scholarly journals Correlação entre força muscular respiratória, capacidade funcional e qualidade de vida na insuficiência cardíaca congestiva

2019 ◽  
Vol 18 (2) ◽  
pp. 249-254
Author(s):  
Ewerton Sérgio da Silva ◽  
Aldair Darlan Santos-de-Araújo ◽  
Tatiane Dos Santos Silva ◽  
Jéssyca Lane Fausto Lira ◽  
Ana Carolina Do Nascimento Calles ◽  
...  
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Introdução: Insuficiência cardíaca congestiva (ICC) é considerada uma síndrome sistêmica caracterizada por fadiga e dispneia. Objetivo: Correlacionar a qualidade de vida, capacidade funcional e força muscular respiratória de pacientes com ICC. Métodos: Pacientes com ICC, internos em hospital referência, foram avaliados. Foram avaliadas a classificação funcional pela New York Heart Association (NYHA), qualidade de vida pelo o questionário Minnesota Living with Heart Failure Questionnaire (MLHFQ), e pressão inspiratória máxima (PImáx) e pressão expiratória máxima (PEmáx) pela manuvacuometria. Resultados: Quarenta e três pacientes foram incluídos, sendo 26 (60,5%) homens, com média de idade de 73,16 (±10,28) anos. A maioria dos pacientes (44,2%) estavam na classe NYHA 3. Correlação negativa foi encontrada para PImáx e PEmáx com NYHA (rs= -0,478, rs = -0,490, respectivamente), e MLHFQ com a PImáx (rs= -0,393). Conclusão: Conclui-se que a redução da força muscular respiratória leva a diminuição na qualidade de vida e piora na capacidade funcional.

scholarly journals Correlação entre instrumentos de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca

2007 ◽  
Vol 23 (11) ◽  
pp. 2705-2715 ◽  
Author(s):  
Fátima Ayres de Araújo Scattolin ◽  
Maria José D'Elboux Diogo ◽  
Roberta Cunha Rodrigues Colombo
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Este estudo teve como objetivo identificar a correlação entre as medidas de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca. Fizeram parte do estudo 146 idosos com insuficiência cardíaca em tratamento ambulatorial, que responderam ao Minnesota Living With Heart Failure Questionnaire (LHFQ) e à Medida de Independência Funcional (MIF). Foi utilizado o coeficiente de correlação de Spearman para verificar a correlação entre as medidas de qualidade de vida relacionada à saúde e MIF, e entre estas e a Classificação Funcional da New York Heart Association (CF-NYHA). Foram constatadas correlações significantes de moderada magnitude entre as dimensões física e emocional do LHFQ e as subescalas total e motora da MIF. Os resultados evidenciaram que a qualidade de vida relacionada à saúde e independência funcional são conceitos correlacionados e influenciados pela CF-NYHA. Os resultados sugerem que ações voltadas à promoção da independência funcional podem otimizar a qualidade de vida relacionada à saúde de idosos com insuficiência cardíaca, especialmente na dimensão física. São necessários novos estudos com ampliação da amostra, inclusão de pacientes de faixa etária mais elevada e com maior gravidade da doença, para verificar a reprodutibilidade destes achados.

scholarly journals EFEITOS FÍSICOS E PSICOSSOCIAIS DA INSUFICIÊNCIA CARDÍACA NA PERCEPÇÃO DA QUALIDADE DE VIDA

2017 ◽  
Vol 22 (2) ◽  
Author(s):  
Mailson Marques De Sousa ◽  
Jacira Dos Santos Oliveira ◽  
Maria Julia Guimarães Oliveira Soares ◽  
Simone Maria Muniz da Silva Bezerra ◽  
Simone Helena Dos Santos Oliveira
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Estudo descritivo, de corte transversal, com abordagem quantitativa, com 84 pacientes com insuficiência cardíaca em seguimento ambulatorial. Objetivou-se analisar a qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca e apresentar proposta de intervenção para as variáveis que mais afetam a percepção da qualidade de vida. Aplicou-se o Minnesota Living Heart Failure Questionnaire. Dentre os participantes a maioria encontrava-se nas classes funcionais I e II da New York Heart Association. A média do escore total do Minnesota Living Heart Failure Questionnaire foi 33,13±19,66 revelando boa qualidade de vida. No entanto, os aspectos físicos e a dificuldade de adesão a dieta foram as variáveis com maior influência negativa na percepção da qualidade de vida. Sugere-se a proposição de estratégias terapêuticas, com foco multidisciplinar para os aspectos físicos e psicossociais mais afetados para minimizar o impacto da insuficiência cardíaca na qualidade de vida relacionada à saúde. 

scholarly journals Remote Hemodynamic‐Guided Therapy of Patients With Recurrent Heart Failure Following Cardiac Resynchronization Therapy

2021 ◽  
Author(s):  
Niraj Varma ◽  
Robert C. Bourge ◽  
Lynne Warner Stevenson ◽  
Maria Rosa Costanzo ◽  
David Shavelle ◽  
...  
Keyword(s):  
Heart Failure ◽  
New York ◽  
Cardiac Resynchronization Therapy ◽  
Area Under The Curve ◽  
Heart Association ◽  
Cardiac Resynchronization ◽  
Class Iii ◽  
Resynchronization Therapy ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Background Patients with recurring heart failure (HF) following cardiac resynchronization therapy fare poorly. Their management is undecided. We tested remote hemodynamic‐guided pharmacotherapy. Methods and Results We evaluated cardiac resynchronization therapy subjects included in the CHAMPION (CardioMEMS Heart Sensor Allows Monitoring of Pressure to Improve Outcomes in New York Heart Association Class III Heart Failure Patients) trial, which randomized patients with persistent New York Heart Association Class III symptoms and ≥1 HF hospitalization in the previous 12 months to remotely managed pulmonary artery (PA) pressure‐guided management (treatment) or usual HF care (control). Diuretics and/or vasodilators were adjusted conventionally in control and included remote PA pressure information in treatment. Annualized HF hospitalization rates, changes in PA pressures over time (analyzed by area under the curve), changes in medications, and quality of life (Minnesota Living with Heart Failure Questionnaire scores) were assessed. Patients who had cardiac resynchronization therapy (n=190, median implant duration 755 days) at enrollment had poor hemodynamic function (cardiac index 2.00±0.59 L/min per m 2 ), high comorbidity burden (67% had secondary pulmonary hypertension, 61% had estimated glomerular filtration rate <60 mL/min per 1.73 m 2 ), and poor Minnesota Living with Heart Failure Questionnaire scores (57±24). During 18 months randomized follow‐up, HF hospitalizations were 30% lower in treatment (n=91, 62 events, 0.46 events/patient‐year) versus control patients (n=99, 93 events, 0.68 events/patient‐year) (hazard ratio, 0.70; 95% CI, 0.51–0.96; P =0.028). Treatment patients had more medication up‐/down‐titrations (847 versus 346 in control, P <0.001), mean PA pressure reduction (area under the curve −413.2±123.5 versus 60.1±88.0 in control, P =0.002), and quality of life improvement (Minnesota Living with Heart Failure Questionnaire decreased −13.5±23 versus −4.9±24.8 in control, P =0.006). Conclusions Remote hemodynamic‐guided adjustment of medical therapies decreased PA pressures and the burden of HF symptoms and hospitalizations in patients with recurring Class III HF and hospitalizations, beyond the effect of cardiac resynchronization therapy. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT00531661.

scholarly journals Autocuidado e aptidão cardiorrespiratória na insuficiência cardíaca

2019 ◽  
Author(s):  
Laís Rodrigues de Oliveira ◽  
Marilia Estevam Cornelio
Keyword(s):  
Heart Failure ◽  
New York ◽  
Specific Activity ◽  
Self Care ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
New York Heart Association ◽  
Activity Questionnaire

A insuficiência cardíaca é uma doença crônica, de elevada prevalência no Brasil e no mundo, e apresenta importante impacto na realização de atividades de vida diária e na qualidade de vida. Desta forma, este trabalho tem como objetivo avaliar o autocuidado em pacientes com insuficiência cardíaca e testar a sua relação com a aptidão cardiorrespiratória. Trata-se de um estudo descritivo-exploratório, de corte transversal. Foram incluídos pacientes com insuficiência cardíaca das classes funcionais I, II e III da New York Heart Association, com idade entre 18 e 65 anos. Foram coletados dados sociodemográficos e clínicos; avaliado o autocuidado por meio do European Heart Failure Self-Care Behaviour Scale e a aptidão cardiorrespiratória pelo Veterans Specific Activity Questionnaire. Os dados foram analisados de forma descritiva, por meio de testes de correlação e comparação. Identificamos que os pacientes são em sua maioria eram do sexo masculino (63,1%), brancos (46,4%), casados (54,7%), aposentados (30,9%), tinham fração de ejeção reduzida (70%) e pertenciam a classe funcional 2 (50%). Os resultados deste estudo oferecerão subsídios para o desenvolvimento de intervenções voltadas à implementação de comportamentos de autocuidado por parte dos pacientes com IC.

“I Can’t Go Far”: Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews

2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
New York ◽  
General Practitioner ◽  
Qualitative Study ◽  
Heart Association ◽  
Enabling Factors ◽  
Face To Face ◽  
New York Heart Association

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.

Abstract 2848: Medication Knowledge And Assistance In Older Chronic Heart Failure Patients.

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Robyn Gallagher ◽  
Judith Donoghue ◽  
Lynn Chenoweth ◽  
Jane Stein-Parbury
Keyword(s):  
Heart Failure ◽  
New York ◽  
Chronic Heart Failure ◽  
Self Efficacy ◽  
Heart Association ◽  
Post Discharge ◽  
Medication Knowledge ◽  
Moderate Heart Failure ◽  
Association Class ◽  
New York Heart Association

Medication knowledge and assistance in older chronic heart failure (CHF) patients. Medication adherence is central to the optimal management of CHF. Little is known about older patients’ knowledge of their medications or the factors that contribute to this knowledge. Aim: To describe and identify the predictors of medication knowledge in older CHF patients. Method: Subjects ( n = 62) aged over 55 years with moderate heart failure (New York Heart Association Class II and III) who identified as self-managing were recruited from hospital or rehabilitation. Interviews occurred at home four weeks post-discharge using a medication checklist and the Self-Efficacy in Chronic Illness Scale (Lorig et al, 2001). Multiple regression analysis determined the predictors of medication knowledge. Results: Patients were aged mean 78.4 years (sd 8.54 years), mostly male (57%) and had an average 8 (median, range 3–22) medications to take daily, of which 6 (median, range 3–14) were for CHF. Most managed their own medications (54%) but more than a quarter (28%) were assisted by reminding, dispensing and supervision. Compliance with medications was high (84%), although only half (53%) knew the name, main purpose and side effect of their medications. Patients with better self-efficacy (β = 2.88) and no help with medication (β = -21.05) had better medication knowledge (model F = 13.6, p = .000, R = .61, r 2 = .37). Conclusion: Older CHF patients have poor knowledge of their medications, which may be improved by promoting overall self-efficacy for disease management. Less knowledgeable patients received appropriate assistance with medications, but the consequence may be less knowledge and thus warrants further investigation.

Abstract 216: Left Ventricular Enlargement and Heart Failure Events: Is Bigger Better?

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Farbod Raiszadeh ◽  
Neeraja Yedlapati ◽  
Ileana L Piña ◽  
Daniel M Spevack
Keyword(s):  
Heart Failure ◽  
New York ◽  
Cox Regression ◽  
Systolic Heart Failure ◽  
Heart Association ◽  
Left Ventricular ◽  
Left Ventricular Volumes ◽  
End Diastolic Volume ◽  
New York Heart Association ◽  
The Individual

Background: Since stroke volume (SV) is a function of ejection fraction (EF) and end-diastolic volume (EDV) (SV = EF x EDV), we hypothesized that increased EDV may be advantageous in systolic heart failure (HF), allowing the left ventricle to supply increased cardiac output. Methods: Echocardiograms from 968 consecutive patients seen in our hospital’s HF clinic were reviewed. Left ventricular volumes were measured both at end systole and end diastole using the bi-plane Simpson’s method and were indexed to body surface area. EF was calculated using (EDV-ESV)/EDV. Dates of subsequent HF events (death or admission for HF exacerbation) were obtained from our database. Results: Systolic HF (EF < 50%) was found in 649 of the study subjects. Increased SV index was associated with increased EDV index. The strength of this association varied with EF, Figure. In a bivariate Cox regression model, lower SV index and higher EDV index were each independent predictors of HF events. Increase in EDV by 50 cc was associated with a 20% increase in HF events, p<0.001. Decrease in SVI by 5 cc was associated with 5% increase in HF events, p<0.001. These associations were limited to those with systolic HF. The associations between both EDVI and SVI and HF events were not confounded by patient age, sex and New York Heart Association Class. Conclusion: Increased EDV index was independently associated with increased HF events, indicating that LV enlargement in HF is not favorable. These findings underscore the individual contributions of the components of EF (SV and EDV) in predicting HF outcomes.

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