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Functional capacity assessment of ischemic patients after acute event using the 6MWT
Session:
Posters (Sessão 2 - Écran 7) - Enfermagem e Técnicos
Speaker:
Bruno Miguel Delgado
Congress:
CPC 2022
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.3 Cardiovascular Nursing - Other
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Bruno Miguel Delgado; Ana Seixas; Fátima Rodrigues; Fernanda Pereira; Ivo Lopes
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#424242">Introduction: An acute ischemic event causes a functional deterioration even in previously autonomous patients. The determination of functional capacity is relevant to determine health indicators for rehabilitation nursing care, allowing at the same time to determine the patient's functional status throughout their health-disease cycle. The six-minute walking test (6MWT) is widely used in studies involving cardiac patients, however, reference values ??for ischemic population after immediate clinical stabilization are not known. </span></span></span></span></span></p> <p style="text-align:start"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"> Aims: </span></span><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#424242">Determine the functional level of ischemic patients, by gender, after clinical stabilization using the 6MWT. </span></span></span></span></span></p> <p style="text-align:start"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif">Methods: </span></span><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#424242">Using the 6MWT, the functional capacity of ischemic patients was evaluated at discharge, after clinical stabilization. Patients with acute coronary syndrome with and without ST-segment elevation were included, as well as patients elective for percutaneous coronary intervention. All patients were accompanied by the rehabilitation nursing team. The 6MWT was performed based on the 2016 ATS guidelines and the expected value of the distance covered was determined based on the Enright equation. The sample was divided by gender, taking into account their widely known differences in functional capacity. The profile of cardiovascular risk factors (CRF) was also evaluated.</span></span></span></span></span></p> <p style="text-align:start"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"> Results and conclusions: </span></span><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:#424242">A total of 189 patients were studied (145 male), with a mean age of 58.1 years (men) and 56.6 (women). About 34% of men and 31% of women were admitted with STEMI, with a mean CVRF of 3.2 in men and 3.9 in women. The most prevalent CVRF in females is dyslipidemia and sedentary lifestyle, while in males it is dyslipidemia. A statistically significant difference (p<0.00 in both genders) was found between the value of the 6MWT performed (425.6 meters – males; 340 meters females) compared to the value estimated by the equation (559.9 males; 531.3 female gender). There is a very significant difference between the expected value and the value actually covered in the walking test. It may be pertinent to define reference values ??for this typology of patients, so that their functional capacity can be properly measured. </span></span></span></span></span></p>
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