Back to Search
Start Over
Cardiac Rehabilitation in a Patient With Severe Heart Failure and Ventricular Septal Defect Secondary to Acute Myocardial Infarction
- Source :
- Cureus
- Publication Year :
- 2021
- Publisher :
- Cureus, 2021.
-
Abstract
- The treatment of choice for patients with advanced heart failure (HF) and with limiting symptoms with evidence of a poor prognosis despite optimal conventional treatment is a heart transplant. However, there is little literature dealing with the effects of cardiovascular prehabilitation with an important change in physical capacity, which can influence the admission on the waiting list for a heart transplant. We presented one young male, smoker, with no prior history of cardiovascular disease, severe ventricular dysfunction, interventricular defect, and HF. It was decided to implant a cardioverter-defibrillator as primary prevention of sudden death and start the pre-cardiac transplant evaluation and subsequent inclusion in the waiting list on an elective basis. While waiting for the transplant, cardiopulmonary rehabilitation (CPR) was indicated. After 15 months of CPR, the patient improved his left ventricular ejection fraction (LVEF; 20% to 40%), systolic pulmonary artery pressure (55 to 40 mmHg), and peak oxygen uptake (23.9 to 29.1 ml/kg/min). In this patient, a program of CPR improved cardiac function and physical capacity, allowing him to be removed from the national waiting list for a heart transplant.
- Subjects :
- medicine.medical_specialty
Rehabilitation
Physical Medicine & Rehabilitation
business.industry
medicine.medical_treatment
General Engineering
Cardiology
heart failure
center-based cardiac rehab
medicine.disease
physical training
Heart failure
Internal medicine
Medicine
heart & lung transplant
Myocardial infarction
business
exercise training
Subjects
Details
- Language :
- English
- ISSN :
- 21688184
- Volume :
- 13
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....0da0191f0bb3a42d91c270e13c4d9128