RT Book, Section
A1 Ozemek, Cemal
A1 Arena, Ross
A1 Bond, Sam
A1 M. Daniels, Karla
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161019287
T1 Exercise and Rehabilitation
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161019287
RD 2024/04/23
AB A  64-year-old  heart  failure  patient  with  a  reduced  ejection  fraction  complains  of  having  to  stop  and  rest  after  walking  two  city  blocks  and  has  difficulty  carrying  groceries  into  his  house.  He  does  not  complain  of  feeling  shortness  of  breath  at  rest  or  peripheral  edema,  his  medication  regimen  is  optimized,  and  he  reports  that  he  is  sedentary  most  of  the  day.  As  a  result  he  is  referred  to  a  phase  2  cardiac  rehabilitation  program,  where  he  performs  a  cardiopulmonary  exercise  test  to  assess  his  starting  functional  capacity  and  to  measure  his  maximal  heart  rate  in  order  to  optimize  his  exercise  prescription.  After  regularly  attending  3  cardiac  rehabilitation  sessions  per  week  for  12  weeks  and  walking  on  at  least  one  additional  day  on  his  own  for  30  minutes.  His  maximal  oxygen  consumption  assessed  by  the  cardiopulmonary  exercise  test  increased  from  16.4  mL/kg/min  to  20.5  mL/kg/min.  The  patient  also  reports  that  he  is  now  able  to  walk  multiple  blocks  without  fatigue  and  is  able  to  perform  activities  of  daily  living  without  issue.  He  is  encouraged  by  the  results  and  reports  that  he  will  continue  to  walk  4-5  days  per  week  for  30-45  minutes  at  his  local  community  fitness  center.