Multiple Benefits of Rehabilitation in a Patient with Heart and Renal Failure

Autor: Vitor Oliveira Carvalho, Carlos Roberto Ribeiro de Carvalho, Carlos Alberto Cordeiro Hossri, Fernando José Pinho Queiroga Júnior, André Luis Pereira de Albuquerque
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Arquivos Brasileiros de Cardiologia, Vol 103, Iss 5, p e68 (2014)
Arquivos Brasileiros de Cardiologia
ISSN: 1678-4170
Popis: Heart failure is associated with high mortality and significantly reduced exercise capacity in many cases, despite medical treatment. Patients may present also renal failure, one of the most important comorbidities, which contributes even more to a poor prognosis, especially in patients who are already attending dialysis sessions1. Reduction of renal function occurs in approximately 25% of patients with chronic heart failure, regardless the severity of left ventricular dysfunction1. Exercise training is formally recommended as a safe non-pharmacological intervention in stable heart failure2,3. Nevertheless, many patients in severe stage are extremely symptomatic and consider themselves as incapable to attend an exerce training program. The association of heart failure and renal failure in use of continuous ambulatory peritoneal dialysis makes this attendance even more complicated. The physicians also are insecure and resistant to recommend cardiopulmonary rehabilitation for a patient with such important impairment. This case report aims at describing the clinical and physiological effects of an exercising program in a severe heart failure patient with renal failure in peritoneal dialysis.
Databáze: OpenAIRE