Unsupervised Rehabilitation: effects of Exercise Training over the Long Run

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dc.contributor.author Oliveira Filho, Japy Angelini [UNIFESP]
dc.contributor.author Leal, Ana Cristina [UNIFESP]
dc.contributor.author Lima, Valter Correia [UNIFESP]
dc.contributor.author Santos Filho, Dirceu Vieira [UNIFESP]
dc.contributor.author Luna Filho, Bráulio [UNIFESP]
dc.date.accessioned 2015-06-14T13:29:48Z
dc.date.available 2015-06-14T13:29:48Z
dc.date.issued 2002-09-01
dc.identifier http://dx.doi.org/10.1590/S0066-782X2002001200004
dc.identifier.citation Arquivos Brasileiros de Cardiologia. Sociedade Brasileira de Cardiologia - SBC, v. 79, n. 3, p. 239-244, 2002.
dc.identifier.issn 0066-782X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/1522
dc.description.abstract OBJECTIVE: To assess the safety and efficacy of unsupervised rehabilitation (USR) in the long run in low-risk patients with coronary artery disease. METHODS: We carried out a retrospective study with 30 patients divided into: group I (GI) - 15 patients from private clinics undergoing unsupervised rehabilitation; group II (GII) - control group, 15 patients from ambulatory clinic basis, paired by age, sex, and clinical findings. GI was stimulated to exercise under indirect supervision (jogging, treadmill, and sports). GII received the usual clinical treatment. RESULTS: The pre- and postobservation values in GI were, respectively: VO2peak (mL/kg/min), 24±5 and 31± 9; VO2 peak/peak HR: 0.18±0.05 and 0.28±0.13; peak double product (DP peak):26,800±7,000 and 29,000 ± 6,500; % peak HR/predicted HRmax: 89.5±9 and 89.3±9. The pre- and post- values in GII were: VO2 peak (mL/kg/min), 27± 7 and 28±5; VO2 peak/peak HR: 0.2±0.06 and 0.2± 0.05; DP peak: 24,900±8,000 and 25,600± 8,000, and % peak HR/predicted HRmax: 91.3±9 and 91.1± 11. The following values were significant: preobservation VO2peak versus postobservation VO2peak in GI (p=0.0 063); postobservation VO2peak in GI versus postobservation VO2peak in GII (p=0.0045); postobservation VO2 peak/peak HR GI versus postobservation peak VO2/peak HR in GII (p=0.0000). The follow-up periods in GI and GII were, respectively, 41.33± 20.19 months and 20.60±8.16 months (p<0.05). No difference between the groups was observed in coronary risk factors, therapeutic management, or evolution of ischemia. No cardiovascular events secondary to USR were observed in 620 patient-months. CONCLUSION: USR was safe and efficient, in low-risk patients with coronary artery disease and provided benefits at the peripheral level. en
dc.format.extent 239-244
dc.language.iso eng
dc.publisher Sociedade Brasileira de Cardiologia - SBC
dc.relation.ispartof Arquivos Brasileiros de Cardiologia
dc.rights Acesso aberto
dc.subject atherosclerotic coronary artery disease en
dc.subject exercise test en
dc.subject unsupervised rehabilitation en
dc.title Unsupervised Rehabilitation: effects of Exercise Training over the Long Run en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina
dc.description.affiliationUnifesp UNIFESP, EPM
dc.identifier.file S0066-782X2002001200004.pdf
dc.identifier.scielo S0066-782X2002001200004
dc.identifier.doi 10.1590/S0066-782X2002001200004
dc.description.source SciELO


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