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"Cardiomyopathy"

Case Report

Cardiac Rehabilitation of a Patient With an Advanced Dilated Cardiomyopathy: A Case Report
Chul Kim, Hee Eun Choi, Byeong-Ju Lee
Ann Rehabil Med 2014;38(4):554-558.   Published online August 28, 2014
DOI: https://doi.org/10.5535/arm.2014.38.4.554
Correction in: Ann Rehabil Med 2014;38(5):717

The dilated cardiomyopathy is the common type of cardiomyopathy, and its distinctive characteristic is the systolic dysfunction. Not many reports were issued about the efficacy of cardiac rehabilitation in patients with an advanced dilated cardiomyopathy until yet. A 50-year-old man who was diagnosed with dilated cardiomyopathy with congestive heart failure was admitted to the emergency room after a sudden collapse and a ventricular fibrillation was presented in the actual electrocardiogram. After three months, the patient participated in an 8-week cardiac rehabilitation program with electrocardiogram monitoring for 50 minutes per session at five times per week. The maximal oxygen consumption improved from 13.5 to 19.4 mL/kg/min during this time. At 3.9 metabolic equivalents, the myocardial oxygen demand decreased from 21,710 to 12,669 mmHg.bpm and the Borg's scale of perceived exertion decreased from 15 to 9. The left ventricular ejection fraction improved from 14% to 19%. So in this case report will be presented a patient after a successful cardiac rehabilitation program. Before this the patient suffered from a much more advanced dilated cardiomyopathy and was resuscitated from cardiac arrest.

Citations

Citations to this article as recorded by  
  • Association of early cardiac rehabilitation on mortality in patients with dilated cardiomyopathy using national inpatient database
    Yuichi Yasufuku, Yuichi Nishioka, Hideo Yasunaga, Tomoaki Imamura
    Scientific Reports.2025;[Epub]     CrossRef
  • Barriers and Facilitators to Delivering Inpatient Cardiac Rehabilitation: A Scoping Review
    Marina Wasilewski, Abirami Vijayakumar, Zara Szigeti, Sahana Sathakaran, Kuan-Wen Wang, Adam Saporta, Sander L Hitzig
    Journal of Multidisciplinary Healthcare.2023; Volume 16: 2361.     CrossRef
  • Functional Improvement After Outpatient Cardiac Rehabilitation in Acute Coronary Syndrome Patients is Not Related to Improvement in Left Ventricular Ejection Fraction
    A. Peretti, Alessandro Maloberti, L. Garatti, M. Palazzini, N. Triglione, L. Occhi, S. Sioli, J. W. Sun, A. Moreo, G. Beretta, C. Giannattasio, S. Riccobono
    High Blood Pressure & Cardiovascular Prevention.2020; 27(3): 225.     CrossRef
  • Exercise training in heart failure
    Mark Abela
    Postgraduate Medical Journal.2018; 94(1113): 392.     CrossRef
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Original Article
The Evaluation of Cardiac Function in Duchenne Muscular Dystrophy.
Kang, Seong Woong , Im, Sang Hui , Moon, Jae Ho , Park, Sa Yun , Hue, Hyen Seok
J Korean Acad Rehabil Med 2004;28(6):559-564.
Objective
To evaluate the cardiac function and to explore the importance of the evaluation of cardiac function in patients with Duchenne muscular dystrophy (DMD). Method: Thirty-nine patients with DMD without any symptoms of heart problems underwent physical examinations and cardiac monitoring including the arterial carbon dioxide (CO2) screening. Thirty one patients underwent pulmonary function test. Results: Among 39 patients 27 showed abnormal electrocardiographic findings such as ventricular hypertrophy, ischemic change, atrial hypertrophy, T wave inversion, sinus tachycardia and ST elevation. 24 patients showed abnormal echocardiographic findings such as abnormal ejection fraction, dilated cardiomyopathy (DCMP), filling abnormality of left ventricle, global hypokinesia and reduced systolic function. 17 patients showed low ejection fraction (below 59%) and 4 of them were diagnosed as DCMP. There were significant correlations between age and ejection fraction (r=⁣0.552, p<0.01), between functional level and ejection fraction (r=⁣0.607, p<0.01) and between vital capacity and ejection fraction (r=0.547, p<0.01). However, ejection fraction showed no significant correlations with arterial CO2. Conclusion: Routine evaluation of the cardiac function, at least from 10 years of age, and proper treatment following early diagnosis of heart problems were necessary in patients with DMD, because they possibly have been severely affected by cardiac problems without any clinical symptoms. (J Korean Acad Rehab Med 2004; 28: 559-564)
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