Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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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)
  • Received : 2020.12.21
  • Accepted : 2021.02.06
  • Published : 2021.10.31
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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.

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References

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