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http://dx.doi.org/10.12701/yujm.2020.00885

Safety and effectiveness of early cardiac rehabilitation in a stroke patient with heart failure and atrial fibrillation: a case report  

Lee, Sang Cheol (Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine)
Ko, Eun Jae (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine)
Lee, Ju Yeon (Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine)
Hong, Ae Lee (Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine)
Publication Information
Journal of Yeungnam Medical Science / v.38, no.4, 2021 , pp. 361-365 More about this Journal
Abstract
Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.
Keywords
Cardiac rehabilitation; Exercise; Heart failure; Stroke;
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1 Marzolini S. Integrating individuals with stroke into cardiac rehabilitation following traditional stroke rehabilitation: promoting a continuum of care. Can J Cardiol 2018;34(10 Suppl 2):S240-6.   DOI
2 Tang A, Closson V, Marzolini S, Oh P, McIlroy W, Brooks D. Cardiac rehabilitation after stroke-need and opportunity. J Cardiopulm Rehabil Prev 2009;29:97-104.   DOI
3 Kesarwani M, Perez A, Lopez VA, Wong ND, Franklin SS. Cardiovascular comorbidities and blood pressure control in stroke survivors. J Hypertens 2009;27:1056-63.   DOI
4 Myers J, Kaminsky LA, Lima R, Christle JW, Ashley E, Arena R. A reference equation for normal standards for VO2 max: analysis from the fitness registry and the importance of exercise national database (FRIEND Registry). Prog Cardiovasc Dis 2017;60:21-9.   DOI
5 Hong I, Lim Y, Han H, Hay CC, Woo HS. Application of the Korean version of the modified Barthel index: development of a keyform for use in clinical practice. Hong Kong J Occup Ther 2017;29:39-46.   DOI
6 American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for cardiac rehabilitation and secondary prevention programs. Leeds: Human Kinetics; 2004.
7 Billinger SA, Mattlage AE, Ashenden AL, Lentz AA, Harter G, Rippee MA. Aerobic exercise in subacute stroke improves cardiovascular health and physical performance. J Neurol Phys Ther 2012;36:159-65.   DOI
8 Mackay-Lyons MJ, Makrides L. Exercise capacity early after stroke. Arch Phys Med Rehabil 2002;83:1697-702.   DOI
9 Song MJ, Lee JH, Shin WS. Minimal Clinically Important Difference of Berg Balance Scale scores in people with acute stroke. Phys Ther Rehabil Sci 2018;7:102-8.   DOI
10 Kim C, Sung J, Lee JH, Kim WS, Lee GJ, Jee S, et al. Clinical practice guideline for cardiac rehabilitation in Korea: recommendations for cardiac rehabilitation and secondary prevention after acute coronary syndrome. Korean Circ J 2019;49:1066-111.   DOI
11 Prior PL, Hachinski V, Unsworth K, Chan R, Mytka S, O'Callaghan C, et al. Comprehensive cardiac rehabilitation for secondary prevention after transient ischemic attack or mild stroke: I: feasibility and risk factors. Stroke 2011;42:3207-13.   DOI
12 Kim C, Kim DY, Lee DW. The impact of early regular cardiac rehabilitation program on myocardial function after acute myocardial infarction. Ann Rehabil Med 2011;35:535-40.   DOI