Volume 26, Issue 129, November 2022

In hospital phase of postoperative cardiac rehabilitation in elderly patient with aortic valve replacement: A case report

Dhanashree Ghive¹, Rashmi Walke^2♦, Ruhi Kumbhare¹

¹Resident, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India
²Assistant Professor, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India

^♦Corresponding author
Assistant Professor, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India

ABSTRACT

Introduction: Aortic stenosis (AS) is brought on by a restriction in the aortic valve's opening, which results in enlarged and dysfunctional left ventricles and increased pressure in the lungs and right side of the heart. Aortic valve replacement is a surgical operation in which a failing aortic valve is being replaced by a prosthetic heart valve. Cardiac rehabilitation after surgery involves physical activity promotion, exercise training, cardio vascular risk management, and health education. A 59 year old female presented with complaints of breathlessness on exertion and during activities, chest pain, palpitations, sweating and dizziness since 1 month. She was diagnosed with severe aortic stenosis the patient was evaluated and was suggested for Aortic Valve Replacement surgery and successfully underwent the same. She was started with 12 weeks of cardiac rehabilitation from postoperative day 1. Conclusion: In this case study, the physiotherapy protocol used has a significant effect on improving functional independence, reducing cardio vascular risk factors related to prolonged bed rest, and gaining an optimal level of physical fitness through cardiac rehabilitation.

Keywords: Aortic stenosis, rheumatic heart disease, aortic valve replacement, cardiac rehabilitation

Medical Science, 2022, 26, ms452e2262

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DOI: https://doi.org/10.54905/disssi/v26i129/ms452e2262

Published: 08 November 2022