Evidence mapPaperPMID 35954698Full record

Trial reportInternational journal of environmental research and public health2022

Ventilatory Muscle Training for Early Cardiac Rehabilitation Improved Functional Capacity and Modulated Vascular Function of Individuals Undergoing Coronary Artery Bypass Grafting: Pilot Randomized Clinical Trial.

Bruna Eibel, Juliana R Marques, Thiago Dipp, Gustavo Waclawovsky, Rafael A Marschner, Liliana C Boll, Renato A K Kalil, Alexandre M Lehnen, Allan R K Sales, Maria Claudia Costa Irigoyen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Bruna EibelInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.ORCID 0000-0002-2077-3751
Juliana R MarquesInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.ORCID 0000-0002-5678-5973
Thiago DippPrograma de Pós-Graduação em Saúde Coletiva, Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo 93022-750, RS, Brazil.
Gustavo WaclawovskyInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.ORCID 0000-0001-7875-9939
Rafael A MarschnerHospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90035-903, RS, Brazil.ORCID 0000-0002-8588-7362
Liliana C BollInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.
Renato A K KalilInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.
Alexandre M LehnenInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.
Allan R K SalesInstitute DOR for Research and Education (IDOR), São Paulo 04501-000, SP, Brazil.
Maria Claudia Costa IrigoyenInstituto de Cardiologia/Fundação, Universitária de Cardiologia (IC/FUC), Porto Alegre 90040-371, RS, Brazil.
Fundação Universitária de Cardiologia · BRUniversidade de São Paulo · BRUniversidade do Vale do Rio dos Sinos · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac rehabilitation with aerobic exercises is the first strategy for nonpharmacological treatment in the postoperative period of individuals undergoing coronary artery bypass grafting (CABG) to improve functional capacity and vascular health. However, other exercise modalities remain uncertain regarding the same benefits. Objectives: Evaluation of the effect of different modalities of exercise, such as early cardiac rehabilitation on subjects submitted to CABG in the six-minute walk test (6-MWT) and on the percentage of flow-mediated dilatation (FMD) of the brachial artery. Methods: A randomized clinical trial in which 15 patients (62.7 ± 6.7 years) who underwent CABG were randomly assigned to the following groups: isometric (IG, Handgrip Jamar®), ventilatory muscle training (VG, PowerBreathe®) and control (CG, conventional respiratory and motor physiotherapy). All patients were attended to physically twice a day (20 min/session) for a consecutive week after the CABG (hospital admission). Functional capacity was assessed by 6-MWT and endothelial function was assessed through the technique of FMD, before and after (~7 days) admission to CABG. The doppler ultrasound videos were analyzed by Cardiovascular Suite® software (Quipu, Pisa, Italy) to measure %FMD. Statistics: Generalized estimation equation, followed by Bonferroni post hoc (p < 0.05). Results: Systolic, diastolic and mean arterial pressure (SBP/DBP/MAP, respectively) were 133, 76 and 95 mmHg. The groups presented walking meters (m) distance before and after intervention of: IGbasal 357.80 ± 47.15 m vs. IGpost 306.20 ± 61.63 m, p = 0.401 (+51 m); VGbasal 261.50 ± 19.91 m vs. VGpost 300.75 ± 26.29 m, p = 0.052 (+39 m); CG basal 487.83 ± 83.23 m vs. CGpost 318.00 ± 31.08, p = 0.006 (−169 m). %FMD before and after intervention was IGbasal 10.4 ± 4.8% vs. IGpost 2.8 ± 2.5%, p = 0.152; VGbasal 9.8 ± 5.1% vs. VGpost 11.0 ± 6.1%, p = 0.825; CGbasal 9.2 ± 15.8% vs. CGpost 2.7 ± 2.6%, p = 0.710 and resting mean basal blood flow was IGbasal 162.0 ± 55.0 mL/min vs. IGpost 129.9 ± 63.7 mL/min, p = 0.662; VGbasal 83.74 ± 12.4 mL/min vs. VGpost 58.7 ± 17.1 mL/min, p = 0.041; CGbasal 375.6 ± 183.7 mL/min vs. CGpost 192.8 ± 115.0 mL/min, p = 0.459. Conclusions: Ventilatory muscle training for early cardiac rehabilitation improved acute functional capacity and modulated mean flow of individuals undergoing CABG.

Indexed as

Cardiac RehabilitationCoronary Artery BypassHand StrengthHumansPilot ProjectsRespiratory Musclescardiac rehabilitationcoronary artery bypass graftingflow-mediated dilatationfunctional capacity

Identifiers

PMID35954698
PMCPMC9368523
OpenAlexW4289133923

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.