Effect of diaphragmatic breathing on heart rate variability in ischemic ...
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Artigo Original Efeito da Respiração Diafragmática sobre a Variabilidade da Frequência Cardíaca na Doença Cardíaca Isquêmica com Diabete Effect of Diaphragmatic Breathing on Heart Rate Variability in Ischemic Heart Disease with Diabetes Anupama Bangra Kulur1, Nagaraja Haleagrahara2, Prabha Adhikary3, Jeganathan P. S.3 Faculty of Medicine, University College of Sedaya International1, School of Medicine, International Medical University2, Kuala Lumpur, Malaysia; Faculty of Medicine, Kasturba Medical College3, Mangalore - Índia
Resumo
Fundamento: A diminuição da variabilidade da frequência cardíaca (VFC) está associada com um prognóstico desfavorável em pacientes com doença cardíaca isquêmica (DCI) e diabete. Ainda não foi provado em definitivo se a mudança no padrão respiratório pode modificar o fator de risco nesses pacientes. Objetivo: Avaliar o efeito da respiração diafragmática sobre a VFC em pacientes diabéticos com DCI. Métodos: A população do estudo consistiu em 145 pacientes do sexo masculino selecionados ao acaso, dos quais 45 apresentavam DCI, 52 apresentavam DCI e diabete (DCI-DM) e 48 apresentavam DCI e neuropatia diabética (DCI-ND). A VFC foi avaliada através de ECG de 5 minutos usando o método de domínio de tempo. O grupo de intervenção foi dividido em grupo aderente e não-aderente e o seguimento foi registrado após três meses e um ano. Resultados: A avaliação basal mostrou uma diminuição significante em VFC nos pacientes com doença cardíaca isquêmica com ou sem diabete (p
