Sobrecarga hemodinâmica do teste de esforço para pacientes com câncer de mama
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.213796Palavras-chave:
Neoplasias da mama, Exercício, Saúde, Hemodinâmica, Doença crônicaResumo
Introdução: Há uma relação entre câncer de mama e doenças cardiovasculares. No entanto, comparações de testes de esforço em pacientes com câncer de mama não foram estabelecidas no campo da prescrição de exercícios. Objetivo: Este estudo teve como objetivo comparar as respostas hemodinâmicas do Teste de Caminhada de Seis Minutos (TCSM) com o Teste de Naughton Modificado (TNM) em mulheres com e sem câncer de mama. Métodos: Participaram 42 mulheres com câncer de mama e 36 mulheres com outras doenças crônicas não transmissíveis. Todas as mulheres foram submetidas a avaliações hemodinâmicas, frequência cardíaca (FC), pressão arterial sistólica (PAS) e diastólica (PAD) e percepção subjetiva de esforço (PSE) do TCSM e TNM, medidos antes, imediatamente após e cinco minutos após o teste. Resultados: O grupo com câncer de mama apresentou menor PAD (p=0,020) antes do TCSM, menor PAD (p=0,008) e FC (p=0,008) imediatamente após o TNM. Além disso, nas mulheres com câncer de mama do grupo TNM ocorreu um pico de PAS (estágio nove), como também maior duplo produto (DP) (p<0,001), reserva de DP (p<0,001), Δ% da FC e antecipação do ponto de deflexão da FC (6km/h). Conclusão: o teste TCSM demonstrou ser mais conservador, com menor pico nas variáveis hemodinâmicas, enquanto o TNM teve aumento no DP, reserva de DP e Δ% da FC, apesar disso, apresentou melhor controle hemodinâmico com possibilidade de detectar o ponto de deflexão da FC, principalmente para mulheres com câncer de mama.
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Copyright (c) 2024 Andréa Dias Reis, Pedro Gabriel Senger Braga, Êmili Amice da Costa Barros, Caique Figueiredo, James Wilfred Navalta, Fabrício Azevedo Voltarelli, Alessandro Moura Zagatto, Ismael Forte Freitas Júnior
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
