Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report

Fernández, Natalia; Blackwood, Jennifer

doi:10.15761/pmrr.1000163

Cited by 1 publication

(5 citation statements)

References 37 publications

(48 reference statements)

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“…Aortic Stenosis (AS) is caused by a restriction in the opening of the aortic valve, which causes systolic dysfunction of left ventricle, dilation, and elevated pressure in the lungs and right side of the heart if left untreated (Fernandez and Blackwood, 2018). It is a chronic condition that starts with minor fibro calcific leaflet alterations, known as aortic sclerosis, and develops to more severe calcification, obstructing left ventricle ejection (Carità et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…It is a chronic condition that starts with minor fibro calcific leaflet alterations, known as aortic sclerosis, and develops to more severe calcification, obstructing left ventricle ejection (Carità et al, 2016). Clinical features of aortic stenosis include dyspnea or syncope on exercise, angina pectoris light headedness, a systolic ejection murmur and sudden death (Fernandez and Blackwood, 2018). Symptoms have an insidious onset and vary greatly among persons with the same degrees of valve stenosis (Fernandez and Blackwood, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Clinical features of aortic stenosis include dyspnea or syncope on exercise, angina pectoris light headedness, a systolic ejection murmur and sudden death (Fernandez and Blackwood, 2018). Symptoms have an insidious onset and vary greatly among persons with the same degrees of valve stenosis (Fernandez and Blackwood, 2018). As the condition progresses, decreased coronary flow reserve produces myocardial ischemia; moreover, hypertrophic left ventricle and excessive after load cause systolic and diastolic left ventricle dysfunction (Huang et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Aortic valve replacement is required when the valve is leaky, as in aortic insufficiency or aortic regurgitation, or when the valve is narrowed and does not open fully, as in aortic stenosis. Adults with aortic valve replacement surgeries have reported enhanced quality of life, greater life span, and better outcomes (Fernandez and Blackwood, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…dilation and elevated pressure in the lungs and right side of the heart if left untreated(Fernandez and Blackwood, 2018). AS has a long uneventful phase and if symptoms appear there is bad prognosis.…”

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confidence: 99%

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

Ghive¹,

Walke²,

Kumbhare³

2022

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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.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%