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Rehabilitation Practice and Science

Translated Title

使用左心室輔助器患者之心肺復健：病例報告

Abstract

Patients bridging to transplantation with left ventricular assist device ( LVAD) often require prolonged support of ventricular assistance. As improving perioperative survial with LVAD, additional emphasis must be placed on patients' cardiopulmonary rehabilitation to prevent the occurrence of the deterious effect of bedrest ( such as ”immobilization syndrome”) and improve their exercise capability and life of quality.In this study,we proposed one case undergoing implantation of LVAD (Heart Mate) because of acute myocarditis complicated with end-stage heart failure. After LVAD insertion, the patient received cardiopulmonary rehabilitation. The program consisted of chest physical therapy(including splint cough, incentive spirometry exercise, breathing exercise)and progressive mobilization leading to treadmill exercise. The patient also received exercise testing for functional evaluation. The patient improved in cardiac function from NYHA Functional Class IV to Class I after rehabilitation and was successful in removing LVAD. In conclusion, early cardiopulmonary rehabilitation of LVAD patient is essential and safe. Patients with LVAD should be encourage to attend rehabilitation program for improving exercise capability & life of quality and better prognosis after heart transplantation.

Language

Traditional Chinese

First Page

166

Last Page

170

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