Research Information System
International Congress of Medical and Health Sciences Studies ICOMESS, Ankara, Turkey, 13 - 14 December 2022, vol.1, pp.30-40, (Full Text)
Abstract
It is known that physical activity programs given in addition to medical treatment in the management of heart failure symptoms are effective in the management of symptoms such as fatigue and dyspnea by increasing the level of functional capacity, improving the quality of life, reducing heart failure hospitalization and the risk of mortality, and provides benefits in the clinical presentation.
A 40-year-old male patient has been diagnosed with hypertension for 6 years and heart failure (New York Heart Association class II) for 4.5 years. Physical examination findings; blood pressure was 124/86 mmHg, heart rate was 81/min, O2 saturation was 92%, and borg dyspnea level was 2. The patient's complaints; He has complaints of intermittent chest pain, peripheral edema in both legs, shortness of breath, insomnia and fatigue while dealing with her work. A physical activity program lasting at least 30 minutes each session was applied to the patient with a diagnosis of heart failure, three days a week for three months, and walking follow-ups was done with pedometer monitoring. Weekly phone calls and monthly home visits were made in order to inform the patient about the walking program, increase motivation and evaluate compliance with the process.
In the study, it was determined that the physical activity program applied to the patient with heart failure increased the ejection fraction level, decreased the N-terminal pro-B-type natriuretic peptide level and the Meta-Analysis Global Group risk scoring level in Chronic Heart Failure, in addition to these, it provided a regression in the New York Heart Association classification. In addition, it has been determined that it is effective in controlling the symptoms of dyspnea, fatigue, chest pain, insomnia, peripheral edema and blood pressure, increasing the functional capacity level and quality of life of the individual.
Keywords: Functional capacity, heart failure, mortality risk level, NT-proBNP, physical activity