{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T21:44:01Z","timestamp":1779227041534,"version":"3.51.4"},"reference-count":66,"publisher":"Sociedade Brasileira de Cardiologia","issue":"10","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo Pacientes submetidos \u00e0 cirurgia card\u00edaca frequentemente enfrentam m\u00faltiplos desafios, incluindo comorbidades, fragilidade e fatores psicossociais, que complicam o processo de recupera\u00e7\u00e3o. Os programas de pr\u00e9-habilita\u00e7\u00e3o multimodal t\u00eam surgido como uma estrat\u00e9gia promissora para abordar esses problemas, visando reduzir o tempo de interna\u00e7\u00e3o hospitalar, mitigar as complica\u00e7\u00f5es pulmonares e melhorar a recupera\u00e7\u00e3o funcional. Este Artigo de Revis\u00e3o examina os componentes e os benef\u00edcios de um programa abrangente de pr\u00e9-habilita\u00e7\u00e3o card\u00edaca, com foco na pr\u00e9-habilita\u00e7\u00e3o baseada em exerc\u00edcios. Adicionalmente, ressalta a import\u00e2ncia da integra\u00e7\u00e3o da pr\u00e9-habilita\u00e7\u00e3o nas diretrizes cl\u00ednicas brasileiras como uma oportunidade pr\u00e9-operat\u00f3ria valiosa. Evid\u00eancias emergentes, embora de baixa a moderada qualidade, sugerem que a pr\u00e9-habilita\u00e7\u00e3o baseada em exerc\u00edcio, como uma abordagem unimodal ou integrando um programa multimodal, pode melhorar significativamente a capacidade funcional e os resultados p\u00f3s-operat\u00f3rios em pacientes submetidos \u00e0 cirurgia card\u00edaca eletiva. As diretrizes internacionais t\u00eam apoiado a pr\u00e9-habilita\u00e7\u00e3o card\u00edaca como uma abordagem valiosa neste contexto. Globalmente, os ensaios de interven\u00e7\u00e3o multic\u00eantricos em andamento buscam refinar essa evid\u00eancia, identificando a popula\u00e7\u00e3o ideal de pacientes e o programa de pr\u00e9-habilita\u00e7\u00e3o card\u00edaca mais eficaz. Dada a crescente carga das doen\u00e7as cardiovasculares no Brasil, h\u00e1 uma necessidade n\u00e3o satisfeita de pesquisa local para avaliar os benef\u00edcios da pr\u00e9-habilita\u00e7\u00e3o em pacientes submetidos \u00e0 cirurgia card\u00edaca.<\/jats:p>","DOI":"10.36660\/abc.20250377","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T17:45:54Z","timestamp":1771609554000},"source":"Crossref","is-referenced-by-count":1,"title":["Implementa\u00e7\u00e3o da Pr\u00e9-habilita\u00e7\u00e3o Card\u00edaca no Brasil: Constru\u00e7\u00e3o de um Quadro Baseado em Evid\u00eancias para Desfechos Cir\u00fargicos"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0972-194X","authenticated-orcid":false,"given":"Flavia","family":"Mazzoli-Rocha","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil; German Sport University Cologne,  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