Cardiac Rehabilitation in Patients with Pacemakers Implantation
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Published:
Jun 28, 2023
Keywords:
Total AV block, pacemaker, cardiac rehabilitation
Main Article Content
Abstract
Total AV block is a condition when the impulses from the atrium cannot reach the ventricles. Indications for the implantation of a permanent pacemaker are symptomatic bradycardia and high-risk conditions such as total AV block. The following case discusses a patient with total AV block post implantation of permanent pacemaker (PPM). Cardiac rehabilitation program started when the patient is hemodynamically stable. In bed exercises are carried out to prevent bed rest complications such as joint range of motion exercises and breathing exercises. After the patient underwent PPM insertion, the first phase of cardiac rehabilitation with mobilization program started 24 hours after implantation. More intensive mobilization was carried out and a six-minute walking test was carried out before discharge. In the next phase, a second phase of cardiac rehabilitation (outpatient) is carried out for 4-8 weeks considering the healing time after implantation after 1 weeks.
Article Details
How to Cite
Tedjasukmana, D., & Ni Luh Made Murniasih Jayanthi. (2023). Cardiac Rehabilitation in Patients with Pacemakers Implantation. Indonesian Journal of Physical Medicine and Rehabilitation, 12(01), 13 - 19. https://doi.org/10.36803/indojpmr.v12i01.312
Section
Case Report
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Factors Associated With Atrioventricular Block. 2019;2(5):1–13.
10. Mulpuru SK, Madhavan M, McLeod CJ, Cha YM, Friedman PA. Cardiac
Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series.
J Am Coll Cardiol. 2017;69(2):189–210.
11. Johns Hopkins 2017: Overview of Pacemakers and Implantable Cardioverter
Defibrillators (ICDs). John Hopkins Medicine. https://www.hopkinsmedicine.
org/healthlibrary/conditions/cardiovascular_ diseases/overview_of_pac emakers_and_
implantable_cardioverter_def.
12. López Ayerbe J, Villuendas Sabaté R, García García C, Rodríguez Leor O,
Gómez Pérez M, Curós Abadal A, et al. Temporary Pacemakers: Current Use and
Complications. Rev Española Cardiol (English Ed. 2004;57(11):1045–52.
13. Ahn JY, Song JE, Ann HW, Jeon Y, Ahn MY, Jung IY, et al. Effects of early
exercise rehabilitation on functional recovery in patients with severe sepsis.
Yonsei Med J. 2018;59(7):843–51.
14. Miracapillo G, Costoli A, Addonisio L, Breschi M, Pasquinelli K, Gemignani L,
et al. Early mobilization after pacemaker implantation. J Cardiovasc Med.
2006;7(3):197–202.
15. Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, de Carvalho
T, et al. South american guidelines for cardiovascular disease prevention
and rehabilitation. Arq Bras Cardiol. 2014;103(2):1–31.
Penyakit Dalam (6th ed). Jakarta: Interna Publishing, 2014; p. 1352.
2. Kulkam AP, Patil VP, Gehdoo RP. Objective anaesthesia review a
comprehnsive textbook for the examinees. New Delhie: Jaypee Brothers Medical
Publishers (P)Ltd, 2013.
3. Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ, et al. Risk
Factors Associated With Atrioventricular Block. 2019;2(5):1–13.
4. Mulpuru SK, Madhavan M, McLeod CJ, Cha YM, Friedman PA. Cardiac
Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series.
J Am Coll Cardiol. 2017;69(2):189–210.
5. Aguiar Rosa S, Timóteo AT, Ferreira L, Carvalho R, Oliveira M, Cunha P, et
al. Complete atrioventricular block in acute coronary syndrome: prevalence,
characterisation and implication on outcome. Eur Hear Journal Acute
Cardiovasc Care [Internet]. 2018 Apr 1 [cited 2021 Nov 27];7(3):218–23.
Available from: https://academic.oup.com/ehjacc/article/7/3/218/5923226
6. Levack MM, Kapadia SR, Soltesz EG, Gillinov AM, Houghtaling PL, Navia JL,
et al. Prevalence of and Risk Factors for Permanent Pacemaker Implantation After
Aortic Valve Replacement. Ann Thorac Surg [Internet]. 2019;108(3):700–7.
Available from: https://doi.org/10.1016/j. athoracsur.2019.03.056
7. Iliou MC, Blanchard JC, Lamar-Tanguy A, Cristofini P, Ledru F.
Cardiac rehabilitation in patients with pacemakers and implantable cardioverter
defibrillators. Monaldi Arch Chest Dis -Card Ser. 2016;86(1–2):1–7.
8. Tedjasukmana D, Triangto K. Aerobic exercise prescription in heart failure
patients with cardiac resynchronization therapy. 2020;(June):1–8.
9. Kerola T, Eranti A, Aro AL, Haukilahti MA, Holkeri A, Junttila MJ, et al. Risk
Factors Associated With Atrioventricular Block. 2019;2(5):1–13.
10. Mulpuru SK, Madhavan M, McLeod CJ, Cha YM, Friedman PA. Cardiac
Pacemakers: Function, Troubleshooting, and Management: Part 1 of a 2-Part Series.
J Am Coll Cardiol. 2017;69(2):189–210.
11. Johns Hopkins 2017: Overview of Pacemakers and Implantable Cardioverter
Defibrillators (ICDs). John Hopkins Medicine. https://www.hopkinsmedicine.
org/healthlibrary/conditions/cardiovascular_ diseases/overview_of_pac emakers_and_
implantable_cardioverter_def.
12. López Ayerbe J, Villuendas Sabaté R, García García C, Rodríguez Leor O,
Gómez Pérez M, Curós Abadal A, et al. Temporary Pacemakers: Current Use and
Complications. Rev Española Cardiol (English Ed. 2004;57(11):1045–52.
13. Ahn JY, Song JE, Ann HW, Jeon Y, Ahn MY, Jung IY, et al. Effects of early
exercise rehabilitation on functional recovery in patients with severe sepsis.
Yonsei Med J. 2018;59(7):843–51.
14. Miracapillo G, Costoli A, Addonisio L, Breschi M, Pasquinelli K, Gemignani L,
et al. Early mobilization after pacemaker implantation. J Cardiovasc Med.
2006;7(3):197–202.
15. Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, de Carvalho
T, et al. South american guidelines for cardiovascular disease prevention
and rehabilitation. Arq Bras Cardiol. 2014;103(2):1–31.