| 제목 |
Cardiac Rehabilitation of Arrhythmia Patient with Remained Symptoms after Intervention |
| 소속 |
Chonnam National University Medical School & Hospital, Department of Physical & Rehabilitation Medicine1 |
| 저자 |
Dong Joo Kim1*, Ki Hong Kim1, Min Keun Song1, Hyung Kyu Park1, In Sung Choi1† |
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Medication or therapeutic interventions such as radiofrequency catheter ablation (RFCA) could improve Quality of life and exercise capacity in arrhythmia patients. However, some patients complain of cardiopulmonary symptoms or the fear of exercise even after medical management. We report our therapeutic experience of cardiac rehabilitation (CR) in an arrhythmia patient with remained symptoms in spite of the therapeutic intervention. A 52-year-old woman with palpitation and dyspnea in daily life visited cardiovascular center. She was diagnosed as paroxymal atrial tachycardia by electrophysiological study and underwent RFCA. However, her symptoms did not disappear. She was referred to our CR center for the exercise prescription. She received symptom-limited exercise tolerance test (ETT) and was prescribed aerobic exercise of 60% intensity of maximal exercise capacity. She completed the hospital-based CR (twice a week, for 7 months, treadmill walking and running, electrocardiography and blood pressure monitored by physiatrist and physical therapist), and then she has been continuing the home-based CR for 2 months now. During the whole CR period, ETT was conducted 4 times. There was significant improvement of exercise capacity including peak oxygen consumption and exercise duration. Fatigue scale also improved markedly. She does not complain of any symptoms such as palpitation or dyspnea in daily life, and she will return to work soon. CR could improve the exercise capacity and safely relieve the remained symptoms in medically controlled arrhythmia patients. |
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Exercise capacity, duration and fatigue scale at each ETT.
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