Cardiovascular Exercise and Rehabilitation Laboratory
Director

The Cardiovascular Exercise and Rehabilitation Laboratory, Research Unit of the Cardiovascular Centre of the University of Lisbon (CCUL), of the Faculty of Medicine of the University of Lisbon (FMUL), conducts its activity in three main areas: Teaching, Research and Clinic (including patients with cardiovascular disease and prevention in the Community).

Teaching

The Faculty of Medicine of the University of Lisbon is pioneer in the country in the implementation of a Master Degree in Cardiovascular Rehabilitation, contributing to the excellence of professional specificity and scientific research in this area.

 

The key objective of the Master Degree in Cardiovascular Rehabilitation  is to promote the specific professional training of excellence of health professionals who integrate or intend to be part of prevention and cardiovascular rehabilitation multidisciplinary teams; and to rigorously conduct advanced scientific research in the areas of primary and secondary prevention and cardiovascular rehabilitation.

 

Research

In the context of medicine as a whole, research and clinical practice jointly integrate scientific knowledge and its implementation. The clinic is based on scientifically proven results, involving pathophysiological mechanisms and effects of therapeutic interventions. On the other hand, the assistance activity supports clinical research, allowing to question established assumptions and reach new conclusions.

The Cardiovascular Exercise and Rehabilitation Laboratory is equipped and prepared to assess functional capacity and cardiac function at rest or during exercise, through a classic or cardiorespiratory exercise test, on a treadmill or on a cycle ergometer, and echocardiographic evaluation. These techniques allow people with cardiovascular disease to be assessed and/or assisted in the diagnosis, prognosis and response to a given intervention (e.g. cardiovascular rehabilitation).

The main research strands focus on studying the acute and chronic effects of physical exercise in people with diagnosed cardiovascular disease, the effects of different types of training and respective action mechanisms on heart failure and coronary disease, physical exercise and inflammation, physical exercise and autonomic nervous system, physical exercise and cardiac remodelling, cardio-oncological and neurological rehabilitation, and predictors of responders and non-responders to physical exercise.

 

Clinic

The CHULN/FMUL-UL Cardiovascular Rehabilitation Programme covers the entire chronology from hospital admission (phase I), through the early ambulatory phase (phase II) to the maintenance phase (phase III - community).

The Cardiovascular Exercise and Rehabilitation Laboratory serves phases 2 and 3 of Cardiovascular Rehabilitation, assessing the functional capacity and cardiac function of patients in the programme.

The Cardiovascular Rehabilitation Centre of the University of Lisbon (CRECUL) resulted from the partnership involving the Faculty of Medicine of Lisbon - University of Lisbon, the Faculty of Human Kinetics - University of Lisbon and the University Stadium of Lisbon. Its activity is recognized by the University of Lisbon as a community initiative, with the purpose of promoting health and secondary prevention, which, in turn, enhances the training of students in various specialties in the context of health.

In addition to the CRECUL, the Cardiovascular Exercise and Rehabilitation Laboratory carries out other actions to support the community, namely through strategic actions with the Portuguese population in primary and secondary prevention with a view to promoting healthy lifestyles.

Professora Auxiliar de Cardiologia da Faculdade de Medicina de Lisboa da Universidade de Lisboa desde 2017 e a 100% desde 2018. Doutoramento em "Exercício intervalado de Alta Intensidade em doentes com Insuficiência cardíaca e terapêutica de ressincronização" em 2016. Investigadora do Centro Académico da Universidade de Lisboa (CAML) e Centro Cardiovascular da Universidade de Lisboa (CCUL) desde 2017. Coordenadora do Programa de Reabilitação Cardiovascular da FMUL/CHULN acreditado pela European Society of Cardiology (ESC) em 2020. Coordenadora do Mestrado de Reabilitação Cardiovascular da FMUL. Directora do Laboratório de Exercício e Reabilitação Cardiovascular da FMUL. Past-Chair Secondary Prevention and Rehabilitation of European Association of Preventive Cardiology (EAPC), Chair ESC Preventive Cardiology Congress 2020-21, membro de Education Committee EAPC e Advocacy Committee EAPC, membro do Comité Científico do Programa do ESC Congress 2019-2021. Ex-Coordenadora do  Grupo de Estudos de Fisiopatologia de Exercício e Reabilitação Cardíaca da Sociedade Portuguesa de Cardiologia (SPC). Coordenadora de Prevenção Cardiovascular da SPC na EAPC. Membro do Corpo Redactorial de Revista Portuguesa de Cardiologia e Monaldi Chest Archives. Revisora de EHJ, EJPC, IJC, REPC, JCVS Formou-se na Faculdade de Medicina da Universidade de Lisboa em 1984 e fez a Especialidade de Cardiologia no Serviço de Cardiologia do Hospital de S. Marta, CHLC. Trabalhou como Assistente Hospitalar Graduada de Cardiologia no Serviço de Cardiologia do Hospital de S. Marta, CHLC entre 1987 e 2017 e do Hospital de S. Maria, CHULN, a partir de 2018.

 

ÁREAS DE INTERESSE: Prevenção e reabilitação cardiovascular, Exercício em populações específicas (insuficiência cardíaca, doentes submetidos a implante de dispositivos ou TAVI) e Ergometria (Provas de esforço cardiorrespiratórias), Imagem (Ecocardiografia, Cardiologia Nuclear), Avaliação multidimensional do idoso, Função do sistema nervoso autónomo e Inflamação

Jorge has been Assistant Professor of Internal Medicine at the Faculty of Medicine of Lisbon, University of Lisbon, since 2016, and a Guest Professor in the Master Degree in Exercise and Well-Being at Universidade Lusófona, Lisbon, since 2009. He has been a researcher at the Cardiovascular Centre of the University of Lisbon (CCUL) since 2014. He is a member of the scientific committee of the National Programme for the Promotion of Physical Activity of the Directorate-General of Health. He is also a member of the committee to combat physical inactivity at ECOSEP, Europe. He participates in the Editorial Board and analyses the Sports Medicine Journal inForma. He reviews articles for the Games for Health Journal, the Factores de Risco Journal, BMC Geriatrics and the Cardiopulmonary Rehabilitation and Prevention Journal.

Jorge graduated from the Faculty of Medicine of Lisbon, University of Lisbon, in 2004. He did his specific training in Internal Medicine at Santa Maria Hospital - CHULN, EPE, Lisbon, Portugal, where he worked as a hospital assistant in internal medicine until 2019.

Jorge has a postgraduate qualification in Sports Medicine since 2007 from the Portuguese Society of Sports Medicine and the Faculty of Medicine of the University of Lisbon. He obtained a Master Degree in Cardiac Rehabilitation in 2015 from Trinity College Dublin, Ireland. In 2018, he completed his Ph.D. in Cardiovascular Regenerative Medicine at University College London with doctoral grants from the Calouste Gulbenkian Foundation and the Foundation for Science and Technology.

 

AREAS OF INTEREST: Cardiovascular prevention and rehabilitation, sports and exercise medicine, hypertension, cardiovascular regenerative medicine.

Inês graduated from NOVA Medical School in 2013 and has a postgraduate qualification in Sports Medicine since 2018 from the Faculty of Medicine of Porto. She is currently studying the Master Degree in Cardiovascular Rehabilitation at the Faculty of Medicine of Lisbon, University of Lisbon. She was an invited assistant in the Course Unit Introduction to Clinical Practice at NOVA Medical School (2014-2016) and an invited assistant in the subjects Pathology I and II at the Lisbon Higher School of Health Technology (2015-2018). She is currently a Cardiology intern at the Santa Maria Hospital- Northern Lisbon University Hospital Centre, EPE.

 

AREAS OF INTERESS: Heart failure and cardiomyopathies, prevention and cardiovascular rehabilitation, sports cardiology, arrhythmology and pacing.

Madalena completed a Master in Exercise and Health in 2018 through the Faculty of Human Kinetics of the University of Lisbon (FMH-UL) and has a Degree in Sports Sciences completed in 2015 at FMH-UL.

Since 2017 works as an Exercise Physiologist at the Cardiovascular Rehabilitation Center of the University of Lisbon (CRECUL) and since 2015 at the University Stadium of Lisbon prescribing exercise and leading group fitness classes in community context.

She also collaborates in several scientific research projects in her area(s) of work/interest.

Her main research targets are: Cardiovascular Disease, Cardiac Rehabilitation, Exercise Physiology, Primary Prevention, Exercise Testing and Training, Physical Activity Assessment and Counselling, Cardio-Oncology.

Exercise Physiologist, holds a Ph.D. in Physical Activity and Health (2019) from the Faculty of Human Kinetics (FMH-UL), a Master Degree in Exercise and Health from the FMH-UL (2012) and a Degree in Sport Sciences from the FMH-UL (2010). She also has a postgraduate qualification in Cardiac Rehabilitation since 2012 from FMH-UL.

Rita is currently a Invited Research Assistant at the Faculty of Medicine of the University of Lisbon (FMUL) and Exercise Physiologist at the Cardiovascular Rehabilitation Centre of the University of Lisbon (CRECUL).

Rita is a researcher at the Interdisciplinary Centre for the Study of Human Performance (CIPER) and at the Cardiovascular Centre of the University of Lisbon (CCUL).

 

AREAS OF INTEREST: Cardiovascular Disease, Cardiovascular Prevention and Rehabilitation, Exercise Physiology, Exercise Evaluation and Prescription.

Mariana concluded her Master’s Degree in Exercise and Health in 2017 through the Faculty of Human Kinetics - University of Lisbon (FMH-UL) and has also a degree in Sports Science concluded in 2015 through the same institution.

From 2017 until 2020 worked as a Researcher/Exercise Physiologist at Instituto de Medicina Molecular (IMM) in a project entitled "The Impact of Physical Activity in Vascular Cognitive Impairment (AFIVASC)".

Since 2020 she works as an Exercise Physiologist at the Cardiovascular Rehabilitation Center of the University of Lisbon (CRECUL).

She also collaborates in several research/scientific projects in her areas of interest.

Her main research targets are: Cardiovascular Disease, Cardiac Rehabilitation, Exercise Physiology, Exercise Testing and Training, Physical Activity Assessment, Vascular Cognitive Impairment, Depression and Exercise Training.

Cardiovascular Rehabilitation (CVR) is a structured and multidisciplinary intervention performed in people with cardiovascular disease, after an acute event (myocardial infarction, worsening heart failure, cardiac surgery, implantation of cardiac devices, and percutaneous intervention) aimed at promoting:

  • prevention of cardiac events (myocardial infarction, arrhythmia, heart failure, cardiovascular death) and cardiac decompensation (worsening or onset of heart failure);
  • recovery or improvement of functional capacity;
  • psychological stability;
  • balanced and adequate diet;
  • control of cardiovascular risk factors.

After the acute treatment of a cardiac intervention, the objective is to recover and improve the patient’s condition, modifying their lifestyle, minimizing cardiovascular risk and reinserting patients in their personal, social and professional life.

At the FMUL/CHULN CVR Centre, we have an CVR programme certified by the European Cardiology Association/European Society of Cardiology (EAPC/ESC).

This programme covers the entire chronology, from admission, through the early ambulatory phase to the maintenance (community) phase.

It includes an important component of patient assessment, the cardiorespiratory test, designed to objectively assess functional capacity and guide the prescription of physical exercise. Assessment and intervention in nutrition and psychology are essential components of the programme, complementing physical exercise sessions and cardiovascular risk control, which includes adherence to medication and lifestyle change.

The team consists of cardiologists, physiatrists, physiotherapists, exercise physiologists, nurses, nutritionists, psychologists and administrative staff, coordinated by a cardiologist and focused on the patient.

In addition to treating, it is necessary to prevent, and if heart disease already exists, there is a need to prevent complications and to rehabilitate the patient.

Our goal is to avoid and treat negative consequences and enhance all the positive aspects of each patient in an individualized way.

Centro de Reabilitação Cardiovascular do Centro Hospitalar Universitário Lisboa Norte (CHULN) e da Faculdade de Medicina da Universidade de Lisboa (FMUL)

 

Equipa fase 2 - CHULN/FMUL

Cardiologia: Ana Abreu, Inês Ricardo, Nelson Cunha, Pedro Silvério António, Tiago Rodrigues, Pedro Silva

Medicina Física e Reabilitação: Sandra Miguel, Olga Santos

Fisioterapia: Graça Araújo, Gisela Afonso, Marta Ramalhinho, Joana Martins

Fisiologia de Exercício: Rita Pinto

Enfermagem de Reabilitação: Ana Luisa Correia, Edite Caldeira, Sílvia Fiuza, Fátima Salazar

Psiquiatria e Psicologia: Manuela Abreu, Mariana Cordeiro Ferreira

Nutrição: Carla Rodrigues

Cardiopneumologia (TSDT): Paula Sousa, Susana Pires

Administrativa: Débora Sousa

 

Equipa fase 3 - CRECUL (FMUL/FMH/Estádio Universitário)

Cardiologia: Ana Abreu, Inês Ricardo, Nelson Cunha, Pedro Silvério António, Tiago Rodrigues, Pedro Silva

Fisiologia de Exercício: Helena Santa-Clara, Rita Pinto, Madalena Lemos Pires, Mariana Borges

Psiquiatria e Psicologia: Manuela Abreu, Mariana Cordeiro Ferreira

Nutrição: Catarina Sousa Guerreiro, Mariana Liñan Pinto

Cardiopneumologia (TSDT): Susana Pires

 

 O Programa de Reabilitação Cardiovascular do CHULN/FMUL-UL tem dado resposta ao longo de anos a muitos doentes cardiovasculares após eventos agudos, desde o período inicial e estendendo-se a longo prazo. No entanto, por diversas razões, nem todos os doentes têm acesso a programas presencias de RCV. Assim, foi construído um programa de reabilitação cardiovascular à distância:

 

LOGO REC com coração e uma casa

 

Reabilitação Cardiovascular Em Casa

Para este efeito, criámos no site do CHULN, secção do Departamento Coração e Vasos, uma página onde está anunciado o programa em casa, assim como toda a equipa multidisciplinar e os contactos para doentes interessados. Aqui, encontra-se ainda informação de saúde cardiovascular, que será renovada, para doentes, profissionais de saúde e público em geral.

Apenas para os doentes em programa, estabelecemos uma ligação por link onde terão acesso a vídeos de sessões de reabilitação respiratória e de exercício físico com diferentes níveis de intensidade, de acordo com o risco e a capacidade funcional, apresentações sobre temáticas de saúde que fazem parte do habitual programa hospitalar, receitas e conselhos alimentares.

Neste programa, todos os doentes são avaliados inicialmente e têm um acompanhamento telefónico quinzenal por enfermeiras e fisiologistas de exercício. Terão ainda a possibilidade de fazer consultas telefónicas de cardiologia, nutrição e psicologia com os respetivos especialistas.

Com a equipa de Reabilitação Cardíaca os nossos doentes nunca estão sós.

Internacionais

CoroPrevention

Estudo Multicêntrico Europeu que tem como objetivo avaliar o impacto de um programa de prevenção secundária personalizado em pessoas com doença das artérias coronárias de estratificação de risco alto.

Consulte o site

Membros: Ana Abreu e Rita Pinto

Membros

Professora Auxiliar de Cardiologia da Faculdade de Medicina de Lisboa da Universidade de Lisboa desde 2017 e a 100% desde 2018. Doutoramento em "Exercício intervalado de Alta Intensidade em doentes com Insuficiência cardíaca e terapêutica de ressincronização" em 2016. Investigadora do Centro Académico da Universidade de Lisboa (CAML) e Centro Cardiovascular da Universidade de Lisboa (CCUL) desde 2017. Coordenadora do Programa de Reabilitação Cardiovascular da FMUL/CHULN acreditado pela European Society of Cardiology (ESC) em 2020. Coordenadora do Mestrado de Reabilitação Cardiovascular da FMUL. Directora do Laboratório de Exercício e Reabilitação Cardiovascular da FMUL. Past-Chair Secondary Prevention and Rehabilitation of European Association of Preventive Cardiology (EAPC), Chair ESC Preventive Cardiology Congress 2020-21, membro de Education Committee EAPC e Advocacy Committee EAPC, membro do Comité Científico do Programa do ESC Congress 2019-2021. Ex-Coordenadora do  Grupo de Estudos de Fisiopatologia de Exercício e Reabilitação Cardíaca da Sociedade Portuguesa de Cardiologia (SPC). Coordenadora de Prevenção Cardiovascular da SPC na EAPC. Membro do Corpo Redactorial de Revista Portuguesa de Cardiologia e Monaldi Chest Archives. Revisora de EHJ, EJPC, IJC, REPC, JCVS Formou-se na Faculdade de Medicina da Universidade de Lisboa em 1984 e fez a Especialidade de Cardiologia no Serviço de Cardiologia do Hospital de S. Marta, CHLC. Trabalhou como Assistente Hospitalar Graduada de Cardiologia no Serviço de Cardiologia do Hospital de S. Marta, CHLC entre 1987 e 2017 e do Hospital de S. Maria, CHULN, a partir de 2018.

 

ÁREAS DE INTERESSE: Prevenção e reabilitação cardiovascular, Exercício em populações específicas (insuficiência cardíaca, doentes submetidos a implante de dispositivos ou TAVI) e Ergometria (Provas de esforço cardiorrespiratórias), Imagem (Ecocardiografia, Cardiologia Nuclear), Avaliação multidimensional do idoso, Função do sistema nervoso autónomo e Inflamação

Exercise Physiologist, holds a Ph.D. in Physical Activity and Health (2019) from the Faculty of Human Kinetics (FMH-UL), a Master Degree in Exercise and Health from the FMH-UL (2012) and a Degree in Sport Sciences from the FMH-UL (2010). She also has a postgraduate qualification in Cardiac Rehabilitation since 2012 from FMH-UL.

Rita is currently a Invited Research Assistant at the Faculty of Medicine of the University of Lisbon (FMUL) and Exercise Physiologist at the Cardiovascular Rehabilitation Centre of the University of Lisbon (CRECUL).

Rita is a researcher at the Interdisciplinary Centre for the Study of Human Performance (CIPER) and at the Cardiovascular Centre of the University of Lisbon (CCUL).

 

AREAS OF INTEREST: Cardiovascular Disease, Cardiovascular Prevention and Rehabilitation, Exercise Physiology, Exercise Evaluation and Prescription.

 

  1. Pedretti, R. F., Iliou, M. C., Israel, C. W., Abreu, A., Miljoen, H., Corrà, U., ... & Hansen, D. (2021). Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA). European Journal of Preventive Cardiology http://dx.doi.org/10.1093/eurjpc/zwaa121
  2. Ambrosetti, M., Abreu, A., Cornelissen, V., Hansen, D., Iliou, M. C., Kemps, H., ... & Vigorito, C. (2020). Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era. European Journal of Preventive Cardiology. http://dx.doi.org/10.1093/eurjpc/zwaa080
  3. Piepoli, M. F., Abreu, A., Albus, C., Ambrosetti, M., Brotons, C., Catapano, A. L., ... & Tiberi, M. (2020). Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology. European journal of preventive cardiology, 27(2), 181-205. http://dx.doi.org/10.1177/2047487319893035
  4. Abreu, A., Frederix, I., Dendale, P., Janssen, A., Doherty, P., Piepoli, M. F., ... & Davos, C. H. (2020). Standardization and quality improvement of secondary prevention through cardiovascular rehabilitation programmes in Europe: The avenue towards EAPC accreditation programme: A position statement of the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology (EAPC). European Journal of Preventive Cardiology, 2047487320924912. https://doi.org/10.1177/2047487320924912
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The Workshops and Webinars are structured teaching sessions that focus on sub-themes of each component of cardiac rehabilitation and are taught by health professionals from the cardiac rehabilitation team or guests specialized in the area to be taught. The objective of each session is to alert, sensitize and educate both patients and their family members/caregivers regarding the different topics adjacent to the pathology and to promote moments of interaction, clarification of possible doubts, contact with different professionals and socializing. An educational session is held every three months either in the form of a workshop (aimed at participants and family members/caregivers of the Cardiovascular Rehabilitation programme) or in webinar format (open to the whole community).

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Contacts

 

Avenida Professor Egas Moniz,

Edifício Reynaldo dos Santos, piso 0

1649-028 Lisboa - Portugal

Phone
+351...