Cardiac rehabilitation after heart transplantation in a patient with Becker's muscular dystrophy: A case report

Rajashree Srinivasan, Joseph E. Hornyak, Dalynn T. Badenhop, Lauren G. Koch

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Becker's muscular dystrophy (BMD) is associated with abnormal cardiac findings in 75% of cases; up to one third will develop ventricular dilatation leading to congestive heart failure, at times necessitating cardiac transplant. Candidates are selected from a base of heart failure patients who are usually New York Heart Association (NYHA) class III or IV. Treatment in a phase II cardiac rehabilitation program after transplantation is associated with functional improvement in patients without BMD, but there are no reports of patients with this disorder. We present the case of a 38-year-old man diagnosed with BMD with associated dilated cardiomyopathy. The patient was a NYHA class IIIa and underwent orthotopic cardiac transplantation for intractable heart failure followed by treatment in a phase II cardiac rehabilitation program. At the end of cardiac rehabilitation, his 12-minute walking distance had improved from 716.28 to 929.64m (30% improvement), he had increased his conditioning metabolic equivalent level from 3.5 to 5.5 (55% improvement), he had a weight loss from 81.65 to 78.93kg, and his body mass index changed from 23 to 22kg/m2. The patient now has returned to work, is using a stationary bicycle once a day for 30 minutes, and is walking 1 hour a day. This suggests that treatment in a cardiac rehabilitation program is effective in patients with BMD after cardiac transplant.

Original languageEnglish (US)
Pages (from-to)2059-2061
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number10
DOIs
StatePublished - Oct 1 2005

Fingerprint

Duchenne Muscular Dystrophy
Heart Transplantation
Heart Failure
Walking
Metabolic Equivalent
Transplants
Dilated Cardiomyopathy
Cardiac Rehabilitation
Weight Loss
Dilatation
Body Mass Index
Therapeutics
Transplantation

Keywords

  • Case report
  • Duchenne's
  • Muscular dystrophy
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Cardiac rehabilitation after heart transplantation in a patient with Becker's muscular dystrophy : A case report. / Srinivasan, Rajashree; Hornyak, Joseph E.; Badenhop, Dalynn T.; Koch, Lauren G.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 10, 01.10.2005, p. 2059-2061.

Research output: Contribution to journalArticle

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