Cardiac rehabilitation in a patient with severe heart failure and ventricular septal defect secondary to acute myocardial infarction
Author
dc.contributor.author
Mazzucco Vezzera, Guillermo Andres
Author
dc.contributor.author
Pilon, Leonardo
Author
dc.contributor.author
Escalante, Juan Pablo
Author
dc.contributor.author
Chichizola, Nicolás
Author
dc.contributor.author
Torres Castro, Rodrigo Hernán
Admission date
dc.date.accessioned
2022-05-26T15:27:33Z
Available date
dc.date.available
2022-05-26T15:27:33Z
Publication date
dc.date.issued
2021
Cita de ítem
dc.identifier.citation
Cureus 13(11): e19901
es_ES
Identifier
dc.identifier.other
10.7759/cureus.19901
Identifier
dc.identifier.uri
https://repositorio.uchile.cl/handle/2250/185718
Abstract
dc.description.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.
es_ES
Lenguage
dc.language.iso
en
es_ES
Publisher
dc.publisher
Cureus Inc
es_ES
Type of license
dc.rights
Attribution-NonCommercial-NoDerivs 3.0 United States