IJCS | Volume 32, Nº2, March/April 2019

108 1. Annoni R, Silva WR, Mariano MS. Análise de parâmetros funcionais pulmonares e da qualidade de vida na revascularização do miocárdio. Fisioter Mov. 2013;26(3):525-36. 2. Oh HC, Han JW, Choj JW, Kim YH, Hwang HY, Kim KB. Concomitant off-pump coronary artery bypass and non-cardiovascular surgery. J Thorac Dis. 2016;20(8):2115-20. 3. Roncada G, Dendale P, Lisen L, Hendrikx M, Hansen D. Reducion in pulmonary function after CABG surgery is related to postoperative inflammation andhypercortisolemia. Int J ClinExpMed. 2015;8(109):38-46. 4. Jensen L, Yang L. Risk factors for postoperative pulmonary complications in coronary artery bypass graft surgery patients. Eur J Cardiovasc Nurs. 2007;6(3):241-6. 5. Roque V, Machado Vaz I, MaiaM, Rocha A, Araújo V, Maciel MJ, Parada F. Preditores da capacidade funcional em doentes coronários. Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação. 2013; 23(1).:29-37. 6. Mello DLV. Intervenções fisioterapêuticas em pacientes submetidos a revascularização do miocárdio: Uma revisão de literatura. [Internet]. [Citado em 2017 dez 10]. Disponível em: https://www.repositorio. bahiana.edu.br :8443/jspui/handle/bahiana/446 7. Barros GF, Santos CS, Granado FB, Costa PT, Límaco RP, Gardenghi G. Treinamento muscular respiratório na revascularização do miocárdio. Rev Bras Cir Cardiovasc. 2010; 25(4):483-90. 8. Renault JA, Costa R, Rossetti MB. Fisioterapia respiratória na disfunção pulmonar pós-cirurgia cardíaca. Rev Bras Cir Cardiovasc. 2008;23(4):562-9. 9. Cavenaghi S, Ferreira LL, Marino LHC, Lamari NM. Fisioterapia respiratória no pré e pós-operatório de cirurgia de revascularização do miocárdio. Rev Bras Cir Cardiovasc. 2011;26(3):455-61. 10. Soares GM, Ferreira DC, Gonçalves MP, Alves TG, David FL, Henriques KM, et al. Prevalência das principais complicações pós-operatórias em cirurgias cardíacas. Rev Bras Cardiol. 2011;24(3):139-46. 11. Ferreira GM, Haeffner MP, Barreto SS, Dall’Ago P. Espirometria de incentivo com pressão positiva expiratória é benéfica após revascularização miocardio. Arq Bras Cardiol. 2010; 94(2):230-5. 12. Wynner R, Botti M. Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice. Am J Crit Care. 2004;13(5):384-93. 13. Urell C, Emtner M, Hedenstrom H, Westerdahl E. Respiratory muscle strength is not decreased in patients undergoing cardiac surgery. J Cardiothoracic Surg. 2016;11:41. 14. Jonsson M, Urell C, Emtner M, Westerdahl E. Self-reported physical activity and lung function two months after cardiac surgery – a prospective cohort study. J Cardiothoracic Surg. 2014;9:59. 15. Baungarten MCS, Garcia GK, Frantzeski MH, Giacomazzi CM, Lagni VB, Dias AS, et al. Comportamento da dor e da função pulmonar em pacientes submetidos a cirurgia cardíaca via estornotomia. Rev.Bras. Cir Cardiovasc. 2009;24(4):497-505. 16. Mueller XM, Tinguely F, Tevaearai HT, Revelly JP, Chioléro R, von Segesser LK. Pain location, distribution, and intensity after cardiac surgery. Chest. 2000;118(2):391-6. References Cordeiro et al. Pulmonary function after hospital discharge Int J Cardiovasc Sci. 2019;32(2)104-109 Original Article The limitations of this study include the lack of a sample calculation, failure to evaluate confounding variables such as pain and lack of correlation between pulmonary function behavior and clinical and functional outcomes. Conclusion It can be concluded that patients undergoing coronary artery bypass grafting surgery present significant worsening of pulmonary function in the postoperative period, causing significant reduction in respiratory, expiratory and peak expiratory flow, not returning to normal even after one month of the procedure. Author contributions Conception and design of the research: Cordeiro ALL, Silva LGR, Pinto MO. Acquisition of data: Silva LGR, Pinto MO. Analysis and interpretation of the data: Cordeiro ALL. Statistical analysis: Cordeiro ALL. Writing of the manuscript: Silva LGR, PintoMO. Critical revision of the manuscript for intellectual content: Cordeiro ALL, Guimarães AR, Petto J. Writing of themanuscript: Araújo JS. Critical revision of the manuscript for intellectual content: Araújo JS. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This article is part of the thesis of Doctoral submitted by André Luiz Lisboa Cordeiro, from Escola Bahiana de Medicina e Saúde Pública. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Faculdade Nobre de Feira de Santana - Bahia under the protocol number 2.088.639. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study.

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