walter José [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The purpose of this study was to evaluate the effect of a cycle ergometer exercise program on exercise capacity and inspiratory muscle function in hospitalized patients with heart failure awaiting heart transplantation with intravenous inotropic support. METHODS: Patients awaiting heart transplantation were randomized and allocated prospectively into two groups: 1) Control Group (n=11) – conventional protocol; and 2) Intervention Group (n=7) – stationary cycle ergometer exercise training. Functional capacity was measured by the six-minute walk test and inspiratory muscle strength assessed by manovacuometry before and after the exercise protocols. RESULTS: Both groups demonstrated an increase in six-minute walk test distance after the experimental procedure compared to baseline; however, only the intervention group had a significant increase (P=0.08 and P=0.001 for the control and intervention groups, respectively). Intergroup comparison revealed a greater increase in the intervention group compared to the control (P<0.001). Regarding the inspiratory muscle strength evaluation, the intragroup analysis demonstrated increased strength after the protocols compared to baseline for both groups; statistical significance was only demonstrated for the intervention group, though (P=0.22 and P<0.01, respectively). Intergroup comparison showed a significant increase in the intervention group compared to the control (P<0.01). CONCLUSION: Stationary cycle ergometer exercise training shows positive results on exercise capacity and inspiratory muscle strength in patients with heart failure awaiting cardiac transplantation while on intravenous inotropic support.
- ItemAcesso aberto (Open Access)Dinâmica da oxigenação muscular esquelética durante o exercício incremental em rampa com cicloergômetro em homens com insuficiência cardíaca e controles saudáveis(Universidade Federal de São Paulo (UNIFESP), 2019-02-11) Barroco, Adriano Candido [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Sperandio, Priscila Cristina de Abreu [UNIFESP]; http://lattes.cnpq.br/8238787131403166; http://lattes.cnpq.br/9951730205467992; http://lattes.cnpq.br/2912192806644721; Universidade Federal de São Paulo (UNIFESP)In heart failure (HF), the balance between oxygen delivery-utilization (O2) is changed, thus decreasing exercise capacity. Near infrared spectroscopy (NIRS) is a technique that allows continuous and non-invasive monitoring of the peripheral muscle oxygenation during dynamic exercise. Specifically, the response time for the variation in deoxi-Hb+Mb ([Deoxi-Hb]), allows to evaluate the dynamic equilibrium between the delivery and O2 in the area analyzed. Investigations on muscular deoxygenation (or oxygen extraction) have been predominantly focused on the response to constant load exercise. In this context, the objective of this study was to investigate the relationship between delivery and microvascular use of O2 during ramp-incremental exercise in untrained adult patients with HF, in NYHA functional class II and III, compared with healthy individuals. In addition, we have proposed a practical approach to non-invasive evaluation of muscular deoxygenation during exercise. Ten patients with HF, with optimized clinical treatment (ejection fraction = 29.1±4.9%) and 10 age-matched controls were included in the study. The Δ[Deoxi-Hb] kinetic response was measured in the vastus lateralis muscle by NIRS. The Δ[Deoxi-Hb] sigmoid response pattern was less frequent in patients with HF. The slope of the [Deoxi-Hb] /ΔW (I) ratio was higher in patients with HF (2.2±1.3%), as compared to healthy controls (1.0±0.3 %). The O2 and the O2/W ratio were consistently smaller, and greater variations in [Deoxi-Hb] by the imposed load were also found in patients, as compared to controls. Therefore, these results indicate a substantial injury to the delivery-utilization balance of microvascular O2 during ramp-incremental exercise in patients with HF.
- ItemAcesso aberto (Open Access)Efeito da reabilitação cardiovascular baseada em exercício na capacidade funcional, força muscular inspiratório e resultados clínicos no pré e pós-operatório de transplante cardíaco(Universidade Federal de São Paulo (UNIFESP), 2019-05-31) Krainer, Isis Begot [UNIFESP]; Gomes, Walter Jose [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This thesis consisted of two studies described below. Study was entitled "Inspiratory muscle weakness determines poor short-term outcomes for heart transplantation”. The aim of this study was to determine preoperative patientrelated risk factors that could adversely affects clinical course in the postoperative of patients undergoing heart transplantation. The current study concluded that an impairment of preoperative MIP was associated with poorer short-term outcomes following HT. As such, inspiratory muscle strength is an important clinical preoperative marker in patients undergoing HT. The study II is entitled “Pre- and postoperative exercise-based cardiac rehabilitation in hospitalized patients undergoing heart transplantation: a randomized controlled trial”. The aim of this study was to evaluate the effects of an inpatient cardiac rehabilitation model on functional capacity, inspiratory muscle function and clinical outcomes in patients with heart failure, started in the pre and continued at postoperative of heart transplantation. The current study concluded that pre- and postoperative exercise-based cardiac rehabilitation program in patients using stationary cycle ergometer was able to improve functional capacity and inspiratory muscle strength in end-stage heart failure patients undergoing heart transplantation.
- ItemAcesso aberto (Open Access)Efeitos da ventilação não invasiva nas respostas fisiológicas e sensoriais ao exercício em pacientes com insuficiência cardíaca associada à Doença Pulmonar Obstrutiva Crônica(Universidade Federal de São Paulo (UNIFESP), 2019-11-28) Souza, Aline Soares De [UNIFESP]; Serafini, Jose Alberto Neder [UNIFESP]; Sperandio, Priscila Cristina de Abreu [UNIFESP]; http://lattes.cnpq.br/8238787131403166; http://lattes.cnpq.br/5131155111475682; http://lattes.cnpq.br/5372408065858083; Universidade Federal de São Paulo (UNIFESP)Aims: To analyze the effects of NIV on the physiological, sensorial and effort tolerance responses in patients with HF and HF associated with COPD. Methods: Incremental cardiopulmonary testing was performed in 19 patients (9 with coexisting COPD but with similar low left ventricular ejection fraction) were submitted to a constant loading protocol with different intensities (20%, 40%, 60% and 80% Wpeak) with serial measures of inspiratory capacity (CI). The last W/peak intensity was maintained up to the limit of effort tolerance (Tlim). Patients received Sham or NIV (bi-level) ventilation that was adjusted according to individual comfort. Results: Tlim increased with NIV in relation to Sham ventilation only in HF+COPD (P <0.05). NIV provided higher tidal volume and lower respiratory rate, shorter duty cycle with longer expiratory time, and higher mean inspiratory flow in both groups (P <0.05), despite the absence of changes in minute ventilation. It is important to emphasize that NIV improved IC (by ~ 0.5 l) across all exercise intensities only in HF+COPD. Assuming constant total lung capacity, NIV reduced operant lung volumes, thus decreasing inspiratory constraints. These beneficial consequences of NIV were associated with lower dyspnea Borg scores at the 80% peak and at the end of the exercise (p <0.05). Conclusion: NIV resulted in lower operative lung volumes and lower dyspnea. Tlim was higher even under high ventilatory stress, therefore, there was a better "quality" in the ventilatory responses during exercise only in the IC+COPD patients.
- ItemAcesso aberto (Open Access)Hospital discharge plan for patients with congestive heart failure(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2011-12-01) Andrietta, Maria Paula; Moreira, Rita Simone Lopes [UNIFESP]; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)This integrative review investigates how nurses plan the hospital discharge of patients with Congestive Heart Failure (CHF) since an inadequate discharge plan and patients subsequent non-adherence to instruction provided upon discharge are indicated as potential factors for re-hospitalization. A total of 24 papers were found in a search carried out in the LILACS and MEDLINE databases between 2004 and 2008, which given the inclusion criteria, were reduced to 14 papers. The papers were analyzed and categorized into Health Education , and Nursing Care . The synthesis of results indicates that the discharge plan devised by nurses is based on two categories. The actions of nurses to promote health education can enable patients with CHF to improve self-care.
- ItemAcesso aberto (Open Access)Nursing care protocol for patients with a ventricular assist device(Assoc Brasileira Enfermagem, 2017) Machado, Regimar Carla; Girones, Purificacion; Souza, Andressa Rodrigues de; Moreira, Rita Simone Lopes [UNIFESP]; von Jakitsch, Camila Bomfim; Branco, João Nelson Rodrigues [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: to develop and validate a nursing care protocol for patients with a ventricular assist device (VAD). Method: descriptive study, with a quantitative approach, for an instrument's methodological validation. Three stages were conducted: development of the instrument; protocol content validation according to the Delphi technique, and agreement among experts and the scientific literature. Results: based on the content validation, a care protocol for patients with a VAD was created and assessed by Spanish experts. Of the 15 items evaluated by means of the content validity index (CVI), 10 presented solid evidence of validation, with Kappa ranging between 0.87 and 1. Conclusion: the method enabled the validation of interventions that will contribute to qualified and standardized care for patients with a VAD.
- ItemSomente MetadadadosQualidade De Vida E Intolerância Ao Exercício Em Pacientes Portadores Da Doença Pulmonar Obstrutiva Crônica Associada À Insuficiência Cardíaca(Universidade Federal de São Paulo (UNIFESP), 2017-06-29) Santos, Rita De Cassia Lima Dos [UNIFESP]; Sperandio, Priscila Cristina De Abreu [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The coexistence of chronic obstructive pulmonary disease (COPD) and heart failure (HF) is highly prevalent, and both diseases negatively affect patients' functional status and quality of life (QOL). High QOL scores are strongly associated to high mortality in these populations and high scores on specific QOL questionnaires such as the St George's Respiratory Questionnaire (SRGQ) for COPD and the Minnesota Living Heart Failure Questionnaire (MLHFQ) for HF are independent predictors of mortality. Therefore, our objective was to verify if there is an association between the severity of functional capacity and the score of QOL questionnaires in patients with coexistent COPD and HF. Twenty-one male and female patients over 45 years of age, with stable disease, forced expiratory volume in the first second and forced vital capacity (FEV1 / FVC < 0.7) were associated to stable HF with ejection fraction of the left ventricle ≤ 50%. The QOL was assessed by the SGRQ and MLHFQ specific questionnaires; the symptoms by mMRC, NYHA and COPD Assessment Test (CAT); and the functional capacity by cardiopulmonary exercise test (CPT), six-minute walk test (6MWT), and four-minute step test (4MST).The majority of patients were male, elderly, with a mean age of 66±8 years. The mean ejection fraction was 35±8% and 76% of the patients had moderate airflow limitation (GOLD II). In addition, it was found a moderate reduction in exercise capacity measured by oxygen consumption at the peak of exercise (VO2peak: 63 ± 15% predicted) and reduced distance in the 6MWT (77% predicted, mean 394 ± 93 meters), in addition to 58 ± 13 steps on average in the 4MST. The total MLHFQ score in the studied population ranged from 0 to 64 (mean of 24 ± 19). The most affected area of the SGRQ was activity, with an average of 59%, and a score of 41%. The MLHFQ was associated to the distance covered in the 6MWT (p <0.05), to the load at the peak of exercise (p <0.01) and to the VO2peak in percentage of predicted (p <0.05). In contrast, there was no association between SGRQ and functional capacity tests.
- ItemAcesso aberto (Open Access)Relação entre a oferta e a utilização muscular periférica de oxigênio na transição do exercício leve para o intenso em pacientes com insuficiência cardíaca(Universidade Federal de São Paulo (UNIFESP), 2010-11-24) Sperandio, Priscila Cristina de Abreu [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Impaired muscle blood flow at the onset of heavy-intensity exercise may transiently reduce microvascular O2 pressure and decrease the rate of O2 transfer from capillary to mitochondria in chronic heart failure (CHF). However, advances in the pharmacological treatment of CHF (e.g., angiotensin-converting enzyme inhibitors and third generation of â-blockers) may have improved microvascular O2 delivery to an extent that intramyocyte metabolic inertia might become the main locus of limitation of O2 uptake ( O2) kinetics. We included 10 optimally treated sedentary patients (ejection fraction = 29 ± 8%) and 11 age-matched controls. We assessed the rate of change of pulmonary O2 ( O2p), tissue O2 extraction in the vastus lateralis estimated by concentration of deoxy-hemoglobin+myoglobin (~Ä[deoxy-Hb+Mb]) measured by near-infrared spectroscopy (NIRS), and cardiac output ( T) during highintensity exercise performed to the limit of tolerance (Tlim). Sluggish O2p and T kinetics in patients were significantly related to lower Tlim values (P = 0.05). The dynamics of Ä[deoxy-Hb+Mb] were faster in patients than controls (mean response time (MRT) = 15.9 ± 2.0 s vs. 19.0 ± 2.9 s; P = 0.05) with a subsequent response “overshoot” being found only in patients (7/10). Moreover, t O2p/MRT-Ä[deoxy- Hb+Mb] ratio was greater in patients (4.69 ± 1.42 s vs. 2.25 ± 0.77 s; P = 0.05) and related to T kinetics and Tlim (R = 0.89 and 0.78, respectively; P = 0.01). We conclude that despite the advances in the pharmacological treatment of CHF, disturbances in “central” and “peripheral” circulatory adjustments still play a prominent role in limiting O2p kinetics and tolerance to heavy-intensity exercise in nontrained patients.
- ItemSomente MetadadadosSymptom Status Questionnaire - Heart Failure – versão brasileira: adaptação transcultural e validação de conteúdo(Universidade Federal de São Paulo (UNIFESP), 2020-10-29) Santos, Gabriela Nunes Dos [UNIFESP]; Lopes, Camila Takao [UNIFESP]; Universidade Federal de São PauloIntroduction: Assessment of common physical symptoms in patients with heart failure (HF) is necessary so that the factors related to these findings are identified and better managed. For that purpose, reliable and valid instruments are needed. In Brazil, however, there are no instruments available to specifically assess the physical symptoms of HF. The Symptom Status Questionnaire-Heart Failure (SSQ-HF), an American instrument, assesses the presence, frequency, severity and distress related to seven common physical HF symptoms and has adequate evidence of internal consistency and construct validity. Objective: To adapt the SSQ-HF to Brazilian Portuguese and estimate evidence of content validity of the adapted version. Methods: A psychometric cross-cultural adaptation study and a content validation study of an instrument, conducted after obtaining authorization from the instrument's author. The cross-cultural adaptation was organized in five phases: 1.1) Translation by two independent translators. 1.2) Synthesis of translations. 1.3) Back-translation by two independent translators. 1.4) Review of back-translations by the author of the original instrument. 1.5) Evaluation of the translated version for semantic, idiomatic, cultural and conceptual equivalences (-1: not equivalent, 0: undecided, +1: equivalent) by nine specialist healthcare professionals (n=9). The agreement considered acceptable was ≥80%. The content validation was performed both by specialist professionals and by patients with HF, in two phases: 2.1). The content was evaluated by nine specialist professionals for clarity, theoretical relevance and practical pertinence, on a 4-poin Likert-type scale (1: no, 2: little; 3: quite; 4: very clear/relevant/pertinent). Items with a content validity coefficient (CVC) ≥0.70 were considered acceptable. 2.2) Content assessment by 40 outpatient HF patients, who evaluated the visual appearance of the instrument and understanding of the instructions and items. The need for adjustments was assessed qualitatively by the researchers. Evaluation rounds using the Delphi technique were carried out until the appropriate validity measures were reached. Results: After translation and back-translation, a conceptual discrepancy was identified and corrected in the translation of the item Did you have shortness of breath during day time?. In the first round of equivalence assessment, the agreement between experts was 100%, except for the item Did you have shortness of breath during day time?, which obtained 55.6% agreement regarding cultural equivalence and 77.8% as to conceptual equivalence. The translation of the item was changed to “Did you have shortness of breath during the period of the morning or afternoon?”, Which obtained 100% agreement in the second round of evaluation. In the content validation by the professionals, only one round was necessary and the total CVC of the instrument was 0.99. In the content validation by patients, all understood the items and adjustments were made to the font size and formatting, as suggested. Conclusion: The SSQ-HF – Versão Brasileira is equivalent to the original version and has satisfactory evidence of content validity. Additional psychometric tests are necessary to enable an accurate assessment of the prevalence, frequency, severity and distress associated with HF symptoms in Brazil.