Lee Sang Cheol, Ko Eun Jae, Lee Ju Yeon, Hong Ae Lee
Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Yeungnam Univ J Med. 2021 Oct;38(4):361-365. doi: 10.12701/yujm.2020.00885. Epub 2021 Mar 22.
Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.
中风患者的有氧能力会下降。因此，需要强化的结构化运动项目。我们报告了一例患有中风和心脏病的患者接受早期住院心脏康复（CR）的病例。一名38岁男性患者，患有心房颤动、心力衰竭和脑梗死，在入院后第45天进行了症状限制运动耐量测试（ETT），未出现任何问题。他完成了为期2周的住院项目和为期8周的家庭心脏康复项目。随访ETT显示运动能力有所提高。本病例可能是韩国首例报告在患有中风和心脏合并症的患者中安全实施心脏康复项目的案例。对于中风后患者，需要系统指导以接受安全有效的心脏康复，用于中风二级预防和心血管风险防控。
