PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE

Background: Valvular heart disease (VHD) is one third of all heart disease. In industrialized countries, the prevalence is estimated at 2,5% and in developing countries is between twenty to thirty cases per-1000 people. VHD presents a huge health burden worldwide. If heart failure has occured, surge...

Full description

Saved in:
Bibliographic Details
Main Authors: Sri Hastuti Barata, Erna Setiawati, Endang Ambarwati
Format: Article
Language:English
Published: Faculty of Medicine, Universitas Diponegoro 2021-07-01
Series:Jurnal Kedokteran Diponegoro
Online Access:https://ejournal3.undip.ac.id/index.php/medico/article/view/29289
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849434892765495296
author Sri Hastuti Barata
Erna Setiawati
Endang Ambarwati
author_facet Sri Hastuti Barata
Erna Setiawati
Endang Ambarwati
author_sort Sri Hastuti Barata
collection DOAJ
description Background: Valvular heart disease (VHD) is one third of all heart disease. In industrialized countries, the prevalence is estimated at 2,5% and in developing countries is between twenty to thirty cases per-1000 people. VHD presents a huge health burden worldwide. If heart failure has occured, surgery is the treatment of choice. Cardiorespiratory fitness declined in post-surgical patients. Preoperative cardiac rehabilitation is considered to be able to increase the cardiorespiratory fitness baseline so that postoperative outcomes are better. Case Presentation: We reported 28 years-old female with severe MS and MR as well as mild TR with symptoms dyspnea on effort which improves with rest. She was the candidate for mitral valve replacement. She was given a 14-days preoperative cardiac rehabilitation program including breathing exercise by pursed lips breathing, effective cough exercise, range of motion exercise, ankle pumping exercise, endurance exercise based on the result of the 6 minutes walking test (6MWT) and inspiratory muscle training (IMT) using threshold IMT.  Conclusion: Preoperative cardiac rehabilitation program improved pulmonary functional capacity, cardiorespiratory fitness and functional activity. Keyword: valvular heart disease, cardiac rehabilitation, pulmonary functional capacity, cardiorespiratory fitness.
format Article
id doaj-art-7cb0091cf54e47298df1fa9fddee8f39
institution Kabale University
issn 2540-8844
language English
publishDate 2021-07-01
publisher Faculty of Medicine, Universitas Diponegoro
record_format Article
series Jurnal Kedokteran Diponegoro
spelling doaj-art-7cb0091cf54e47298df1fa9fddee8f392025-08-20T03:26:29ZengFaculty of Medicine, Universitas DiponegoroJurnal Kedokteran Diponegoro2540-88442021-07-0110427828210.14710/dmj.v10i4.2928926624PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASESri Hastuti Barata0https://orcid.org/0000-0002-8090-8400Erna Setiawati1https://orcid.org/0000-0003-4769-3396Endang Ambarwati2Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Diponegoro University., IndonesiaDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, Diponegoro University., IndonesiaDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, Diponegoro University., IndonesiaBackground: Valvular heart disease (VHD) is one third of all heart disease. In industrialized countries, the prevalence is estimated at 2,5% and in developing countries is between twenty to thirty cases per-1000 people. VHD presents a huge health burden worldwide. If heart failure has occured, surgery is the treatment of choice. Cardiorespiratory fitness declined in post-surgical patients. Preoperative cardiac rehabilitation is considered to be able to increase the cardiorespiratory fitness baseline so that postoperative outcomes are better. Case Presentation: We reported 28 years-old female with severe MS and MR as well as mild TR with symptoms dyspnea on effort which improves with rest. She was the candidate for mitral valve replacement. She was given a 14-days preoperative cardiac rehabilitation program including breathing exercise by pursed lips breathing, effective cough exercise, range of motion exercise, ankle pumping exercise, endurance exercise based on the result of the 6 minutes walking test (6MWT) and inspiratory muscle training (IMT) using threshold IMT.  Conclusion: Preoperative cardiac rehabilitation program improved pulmonary functional capacity, cardiorespiratory fitness and functional activity. Keyword: valvular heart disease, cardiac rehabilitation, pulmonary functional capacity, cardiorespiratory fitness.https://ejournal3.undip.ac.id/index.php/medico/article/view/29289
spellingShingle Sri Hastuti Barata
Erna Setiawati
Endang Ambarwati
PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
Jurnal Kedokteran Diponegoro
title PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
title_full PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
title_fullStr PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
title_full_unstemmed PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
title_short PREOPERATIVE CARDIAC REHABILITATION IN A 28 YEARS-OLD WOMAN WITH VALVULAR HEART DISEASE
title_sort preoperative cardiac rehabilitation in a 28 years old woman with valvular heart disease
url https://ejournal3.undip.ac.id/index.php/medico/article/view/29289
work_keys_str_mv AT srihastutibarata preoperativecardiacrehabilitationina28yearsoldwomanwithvalvularheartdisease
AT ernasetiawati preoperativecardiacrehabilitationina28yearsoldwomanwithvalvularheartdisease
AT endangambarwati preoperativecardiacrehabilitationina28yearsoldwomanwithvalvularheartdisease