RESUMO
The occupational therapy in cardiac rehabilitation is aimed to decrease the physiologic and psychologic patient overwork, allowing the work return. It shows a more ergonomic way to do those dangerous tasks without risk. It is necessary because there are differences between the work done in the effort tests and his lifetime. The cardiac rehabilitation is an efficient share in coronary patient treatment and occupational therapy is a significant complementary procedure.
Assuntos
Cardiopatias/reabilitação , Terapia Ocupacional/métodos , Terapia Combinada , Estudos de Avaliação como Assunto , Humanos , Fatores de TempoRESUMO
We present a case of accidental electrocution in a 62-years-old male. After the accident he referred a non-specific thoracic pain that disappeared in a week, remaining asymptomatic since then. On the other hand, he shows a permanent electrocardiographic pattern of anterolateral subepicardial ischaemia. Myocardial function revealed by echocardiography and pertechnectate gammagraphy, showed an early primary damage, with a posterior slow tendency to recovery. Exercise treadmill test and Tallium-Dipyridamole test were normal, so an ischaemic background could be rejected in this case. No other diseases were presented, so the changes observed could be exclusively connected with the electrical accident.
Assuntos
Acidentes de Trabalho , Traumatismos por Eletricidade/complicações , Disfunção Ventricular Esquerda/etiologia , Traumatismos por Eletricidade/diagnóstico , Eletrocardiografia , Humanos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/diagnóstico , Isquemia Miocárdica/etiologia , Fatores de Tempo , Disfunção Ventricular Esquerda/diagnósticoRESUMO
We have analyzed coronary arteriographies of 170 patients, 120 with isolated aortic stenosis and 50 with isolated aortic failure. Patients with stenosis showed higher frequency of angina (73% versus 54%, p = 0.0223). No significant differences were observed with respect to the incidence of the coronary artery disease (26.7% versus 31.8%, p = 0.18). The presence of angina was significantly more specific in aortic failure (specificity 52.4% versus 31.8% in aortic stenosis, p = 0.039). Among the patients with less than 56 years of age, the probability of developing coronary artery disease in absence of angina was 6.3% (1 out of 16), the confidence interval ranging from 1.5% to 30.2%. Our results do not support any modification of the conventional criteria for conducting coronary arteriographies in patients with aortic valvulopathy.
