Reabilitação cardíaca na sarcopenia grave: um estudo de caso

Rafaela Bassan Bortoluzzi; Viviane Bohrer Berni; Marlusse Silveira; Isabella Martins de Albuquerque

doi:10.46642/efd.v30i328.8374

Rafaela Bassan Bortoluzzi Universidade Federal de Santa Maria (UFSM) https://orcid.org/0009-0000-4184-2122
Viviane Bohrer Berni Universidade Federal de Santa Maria (UFSM) https://orcid.org/0000-0001-5230-5824
Marlusse Silveira Universidade Federal de Santa Maria (UFSM) https://orcid.org/0009-0007-7222-028X
Isabella Martins de Albuquerque Universidade Federal de Santa Maria (UFSM) https://orcid.org/0000-0002-7256-1881

DOI: https://doi.org/10.46642/efd.v30i328.8374

Abstract

Introduction: Sarcopenia is a multifactorial and systemic muscle disease characterized by progressive loss of muscle strength and mass, which impacts functionality, increases the risk of frailty, and long-term mortality. Cardiac surgery is known to cause a systemic inflammatory response associated with sarcopenia. Objective: To report and evaluate the efficacy of a cardiac rehabilitation program (Phase 2) in a patient with severe sarcopenia after coronary artery bypass graft surgery at the Cardiac Rehabilitation Service of the University Hospital of Santa Maria, Rio Grande do Sul, Brazil. Method: This is a case study of a 63-year-old male patient diagnosed with severe sarcopenia during a cardiac rehabilitation program. The outcomes evaluated were: functional capacity (six-minute walk test), muscle thickness (ultrasound), peripheral muscle endurance (handgrip strength and 1-minute sit-to-stand test), and quality of life (Minnesota Living with Heart Failure Questionnaire). Results: The patient was enrolled in the program, consisting of aerobic and resistance exercise combined with functional electrical stimulation, performed twice a week for 12 weeks. After completion, there was an improvement in all outcomes, demonstrating the effectiveness of the rehabilitation program. Conclusion: The findings confirm the effectiveness of cardiac rehabilitation in patients with severe sarcopenia after cardiac surgery, as well as demonstrating the importance of early screening and intervention for this condition, even in non-elderly patients, in the cardiac rehabilitation setting.

Keywords: Case report, Cardiac rehabilitation, Sarcopenia

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