Efeitos agudos da ventilação mecânica não invasiva durante o exercício físico em pacientes com DPOC-IC: uma revisão sistemática

• Ano de defesa: 2024
• Autor(a) principal: Moro, Mariane Inês Bolson
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• dARK ID: ark:/26339/0013000019k2s
• Idioma: por
• Instituição de defesa: Universidade Federal de Santa Maria; Brasil; Educação Física; UFSM; Programa de Pós-Graduação em Ciência do Movimento e Reabilitação; Centro de Educação Física e Desportos
• Palavras-chave em Português: Doença pulmonar obstrutiva crônica; Insuficiência cardíaca; Ventilação não invasiva; Tolerância ao exercício; Pulmonary disease, chronic obstructive; Heart failure; Noninvasive ventilation; Exercise tolerance; CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA
• Link de acesso: http://repositorio.ufsm.br/handle/1/33778

Individuals with coexistence of chronic obstructive pulmonary disease (COPD) and heart failure (HF) (COPD-HF) have reduced exercise tolerance and functional capacity. Non-invasive mechanical ventilation (NIV) is a ventilation strategy, used for both COPD and HF patients, which promotes the reduction of ventilatory work, the improvement of gas exchange and hemodynamic function. However, there is no consensus on the acute effects of NIV in patients with coexisting COPD-HF. Therefore, the objective of the present study was to investigate the acute effects of NIV in individuals with coexisting COPD-HF, on exercise tolerance, through a systematic review. The selection was carried out by two reviewers, independently. The search platforms were: PubMed (MEDLINE), Embase, Cochrane (CENTRAL), PEDro and Scopus, without restrictions on language or publication date. Randomized clinical trials were selected, which investigated the acute effects of NIV during exercise in patients with COPD-HF on the outcomes of exercise tolerance, peripheral oxygen saturation (SpO2), heart rate (HR) and functional capacity. The risk of bias of the studies was assessed using RoB 2.0. 3180 studies were found, 3 studies being included for the systematic review. In total, 40 patients were included, all considered elderly. As a main result, it can be inferred that NIV associated with physical exercise appears to increase tolerance to physical exercise. However, it did not show a significant difference in SpO2 and HR. As for the functional capacity outcome, there was a significant difference, but it was only assessed by one study, which limits the understanding of the effects of NIV on this outcome. The risk of bias assessment of the included studies presented some concerns. In conclusion, we have that, even with limitations related to the number of studies included and the risks of bias, the systematic review was able to demonstrate that NIV acutely promoted an increase in exercise tolerance in patients with COPD-HF. Furthermore, these findings can guide the development of new research related to the rehabilitation process of patients with COPD-HF.