JACC. Case reports · 2025
Cardiac Rehabilitation in Advanced Dilated Cardiomyopathy Within a Resource-Limited Setting.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hernández-Gutiérrez Karol G, Calderón-Fernández Adolfo, Suarez-Jimenez Heydi C, Mendoza-Gonzalez Avril S, Manjarrez-Granados Elva A, Cuevas-Cueto David F, Bátiz-Armenta Fernando, Márquez-Valdez Aida R
Аннотация
BACKGROUND: Dilated cardiomyopathy (DCM) is a major cause of heart failure with reduced ejection fraction. Cardiac rehabilitation (CR) has been shown to improve functional capacity, but its use in advanced DCM remains limited.
CASE SUMMARY: A 57-year-old man with idiopathic DCM and severe systolic dysfunction (left ventricular ejection fraction = 5%) presented with acute heart failure. Cardiac magnetic resonance revealed inferoseptal fibrosis and biventricular dilation. He was treated with optimal pharmacologic therapy and an 8-week supervised CR program. The 6-minute walk test improved by 114% (280-600 m), and heart rate recovery increased from 13 to 27 beats/min.
DISCUSSION: This case highlights the positive impact of CR in advanced DCM, showing significant functional and metabolic improvements. Integrating CR into standard care is crucial for improving patient outcomes.
TAKE-HOME MESSAGE: CR is safe and effective for patients with advanced DCM, which enhances prognosis and quality of life.
CASE SUMMARY: A 57-year-old man with idiopathic DCM and severe systolic dysfunction (left ventricular ejection fraction = 5%) presented with acute heart failure. Cardiac magnetic resonance revealed inferoseptal fibrosis and biventricular dilation. He was treated with optimal pharmacologic therapy and an 8-week supervised CR program. The 6-minute walk test improved by 114% (280-600 m), and heart rate recovery increased from 13 to 27 beats/min.
DISCUSSION: This case highlights the positive impact of CR in advanced DCM, showing significant functional and metabolic improvements. Integrating CR into standard care is crucial for improving patient outcomes.
TAKE-HOME MESSAGE: CR is safe and effective for patients with advanced DCM, which enhances prognosis and quality of life.