Reabilitação cardíaca em Portugal: a intervenção que falta!
DOI:
https://doi.org/10.25758/set.174Keywords:
Cardiac rehabilitation, PortugalAbstract
A Organização Mundial de Saúde definiu Reabilitação Cardíaca (RC), em 1964, como “… o conjunto de actividades necessárias para fornecer ao doente com cardiopatia uma condição física, mental e social tão elevadas quanto possível, que lhe permita retomar o seu lugar na vida da comunidade, pelos seus próprios meios e de uma forma tão normal quanto possível”. Os Programas de Reabilitação Cardíaca (PRC) foram lançados para promover uma recuperação física rápida após enfarte agudo do miocárdio (síndrome coronário agudo - SCA, na nomenclatura actual), orientada para reintegração social rápida e plena, nomeadamente para a retoma da actividade profissional, após SCA ou cirurgia cardíaca (coronária, valvular ou transplante). Para além dos doentes que
sofreram SCA complicado ou após cirurgia cardíaca, a obtenção de uma boa capacidade física tem uma importância significativa nos trabalhadores cuja actividade exige esforço físico violento, como os agrícolas ou da construção civil, assim como nos doentes idosos e nas mulheres. Actualmente, para além da promoção da capacidade funcional, os PRC assumiram-se como programas de prevenção secundária, implementando também a adopção de um estilo de vida saudável, a observância da terapêutica farmacológica e a educação dos doentes e dos seus familiares, de forma a auxiliá-los a viver com a doença.
Downloads
References
World Health Organization Expert Committee on Disability, Prevention and Rehabilitation. Rehabilitation of patients with cardiovascular disease: report of a WHO expert committee. Geneva: WHO; 1964.
Giannuzzi P, Saner H, Björnstad H, Fioretti P, Mendes M, Cohen-Solal A, et al. Secondary prevention through cardiac rehabilitation: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur Heart J. 2003 Jul;24(13):1273-8.
Balady GJ, Williams MA, Ades PA, Bittner V, Comoss P, Foody JM, et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: a scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007 May;115(20):2675-82.
Giannuzzi P, Temporelli PL, Marchioli R, Maggioni AP, Balestroni G, Ceci V, et al. Global secondary prevention strategies to limit event recurrence after myocardial infarction: results of the GOSPEL study, a multicenter, randomized controlled trial from the Italian Cardiac Rehabilitation Network. Arch Intern Med. 2008 Nov;168(20):2194-204.
Dendale P, Berger J, Hansen D, Vaes J, Benit E, Weymans M. Cardiac rehabilitation reduces the rate of major adverse cardiac events after percutaneous coronary intervention. Eur J Cardiovasc Nurs. 2005 Jun;4(2):113-6.
Piepoli MF, Davos C, Francis DP, Coats AJ, ExTraMATCH Collaborative. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004 Jan;328(7433):189-95.
O'Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009 Apr;301(14):1439-50.
Giannuzzi P, Mezzani A, Saner H, Björsntad H, Fioretti P, Mendes M, et al. Physical activity for primary and secondary prevention: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur J Cardiovasc Prev Rehabil. 2003 Oct;10(5):319-27.
Franklin BA. Leisure time physical activity, competitive sports and ischemic heart disease by Börjesson M. et al. Eur J Cardiovasc Prev Rehabil. 2006 Apr;13(2):133-6.
Oldridge NB, Guyatt GH, Fisher MF, Rimm AA. Cardiac rehabilitation after myocardial infarction: combined experiences of randomized trials. JAMA. 1988 Aug;260(7):945-50.
O’Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenberger RS Jr, et al. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. 1989 Aug;80(2):234-44.
Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004 May;116(10):682-92.
Clark AM, Hartling L, Vandermeer B, McAlister FA. Metaanalysis: secondary prevention programs for patients with coronary artery disease. Ann Intern Med. 2005 Nov;143(9):659-72.
Oldridge N, Furlong W, Feeny D, Torrance G, Guyatt G, Crowe J, et al. Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction. Am J Cardiol. 1993 Jul;72(2):154-61.
American Association for Cardiovascular and Pulmonary Rehabilitation. Guidelines for cardiac rehabilitation and secondary prevention programs. 4th ed. Champaign: Human Kinetics; 2004.
Pavy B, Iliou MC, Meurin P, Tabet JY, Corone S, Functional Evaluation and Cardiac Rehabilitation Working Group of the French Society of Cardiology. Safety of exercise training for cardiac patients: results of the French registry of complications during cardiac rehabilitation. Arch Intern Med. 2006 Nov;166(21):2329-34.
Bjarnason-Wehrens B, Mayer-Berger W, Meister ER, Baum K, Hambrecht R, Gielen S, et al. Recommendations for resistance exercise in cardiac rehabilitation: recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2004 Aug;11(4):352-61.
Mendes M. Inquérito aos programas de reabilitação cardíaca em Portugal: situação em 1999 [National survey of cardiac rehabilitation programs in Portugal: situation in 1999]. Rev Port Cardiol. 2001 Jan;20(1):7-19. Portuguese, english
Teixeira M, Sampaio F, Brízida L, Mendes M. Reabilitação cardíaca em Portugal: evolução entre 1998 e 2004 [Cardiac rehabilitation in Portugal: developments between 1998 and 2004]. Rev Port Cardiol. 2007;26(9):815-25. Portuguese, english
Abreu A. Inquérito nacional de reabilitação cardíaca – 2007. In Reunião de 2008 do Grupo de Estudos de Fisiopatologia do Esforço e Reabilitação Cardíaca. Lisboa: Sociedade Portuguesa de Cardiologia; 2008. Portuguese
Vanhees L, McGee HM, Dugmore LD, Schepers D, Van Daele P. Representative study of cardiac rehabilitation activities in European Member states: the Carinex survey. AJ Cardiopulm Rehabil. 2002;22:264-72.
Bjarnason-Wehrens B. Results from the European Cardiac Rehabilitation Inventory Survey (ECRIS). In Europrevent 2008. Brussels: European Society of Cardiology; 2008.
Ministério da Saúde. Plano nacional de saúde 2004-2010 – Vol 1: prioridades. Lisboa: Ministério da Saúde; 2004.
Mendes M. Como melhorar a situação em Portugal. In Reunião de 2009 do Grupo de Estudos de Fisiopatologia do Esforço e Reabilitação Cardíaca. Lisboa: Sociedade Portuguesa de Cardiologia; 2009. Portuguese
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Saúde e Tecnologia
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The journal Saúde & Tecnologia offers immediate free access to its content, following the principle that making scientific knowledge available to the public free of charge provides greater worldwide democratization of knowledge.
The journal Saúde & Tecnologia does not charge authors any submission or article processing charges (APC).
All content is licensed under a Creative Commons CC-BY-NC-ND license. Authors have the right to: reproduce their work in physical or digital form for personal, professional, or teaching use, but not for commercial use (including the sale of the right to access the article); deposit on their website, that of their institution or in a repository an exact copy in electronic format of the article published by Saúde & Tecnologia, provided that reference is made to its publication in Saúde & Tecnologia and its content (including symbols identifying the journal) is not altered; publish in a book of which they are authors or editors the total or partial content of the manuscript, provided that reference is made to its publication in Saúde & Tecnologia.
