Abstract
Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report
Highlights
Background and purposeSenile aortic stenosis commonly remains asymptomatic until the sixth or seventh decade of life
Case description: A 69-year-old female with past medical history of severe aortic stenosis, hypertension, severe tricuspid regurgitation, paroxysmal atrial fibrillation (AF) who underwent aortic valve replacement and tricuspid valve repair followed by a 6-day intensive care unit stay secondary to complications
Improvements on selected measures were clinically significant for this case, but standardized values for improvement are not reported in the literature and should be investigated further
Summary
Background and purposeSenile aortic stenosis commonly remains asymptomatic until the sixth or seventh decade of life. PT examination was initiated on post-operative day (POD) 1 and included assessments of function (Functional independence measure (FIM)), mobility (30 second chair rise (SCR) and gait speed), and fatigue (fatigue severity scale (FSS)) to guide PT intervention. In the acute care setting, results gathered from objective measures of physical function help determine whether phase 1 cardiac rehabilitation in the hospital is appropriate.
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