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Case Report

Smartwatch for Identification of Atrioventricular Block in Post-cardiac Surgery: Going Beyond Atrial Fibrillation Detection

Matheus S. Moitinho et al. Camila R. Moreno Rosangela Monteiro Guilherme C. M. Rabello … Bruna M. Mariano Pietro C. C. O. Martins Flávio Tarasoutchi Nelson Samesima Alexandre de M. Soeiro Fabio B. Jatene

Introduction

In postoperative cardiac care, early detection and management of complications are crucial for optimal outcomes. Third-degree atrioventricular (AV) block, also known as complete heart block (CHB), is a significant concern, leading to symptoms like fatigue, exertion intolerance, and life-threatening events such as syncope or heart failure, often necessitating cardiac pacemaker (CP) implantation for timely intervention. In the postoperative period of cardiac surgery, conduction issues stemming from metabolic or inflammatory changes are common, necessitating temporary or permanent CPs to stabilize patients or symptoms. Approximately 6% of valve surgery patients may require a permanent CP due to CHB, which can emerge post-surgery.

Medical technology, including smart devices and remote telemonitoring platforms, has revolutionized postoperative care, offering real-time insights for close monitoring and early anomaly detection.

[…]

  • Atrioventricular block
  • Cardiac Surgical Procedures
  • Health
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Creative Commons Attribution (CC BY) Creative Commons license
09/09/2024 DOI: 10.36660/abc.20240131i Views 1
Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals
ABC
Artigo Original

Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals

Paulo de Tarso Veras Farinatti et al. Ricardo Brandão de Oliveira Vivian Liane Mattos Pinto Walace David Monteiro Emílio Francischetti

OBJECTIVE: To observe the influence of a four-month-unsupervised-exercise program performed at home on the blood pressure (BP) and physical performance in hypertensive adults. METHODS: A target group with 26 men and 52 women, and a control group with 9 men and 7 women were observed, with ages ranging from 25 to 77 years old. The target group underwent a home exercise program, basically with aerobic activity (60-80% of the estimated maximum heart rate for the age, 30min of walking at least 3 times a week), in addition to the flexibility exercises. Guidelines on the control chart and variables that could influence the treatment were given at each assessment. Patients were followed-up for four months, with assessments every 2 months observing: BP at rest; body weight, waist-hip ratio (W/HR), body fat percentage (%F), sum of skinfold measurements (SM) and central-peripheral skinfold ratio (C/P); trunk flexibility (TF); heart rate and workload ratio during submaximal test in cycle ergometer (HR/W), represented by the regression curve inclination between both (a). RESULTS: The target group demonstrated significant alterations in weight (-3.7 kg), WHR (-0.03), SM (-12 mm), %F (-4.4%), TF (+2.3 cm), HR/W (-0.02) and BP (-6 and -9 mmHg for systolic and diastolic pressure respectively). The control group presented small weight alterations (+1.3 Kg) and %F (+1.7%). CONCLUSION: Unsupervised exercise home programs, even in short term, may present positive effects on the blood pressure and physical performance in hypertensive individuals.

  • Cardiovascular disease
  • Health
  • Hypertension
  • Physical activity
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Creative Commons Attribution (CC BY) Creative Commons license
28/06/2005 DOI: 10.1590/S0066-782X2005000600008 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Moitinho MS, Moreno CR, Monteiro R, Rabello GCM, Mariano BM, Martins PCCO, Tarasoutchi F, et al. Smartwatch for Identification of Atrioventricular Block in Post-cardiac Surgery: Going Beyond Atrial Fibrillation Detection. Arquivos Brasileiros de Cardiologia 2024;121(8):e20240131.

Electronic Document Format (ABNT)

Moitinho, Matheus S.; Moreno, Camila R.; Monteiro, Rosangela; Rabello, Guilherme C. M.; Mariano, Bruna M.; Martins, Pietro C. C. O.; Tarasoutchi, Flávio; Samesima, Nelson; Soeiro, Alexandre de M.; Jatene, Fabio B.. Smartwatch for Identification of Atrioventricular Block in Post-cardiac Surgery: Going Beyond Atrial Fibrillation Detection. Arquivos Brasileiros de Cardiologia, v. 121, n. 8, e20240131, Sep. 2024.

Electronic Document Format (APA)

Moitinho, M. S., Moreno, C. R., Monteiro, R., Rabello, G. C. M., Mariano, B. M., Martins, P. C. C. O., Tarasoutchi, F., Samesima, N., Soeiro, A. M., & Jatene, F. B. (2024). Smartwatch for Identification of Atrioventricular Block in Post-cardiac Surgery: Going Beyond Atrial Fibrillation Detection. Arquivos Brasileiros de Cardiologia, 121(8), e20240131.

Electronic Document Format (ISO)

Moitinho, Matheus S. and Moreno, Camila R. and Monteiro, Rosangela and Rabello, Guilherme C. M. and Mariano, Bruna M. and Martins, Pietro C. C. O. and Tarasoutchi, Flávio and Samesima, Nelson and Soeiro, Alexandre de M. and Jatene, Fabio B.. Smartwatch for Identification of Atrioventricular Block in Post-cardiac Surgery: Going Beyond Atrial Fibrillation Detection. Arquivos Brasileiros de Cardiologia [online]. 2024, vol. 121, n. 8, [cited 2026-10-14], e20240131. Available from: <https://journals.cardiol.br/en/article/smartwatch-for-identification-of-atrioventricular-block-in-post-cardiac-surgery-going-beyond-atrial-fibrillation-detection/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Farinatti PTV, Oliveira RB, Pinto VLM, Monteiro WD, Francischetti E. Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals. Arquivos Brasileiros de Cardiologia 2005;84(6):473-9.

Electronic Document Format (ABNT)

Farinatti, Paulo de Tarso Veras; Oliveira, Ricardo Brandão de; Pinto, Vivian Liane Mattos; Monteiro, Walace David; Francischetti, Emílio. Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals. Arquivos Brasileiros de Cardiologia, v. 84, n. 6, p. 473-479, Jun. 2005.

Electronic Document Format (APA)

Farinatti, P. T. V., Oliveira, R. B. , Pinto, V. L. M., Monteiro, W. D., & Francischetti, E. (2005). Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals. Arquivos Brasileiros de Cardiologia, 84(6), 473-479.

Electronic Document Format (ISO)

Farinatti, Paulo de Tarso Veras and Oliveira, Ricardo Brandão de and Pinto, Vivian Liane Mattos and Monteiro, Walace David and Francischetti, Emílio. Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals. Arquivos Brasileiros de Cardiologia [online]. 2005, vol. 84, n. 6, [cited 2026-10-14], pp. 473-479. Available from: <https://journals.cardiol.br/en/article/home-exercise-program-short-term-effects-on-physical-aptitude-and-blood-pressure-in-hypertensive-individuals/>. ISSN 0066-782X

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