Doenças valvares sob a perspectiva do Teste Cardiopulmonar de Exercício: uma revisão integrativa dos últimos 10 anos

Autores

DOI:

https://doi.org/10.55892/jrg.v7i14.1089

Palavras-chave:

Doença das Valvas Cardíacas, Teste Cardiopulmonar de Exercício, Cardiologia

Resumo

Objetivo:  Avaliar artigos científicos sobre o uso do Teste Cardiopulmonar de Exercício (TCPE) nas valvopatias com insuficiência ou estenose moderada a grave em pacientes oligo ou assintomáticos. Métodos: Trata-se de uma revisão integrativa de literatura, com artigos publicados entre 2014 e 2024, sem restrição linguística, disponíveis online na íntegra. Utilizou-se como questão norteadora: “Quais as evidências sobre a realização do teste cardiopulmonar de exercício em pacientes portadores de valvopatias moderadas a graves e assintomáticos?”. A pesquisa bibliográfica foi realizada através das bases de dados PUBMED/MEDLINE, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Coleção BVS, por meio dos seguintes descritores em Ciências da Saúde (DeCS): Heart Valve Diseases; Cardiopulmonry Exercise Testing, com uso do operador booleano “AND”. Resultados: A amostra final foi composta por 09 artigos que seguiram os critérios de inclusão e exclusão previamente definidos. Considerações finais: O TCPE está bem estabelecido na literatura como uma opção segura, acessível e objetiva, para avaliação dos pacientes com doença valvar, permitindo análise real do condicionamento aeróbico, associado ao comportamento dos sistemas cardiovascular, pulmonar e periférico, trazendo maior precisão da avaliação clínica do paciente.

Downloads

Não há dados estatísticos.

Biografia do Autor

Mariana Sattler Lima Medina, Universidade Tiradentes

Graduanda em Medicina pela Universidade Tiradentes.

Hanna Vitória da Cruz Correia, Universidade Tiradentes

Graduanda em Medicina pela Universidade Tiradentes.

Joanne Conceição Martins Aragão Costa Dias, Universidade Tiradentes

Graduanda em Medicina pela Universidade Tiradentes.

Mylenna Bomfim Souza, Universidade Tiradentes

Graduanda em Medicina pela Universidade Tiradentes.

Roberta Helena Fernandes Feitosa, Universidade de Rio Verde

Graduada em Medicina pela Universidade Federal de Goiás.

Carolina Christianini Mizzaci Guilhen, Instituto Dante Pazzanese de Cardiologia, SP, Brasil

Graduada em Medicina; Doutora em Ciências da Saúde pela Universidade Federal de São Paulo.

Milena dos Santos Barros Campos, Universidade Tiradentes

Graduada em Medicina; Mestra em Ciências da Saúde pela Universidade Federal de Sergipe.

Referências

ALURU, John Sukumar; BARSOUK, Adam; SAGINALA, Kalyan; et al. Valvular Heart Disease Epidemiology. Medical Sciences (Basel, Switzerland), v. 10, n. 2, p. 32, 2022.

BROCH, Kaspar; URHEIM, Stig; MASSEY, Richard; et al. Exercise capacity and peak oxygen consumption in asymptomatic patients with chronic aortic regurgitation. International Journal of Cardiology, v. 223, p. 688–692, 2016.

CHATRATH, Nikhil; PAPADAKIS, Michael. Physical activity and exercise recommendations for patients with valvular heart disease. Heart (British Cardiac Society), v. 108, n. 24, p. 1938–1944, 2022.

COFRE-BOLADOS, Cristian; FERRARI, Gerson; VALDIVIA-MORAL, Pedro; et al. Sub Maximal Ergospirometry Parameters in Untrained Non-Frail Octogenarian Subjects. Medicina (Kaunas, Lithuania), v. 58, n. 3, p. 378, 2022.

COISNE, Augustin; AGHEZZAF, Samy; GALLI, Elena; et al. Prognostic values of exercise echocardiography and cardiopulmonary exercise testing in patients with primary mitral regurgitation. European Heart Journal. Cardiovascular Imaging, v. 23, n. 11, p. 1552–1561, 2022.

CORTINA CAMARERO, C; SARRION CATALA, M; SUBERVIOLA SANCHEZ-CABALLERO, V; et al. Prognostic value of cardiopulmonary exercise testing in valvular heart disease. European Heart Journal, v. 42, n. Supplement_1, p. ehab724.0126, 2021. Disponível em: <https://academic.oup.com/eurheartj/article/doi/10.1093/eurheartj/ehab724.0126/6392430>. Acesso em: 7 maio 2024.

D’ARCY, Joanna L.; COFFEY, Sean; LOUDON, Margaret A.; et al. Large-scale community echocardiographic screening reveals a major burden of undiagnosed valvular heart disease in older people: the OxVALVE Population Cohort Study. European Heart Journal, v. 37, n. 47, p. 3515–3522, 2016.

DHOBLE, Abhijeet; ENRIQUEZ-SARANO, Maurice; KOPECKY, Stephen L.; et al. Cardiopulmonary responses to exercise and its utility in patients with aortic stenosis. The American Journal of Cardiology, v. 113, n. 10, p. 1711–1716, 2014.

DOMANSKI, Olivia; RICHARDSON, Marjorie; COISNE, Augustin; et al. Cardiopulmonary exercise testing is a better outcome predictor than exercise echocardiography in asymptomatic aortic stenosis. International Journal of Cardiology, v. 227, p. 908–914, 2017.

DOMÍNGUEZ-RODRÍGUEZ, Alberto. The cardiopulmonary exercise testing in asymptomatic severe aortic stenosis: not to be forgotten in 2021 ESC Guidelines of valvular heart disease. European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery, v. 62, n. 4, p. ezac119, 2022.

ELEID, Mackram F.; NKOMO, Vuyisile T.; PISLARU, Sorin V.; et al. Valvular Heart Disease: New Concepts in Pathophysiology and Therapeutic Approaches. Annual Review of Medicine, v. 74, p. 155–170, 2023.

GADIOLI, Leonardo Pippa; COSTA, Fernanda Aparecida; MOREIRA, Henrique Turin; et al. Use of Cardiopulmonary Exercise Testing to Assess Pulmonary Hypertension in Patients With Rheumatic Mitral Valve Disease: A Comparative Study With Echocardiography. Current Problems in Cardiology, v. 48, n. 8, p. 101230, 2023.

HERDY, Artur Haddad; RITT, Luiz Eduardo Fonteles; STEIN, Ricardo; et al. Cardiopulmonary Exercise Test: Background, Applicability and Interpretation. Arquivos Brasileiros De Cardiologia, v. 107, n. 5, p. 467–481, 2016.

IUNG, Bernard; DELGADO, Victoria; ROSENHEK, Raphael; et al. Contemporary Presentation and Management of Valvular Heart Disease: The EURObservational Research Programme Valvular Heart Disease II Survey. Circulation, v. 140, n. 14, p. 1156–1169, 2019.

IUNG, Bernard; VAHANIAN, Alec. Epidemiology of acquired valvular heart disease. The Canadian Journal of Cardiology, v. 30, n. 9, p. 962–970, 2014.

KROL, Katherine; MORGAN, Mary Anne; KHURANA, Sandhya. Pulmonary Function Testing and Cardiopulmonary Exercise Testing: An Overview. The Medical Clinics of North America, v. 103, n. 3, p. 565–576, 2019.

LAUFER-PERL, Michal; GURA, Yaniv; SHIMIAIE, Jason; et al. Mechanisms of Effort Intolerance in Patients With Rheumatic Mitral Stenosis: Combined Echocardiography and Cardiopulmonary Stress Protocol. JACC. Cardiovascular imaging, v. 10, n. 6, p. 622–633, 2017.

LE, Van D.; JENSEN, Gunnar V.; KJØLLER-HANSEN, Lars. Prognostic Usefulness of Cardiopulmonary Exercise Testing for Managing Patients With Severe Aortic Stenosis. The American Journal of Cardiology, v. 120, n. 5, p. 844–849, 2017.

LE, Van D.; JENSEN, Gunnar V.; KJØLLER-HANSEN, Lars. Prognostic Value of Cardiopulmonary Exercise Testing in Patients With Asymptomatic or Equivocal Symptomatic Aortic Stenosis. Circulation, v. 130, n. suppl_2, 2014.

LE, Van D.; JENSEN, Gunnar V.; KJØLLER-HANSEN, Lars. Prognostic Value of Cardiopulmonary Exercise Testing in Patients With Asymptomatic or Equivocal Symptomatic Moderate to Severe Aortic Stenosis. JACC, submitted, 2017.

LE, Van Doan Tuyet. Cardiopulmonary Exercise Testing in Aortic Stenosis. Danish Medical Journal, v. 64, n. 5, p. B5352, 2017.

VAN LE, Douet; JENSEN, Gunnar Vagn Hagemann; CARSTENSEN, Steen; et al. Cardiopulmonary Exercise Testing in Patients with Asymptomatic or Equivocal Symptomatic Aortic Stenosis: Feasibility, Reproducibility, Safety and Information Obtained on Exercise Physiology. Cardiology, v. 133, n. 3, p. 147–156, 2016.

LEVY, Franck; FAYAD, Nader; JEU, Antoine; et al. The value of cardiopulmonary exercise testing in individuals with apparently asymptomatic severe aortic stenosis: a pilot study. Archives of Cardiovascular Diseases, v. 107, n. 10, p. 519–528, 2014.

MYERSON, Saul G. CMR in Evaluating Valvular Heart Disease: Diagnosis, Severity, and Outcomes. JACC. Cardiovascular imaging, v. 14, n. 10, p. 2020–2032, 2021.

NKOMO, Vuyisile T.; GARDIN, Julius M.; SKELTON, Thomas N.; et al. Burden of valvular heart diseases: a population-based study. Lancet (London, England), v. 368, n. 9540, p. 1005–1011, 2006.

OLIVEIRA, Gláucia Maria Moraes de; BRANT, Luisa Campos Caldeira; POLANCZYK, Carisi Anne; et al. Cardiovascular Statistics - Brazil 2020. Arquivos Brasileiros De Cardiologia, v. 115, n. 3, p. 308–439, 2020.

OTTO, Catherine M.; NISHIMURA, Rick A.; BONOW, Robert O.; et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, v. 143, n. 5, p. e72–e227, 2021.

PRENDERGAST, Bernard; VAHANIAN, Alec. The 2021 ESC/EACTS guidelines for the management of valvular heart disease: a new template for Heart Teams and their patients. Cardiovascular Research, v. 118, n. 1, p. e11–e13, 2022.

REDFORS, Björn; PIBAROT, Philippe; GILLAM, Linda D.; et al. Stress Testing in Asymptomatic Aortic Stenosis. Circulation, v. 135, n. 20, p. 1956–1976, 2017.

SAEED, Sahrai; CHAMBERS, John B. Exercise Testing in Aortic Stenosis: Safety, Tolerability, Clinical Benefits and Prognostic Value. Journal of Clinical Medicine, v. 11, n. 17, p. 4983, 2022.

SANTORO, Ciro; SORRENTINO, Regina; ESPOSITO, Roberta; et al. Cardiopulmonary exercise testing and echocardiographic exam: an useful interaction. Cardiovascular Ultrasound, v. 17, n. 1, p. 29, 2019.

TANIGUCHI, Tomohiko; MORIMOTO, Takeshi; SHIOMI, Hiroki; et al. Initial Surgical Versus Conservative Strategies in Patients With Asymptomatic Severe Aortic Stenosis. Journal of the American College of Cardiology, v. 66, n. 25, p. 2827–2838, 2015.

TARASOUTCHI, Flavio; MONTERA, Marcelo Westerlund; RAMOS, Auristela Isabel de Oliveira; et al. Update of the Brazilian Guidelines for Valvular Heart Disease - 2020. Arquivos Brasileiros De Cardiologia, v. 115, n. 4, p. 720–775, 2020.

VAHANIAN, Alec; BEYERSDORF, Friedhelm; PRAZ, Fabien; et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. European Heart Journal, v. 43, n. 7, p. 561–632, 2022.

ZILLI, Alexandre Cabral; GUIZILINI, Solange; ROCCO, Isadora S.; et al. Valve Heart Surgery in Brazil - The BYPASS Registry Analysis. Brazilian Journal of Cardiovascular Surgery, v. 35, n. 1, p. 82–90, 2020.

Downloads

Publicado

2024-05-13

Como Citar

MEDINA, M. S. L.; CORREIA, H. V. da C.; DIAS, J. C. M. A. C.; SOUZA, M. B.; FEITOSA, R. H. F.; GUILHEN, C. C. M.; CAMPOS, M. dos S. B. Doenças valvares sob a perspectiva do Teste Cardiopulmonar de Exercício: uma revisão integrativa dos últimos 10 anos. Revista JRG de Estudos Acadêmicos , Brasil, São Paulo, v. 7, n. 14, p. e141089, 2024. DOI: 10.55892/jrg.v7i14.1089. Disponível em: https://revistajrg.com/index.php/jrg/article/view/1089. Acesso em: 3 jul. 2024.

ARK