PMID- 16213254
OWN - NLM
STAT- MEDLINE
DCOM- 20051122
LR  - 20051010
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 86
IP  - 10
DP  - 2005 Oct
TI  - Cardiac rehabilitation after heart transplantation in a patient with Becker's 
      muscular dystrophy: a case report.
PG  - 2059-61
AB  - 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 929.64 m (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 78.93 kg, and his body mass index changed from 23 to 22 kg/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.
FAU - Srinivasan, Rajashree
AU  - Srinivasan R
AD  - Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, 
      Houston, TX, USA.
FAU - Hornyak, Joseph E
AU  - Hornyak JE
FAU - Badenhop, Dalynn T
AU  - Badenhop DT
FAU - Koch, Lauren G
AU  - Koch LG
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - Body Weight
MH  - Cardiomyopathy, Dilated/etiology/*surgery
MH  - Heart Transplantation/*rehabilitation
MH  - Humans
MH  - Male
MH  - Muscular Dystrophy, Duchenne/*complications
MH  - Physical Fitness
EDAT- 2005/10/11 09:00
MHDA- 2005/12/13 09:00
CRDT- 2005/10/11 09:00
PHST- 2004/11/19 00:00 [received]
PHST- 2005/03/21 00:00 [revised]
PHST- 2005/03/28 00:00 [accepted]
PHST- 2005/10/11 09:00 [pubmed]
PHST- 2005/12/13 09:00 [medline]
PHST- 2005/10/11 09:00 [entrez]
AID - S0003-9993(05)00398-9 [pii]
AID - 10.1016/j.apmr.2005.03.036 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2005 Oct;86(10):2059-61. doi: 10.1016/j.apmr.2005.03.036.