<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-3023</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Enfermagem de Reabilitação]]></journal-title>
<abbrev-journal-title><![CDATA[RPER]]></abbrev-journal-title>
<issn>2184-3023</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Enfermagem de Reabilitação]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-30232019000200065</article-id>
<article-id pub-id-type="doi">10.33194/rper.2019.v2.n2.02.4583</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Modulação cardíaca pelo exercício físico na pessoa com Insuficiência Cardíaca Descompensada - relato de caso]]></article-title>
<article-title xml:lang="es"><![CDATA[Modulación cardíaca por ejercicio en la persona con insuficiencia cardíaca descompensada - reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Cardiac modulation by exercise in a patient with decompensated heart failure - case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Bruno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Ivo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Eugénia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Preto]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novo]]></surname>
<given-names><![CDATA[André]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Bragança Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Enfermagem do Porto  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>2</volume>
<numero>2</numero>
<fpage>65</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-30232019000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-30232019000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-30232019000200065&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  Os doentes com insuficiência cardíaca descompensada caracterizam-se por apresentar elevada intolerância à atividade, associada a dispneia e edemas. O treino de exercício físico permite promover um aumento da tolerância ao esforço, assim como melhoria da função cardíaca.  Objetivo:  Identificar sinais de modulação cardíaca e consequente melhoria da capacidade funcional após a implementação de um plano de exercício físico estruturado.  Método:  Relato de caso de abordagem quantitativa. Pessoa com insuficiência cardíaca descompensada de etiologia isquémica e valvular, manifestando elevado grau de intolerância à atividade assim como descompensação hemodinâmica. Foram avaliados parâmetros fisiológicos como FC, TA, PSE pela escala de Borg e a sua tolerância à atividade, no momento da admissão e ao longo das sessões de treino. O T6MM foi aplicado em 2 momentos distintos: ao 4º dia de internamento e à data da alta, como forma de avaliar a evolução da capacidade funcional. O doente em questão encontra-se inserido num ensaio clínico randomizado onde se pretende avaliar a eficácia e segurança do exercício físico, sendo utilizados como instrumentos de avaliação a escala de LCADL, o Índice de Barthel, assim como do T6MM.  Resultados:  Verificou-se uma melhoria da capacidade funcional da pessoa, avaliada pelo teste dos 6 minutos de marcha (T1: 210m, T2: 295m), assim como uma redução da frequência cardíaca em repouso (85 bpm vs 68 bpm) e de treino (145bpm vs 94bpm). Não foram verificados eventos adversos durante as sessões de treino.  Conclusões:  A intervenção implementada nesta situação clínica revelou-se segura, sendo igualmente eficaz na melhoria da capacidade funcional e modulação da frequência cardíaca em repouso e durante o treino.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los pacientes con insuficiencia cardíaca descompensada se caracterizan por una alta intolerancia a la actividad asociada con disnea y edema. El entrenamiento físico permite una mayor tolerancia al ejercicio y una función cardíaca mejorada.  Objetivo:  identificar signos de modulación cardíaca y la consiguiente mejora de la capacidad funcional después de la implementación de un plan de ejercicio estructurado.  Método:  Relato de caso de enfoque cuantitativo. Paciente con insuficiencia cardíaca descompensada de etiología isquémica y valvular, que manifiesta un alto grado de intolerancia a la actividad, así como descompensación hemodinámica. Los parámetros fisiológicos como frequenica cardiaca, tensión arterial, percepción subjetiva del esfuerzo evaluada por la escala de Borg y la tolerância del paciente a la actividad en el momento de la admisión y durante las sesiones de entrenamiento. El T6MM se aplicó en dos momentos diferentes: en el cuarto día de hospitalización y en la fecha de alta, como una forma de evaluar la evolución de la capacidad funcional. El paciente en cuestión es parte de un ensayo clínico aleatorizado que tiene como objetivo evaluar la eficacia y la seguridad del ejercicio físico, y se utiliza como herramientas de evaluación en la escala LCADL, el índice de Barthel y el T6MM.  Resultados:  Hubo una mejora en la capacidad funcional de la persona, evaluada mediante la prueba de caminata de 6 minutos (T1: 210m, T2: 295m), así como una reducción en la frecuencia cardíaca en reposo (85 lpm frente a 68 lpm) y entrenamiento. (145bpm vs 94bpm). No se encontraron eventos adversos durante las sesiones de entrenamiento.  Conclusiones:  La intervención implementada en esta situación clínica demostró ser segura e igualmente efectiva para mejorar la capacidad funcional y modular la frecuencia cardíaca en reposo y durante el entrenamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Patients with decompensated heart failure are characterized by low exercise tolerance associated with dyspnea and edema. Exercise training promotes exercise tolerance as well as an improvement in ventricular function.  Objective:  To identify signs of cardiac modulation and consequent improvement of functional capacity after the implementation of a structured exercise plan.  Method:  It is a quantitative approach case report, about a patient with decompensated heart failure of ischemic and valvular etiology, manifesting a high degree of activity intolerance as well as hemodynamic decompensation. Physiological parameters such as Heart Rate, Blood Pressure, Subjective perception of effort evaluated by the Borg scale and the tolerance of the patient to activity at baseline and throughout the training sessions. The 6MWT was applied at two different moments: on the 4th day of hospitalization and at discharge, as a way to evaluate the evolution of functional capacity. This patient is enrolled on randomized clinical trial that aims to evaluate the feasibility and safety of exercise, being used as assessment tools the LCADL scale, the Barthel Index, as well as the 6MWT.  Results:  There was an improvement in the patient&#8217;s functional capacity, assessed by the 6-minute walk test (T1: 210m, T2: 295m), as well as a reduction in resting heart rate (85 bpm vs 68 bpm) and training heart rate (145bpm vs 94bpm). No adverse events occured during training sessions.  Conclusions:  The intervention implemented in this clinical situation proved to be safe and equally effective in improving functional capacity and modulating heart rate at rest and during exercise training.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Treino Aeróbio]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[reabilitação cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem de Reabilitação]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia cardíaca]]></kwd>
<kwd lng="es"><![CDATA[ejercício]]></kwd>
<kwd lng="es"><![CDATA[reabilitacion cardíaca]]></kwd>
<kwd lng="es"><![CDATA[enfermeira de rehabilitación]]></kwd>
<kwd lng="en"><![CDATA[Breathing Exercises]]></kwd>
<kwd lng="en"><![CDATA[Bacterial Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[Rehabilitation Nursing]]></kwd>
<kwd lng="en"><![CDATA[Case Reports]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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