Cardiopulmonary responses of the sit-to-stand test in individuals pre and post-heart surgery: cross section
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.4127Keywords:
Physiotherapy, Cardiovascular Rehabilitation, Cardiovascular disease, Physiology, Hemodynamics, One-minute sit-to-stand testAbstract
INTRODUCTION: The cardiorespiratory repercussions of heart surgery can be assessed through submaximal testing. OBJECTIVE: Compare cardiorespiratory responses to the one-minute sit-and-stand test in individuals pre- and post-heart surgery. METHODS: An analytical, cross-sectional study was conducted involving 45 hemodynamically stable male and female patients with an ejection fraction greater than 45% submitted to coronary artery bypass surgery at a cardiology service of a hospital in the interior of the state of REDACTED between 2018 and 2019. The following variables were collected at rest and the end of the test one day before surgery and postoperatively: systolic and diastolic blood pressure (SBP and DBP, mmHg), heart rate (HR, bpm), respiratory rate (RR, rpm), peripheral saturation oxygen (SpO2, %), lower limb fatigue (LLF, 0-10), dyspnea (0-10), number of test repetitions and number of interruptions. The R program was used to process the data. The Shapiro-Wilk test was used for the determination of normality. The groups were compared using the non-parametric Wilcoxon test. RESULTS: Most participants were male (71%), and the mean age was 61±9 years. In the preoperative period, statistically significant increases (p?0.05) were found for SBP, HR, RR, LLF, and dyspnea between resting values and the end of the test. Significant increases (p?0.05) were found in the postoperative period for HR, RR, LLF, and dyspnea between rest and the end of the test, with no increase in SBP. Comparing the preoperative and postoperative evaluations variables, higher HR, RR, the number of interruptions and lower SBP, SpO2, and the number of repetitions were found after surgery (p?0.05). CONCLUSION: The one-minute sit-to-stand test induced physiological cardiorespiratory responses in the preoperative evaluation. However, higher cardiorespiratory responses at rest and an attenuated response to exercise were found in the postoperative evaluation compared to the preoperative evaluation.
Downloads
References
Nascimento BR, Brant LC, Oliveira GM, Malachias MV, Reis GM, Teixeira RA, et al. Cardiovascular Disease Epidemiology in Portuguese-Speaking Countries: data from the Global Burden of Disease, 1990 to 2016. Arq. Bras. Cardiol. 2018;110(6):500-11. https://doi.org/10.5935/abc.20180098
Soares JM, Costa AE, Pissaia LF. Perceptions of nurses on Systematization of Nursing Assistance in postoperative cardiac surgery. Res Soc and Dev. 2019;8(9):e24891278. https://doi.org/10.33448/rsd-v8i9.1278
Winkelmann ER, Dallazen F, Bronzatti AB, Lorenzoni JC, Windmöller P. Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase. Braz J Cardiovasc Surg.2015;30(1):40-8. https://doi.org/10.5935/1678-9741.20140048
Windmöller P, Bodnar ET, Casagrande J, Dallazen F, Schneider J, Berwanger SA, et al. Physical Exercise Combined W/ith CPAP in Subjects /Who Underwent Surgical Myocardial Revascularization: A Randomized Clinical Trial. Respiratory Care [Internet]. 2020;65(2):150-7. Available from: http://rc.rcjournal.com/content/65/2/150.short
Ozalevli S, Ozden A, Itil O, Akkoclu A. Comparison of the Sit-to-Stand Test with 6 min walk test in patients with chronic obstructive pulmonary disease. Respiratory medicine. 2007;101(2):286-93. https://doi.org/10.1016/j.rmed.2006.05.007
Gonçalves E, Colet CF, Windmoller P, Winkelmann ER. Correlation of the sit-to-stand test, the walk test and waist circumference before cardiac surgery. Mundo saúde [Internet]. 2019;767-81. Available from: http://bvsms.saude.gov.br/bvs/periodicos/mundo_saude_artigos/correlation_walk_cardiac_.pdf
Morais KA, Pereira MD, Cruz CJ, Drummond A. Respostas cardiovasculares agudas frente a diferentes testes funcionais em idosos. Rev Kairós. 2019;22(1):109-22. https://doi.org/10.23925/2176-901X.2019v22i1p109-122
McLean, AS. Editorial: Haemodynamic monitoring: the why, when, which and what. Current opinion in critical care. 2019;25(3), 244–245. https://doi.org/10.1097/MCC.0000000000000606
Scheeren TWL, Saugel B. Preface on advances in hemodynamic monitoring in perioperative medicine. Best Pract Res Clin Anaesthesiol. 2019;33(2):125-6. https://doi.org/10.1016/j.bpa.2019.09.001
Pinsky MR. Functional hemodynamic monitoring. Crit Care Clin. 2015;31(1):89-111. https://doi.org/10.1016/j.ccc.2014.08.005
García X, Pinsky MR. Clinical applicability of functional hemodynamic monitoring. Ann Intensive Care. 2011;1:35. https://doi.org/10.1186/2110-5820-1-35
Steffens É, Dallazen F, Sartori CC, Chiapinotto S, Battisti IDE, Winkelmann ER. Physical and functional conditions and quality of life in patients in pre and post-operative cardiac surgery. Rev Pesq Fisio. 2016;6(4). https://doi.org/10.17267/2238-2704rpf.v6i4.1149
Fassbinder TR, Winkelmann ER, Schneider J, Wendland J, Oliveira OB. Functional Capacity and Quality of Life in Patients with Chronic Kidney Disease In Pre-Dialytic Treatment and on Hemodialysis - A Cross sectional study. J Bras Nefrol. 2015;37(1):47-54. https://doi.org/10.5935/0101-2800.20150008
Sandi APS, Costa LA, Ferreira MHO, César EP, Carvalho PMM. Perfomance in the sit-to-stand test between smokers and non-. ASSOBRAFIR Ciência [Internet]. 2017;8(1):13-22. Available from: http://www.uel.br/revistas/uel/index.php/rebrafis/article/viewFile/26464/21198
Gottardi FC, Brizola IM, Maciel PF, Guimarães SF, Alves JF, Antero G, et al. Efeitos do teste Sit-to-stand 30 segundos e 1 minuto sobre os aspectos hemodinâmicos. Perspect. Exp. Clín., Inovações Bioméd. Educ. Saúde [Internet]. 2018;4(2):11. Available from: https://periodicos.ufms.br/index.php/pecibes/article/view/6982
Corrêa B, Cardoso DM. Functional capacity and mental state of patients undergoing cardiac surgery. Fisioter. Mov. 2017;30(4):805–11. https://doi.org/10.1590/1980-5918.030.004.AO16
Cordeiro AL, Amorim NM, Andrade PH, Esquivel MS, Guimarães AR, Melo TA, et al. Alterações fisiológicas da caminhada e tempo de internamento no pós-operatório de cirurgia cardíaca. Int J Cardiovasc Sci [Internet]. 2015;28(5):480-6. Available from: http://www.onlineijcs.org/english/sumario/28/pdf/v28n6a07.pdf
Leguisamo CP, Kalil RA, Furlani AP. Effetiveness of a preoperative physiotherapeutic approach in myocardial revascularization. Braz. J. Cardiovasc. Surg. 2005;20(2):134-41. https://doi.org/10.1590/S0102-76382005000200008
Reis MM, Lima ED, Casagrande RI, Fioresi M, Leite FM, Primo CC. Epidemiological profile of patients submitted to cardiac surgery. Rev. enferm. UFPE on line [Internet]. 2019;13(4):1015-22. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/download/238020/31797
Soares GM, Ferreira DC, Gonçalves MP, Alves TGS, David FL, Henriques KMC, et al. Prevalence of Major Postoperative Complicationsin Cardiac Surgery. Rev Bras Cardiol [Internet]. 2011;24(3):139-46. Available from: http://www.onlineijcs.org/english/sumario/24/pdf/v24n3a02.pdf
Strolischein CA, Silva DR, Costa EL, Sancoré FD, Azeredo TG, Fontoura FC. Prevalência das principais complicações pós-operatório em cirurgias cardíacas de revascularização do miocárdio em hospital filantrópico de Cuiabá-MT. Revista da Saúde da AJES [Internet]. 2019;5(9). Available from: http://www.revista.ajes.edu.br/index.php/sajes/article/view/305
Ricardo DR, Araújo CGS. Exercise-based cardiac rehabilitation: a systematic review. Rev Bras Med Esporte. 2006;12(5):279-85. https://doi.org/10.1590/S1517-86922006000500011
Strassmann A, Steurer-Stey C, Lana KD, Zoller M, Turk AJ, Suter P, et al. Population-based reference values for the 1-min sit-to-stand test. Int J Public Health. 2013;58(6):949-53. https://doi.org/10.1007/s00038-013-0504-z
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Eliane Roseli Winkelmann, Luana Gehm da Silva, Mariana Motta Dias da Silva, Pollyana Windmoller, Audrey Borghi Silva
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.