elderly with heart disease and cognition
Conditions
Interventions
Experimental group: 20 elderly people undergoing percutaneous coronary intervention will perform the conventional cardiac rehabilitation session (20 minutes and stationary bicycle lasting 10 minutes.
Sponsors
Instituto Nacional de Cardiologia
Instituto Nacional de Cardiologia
Eligibility
Inclusion criteria
Inclusion criteria: Elderly patients with heart disease; undergoing percutaneous coronary intervention in the last six months; both sexes
Exclusion criteria
Exclusion criteria: Elderly people who practice regular physical exercises for at least three months in the period prior to the study; osteomioarticular limitation that prevents the practice of exercises; diagnosis of neurodegenerative disease; history of stroke with or without sequelae; colorblind; who have a cutoff point less than or equal to 24 on the Mini Mental State Examination; undergoing open heart surgery in the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome considered in the present study consists of the assessment of cognition through the Montreau Cognitive Assessment (MoCA), the calculation of the double task and the composite score for executive functions. MoCA is a cognitive screening tool created by Nasreddine et al. (2005) to detect mild cognitive impairment. It is a one-page test, with reduced application time, which has been translated and adapted to 30 languages, including Portuguese (MoCA-BR) 19. The test assesses different domains of cognition, such as attention and concentration, executive functions, memory, language, visually constructive skills, conceptualization, calculation and guidance26. MoCA-BR has been used to identify mild cognitive impairment among Brazilians with at least 4 years of education and also among older Brazilians19. Its cut-off point = 24 is validated for screening in elderly Brazilians27. It can be a useful screening test to detect patients with mild cognitive impairment26. The calculation of the double task will be evaluated using the Timed Get Up and Go (TUG) test, which in a conventional way, assesses dynamic balance and mobility, added to a cognitive task. To calculate the cost of the double task, a calculation is used that takes into account the time of the two activities, divided by the time of the simple task times 100%. The more negative the percentage, the higher the cost of the double task28. The score composed of executive functions will be assessed according to the Z score of the specific instruments for each sub-function, such as the digits test that evaluates working memory, the stroop test that evaluates inhibitory control and the trails A and B test that evaluates cognitive flexibility. It is expected to standardize the sub-functions in a single index referring to the executive functions | — |
Countries
Brazil
Contacts
Public ContactTalita Silva
Outcome results
None listed