Natural therapeutic resources in the quality of life of a patient with suprarrenal carcinoma-case report

Abstract

Cancer patients develop frequent cardiac problems due to chemotherapy toxicity, with consequent impact on functional capacity (FC) and quality of life (QoL). Inspiratory Muscle Training (IMT) may be a viable therapeutic resource, since cause-effect studies have shown improvement in FC and QoL in other populations. However, its effect has not yet been evaluated in cardio-oncology patients. To describe the effect of an IMT program on the FC and QoL of a patient with cardiotoxicity. LDM, 41 years old, female and sedentary, developed heart failure after chemotherapy treatment. QL was assessed by the Minessota test. Dynamic Inspiratory Muscle Strength (S-Index) and Glycemic Threshold (GT) of the inspiratory muscles were also evaluated. The GT was determined by capillary glycemia through a digital glucometer (Accu-Chek - Roche), at the lowest value of glycemia of the load corresponding to the Inspiratory Muscle Incremental Test (IMIT). The load progression was performed every two weeks. At the end of two months, all tests were reapplied. In the Minessota test, the values related to FC, initial and post IMT, were 36 Vs 8 (78% improvement), the clinical and psychological aspects were 32 Vs 7 (78% improvement), S-Index was 41 Vs 51cmH2O (24% improvement). IMT improved the FC and QoL of a cardio-oncology patient, configuring itself as a possible and viable therapeutic resource for this population