Assessment of the swallowing function in older individuals referred to myocardial revascularization surgery

Pró-Fono Revista de Atualização Científica

Dantas, Mara de Oliveira Rodrigues Luiz¹  Auler Jr, José Otávio Costa¹  FMUSP¹  Andrade, Claudia Regina Furquim de¹  Universidade de São Paulo¹ 

关键词: Deglutition;    Aged;    Myocardial Infarction;    Oximetry;    Dysphagia.;   

DOI  :  10.1590/S0104-56872010000400004

学科分类：医学（综合）

来源: Pró-Fono Produtos Especializados para Fonoaudiologia Ltda.

【 摘 要 】

BACKGROUND: swallowing evaluation of older individuals with coronary disease referred to heart surgery. AIM: to identify the characteristics of the swallowing function in older individuals referred to myocardial revascularization surgery (MR), using an evaluating protocol composed by a water test, cervical auscultation and pulse oximetry. METHOD: the Assessment Protocol for Dysphagia Risk through a Combined Swallowing test and Vital Signs monitoring was used (PADTC) - measurements of HR and SpO2 (heart rate and oxygen saturation), water swallowing test with 1, 3, 5, 10, 15 e 20ml, measurement of respiratory rate and cervical auscultation. The electronic stethoscope was used to analyze the number of swallows, response time and swallowing sound classification. In the Research Group (RG) older individuals with heart disease who were referred to MR were included. In the Control Group (CG) healthy older individuals were included. RESULTS: 38 older individuals were evaluated in the RG (mean age 68 years). In the CG, 30 older individuals were evaluated (mean age 70 years). There was a significant difference for the swallowing response time in older individuals with heart disease who presented HR below 60: swallowing response was shorter for 3ml, 10ml, 15ml e 20ml. HR was lower for individuals with heart disease. No significant difference was found between the groups for the other analyzed parameters. CONCLUSION: older individuals with heart disease presented differences in the swallowing function when compared to healthy older individuals. Older individuals with heart disease presented alterations in the temporal coordination between breathing and swallowing, thus indicating risk for dysphagia.

【 授权许可】

Unknown