Event Title

Treatment of Post-Surgical Coronary Artery Bypass Grafts in the Acute Inpatient Hospital Setting with Physical Therapy and Cardiac Rehabilitation: A Retrospective Case Report

Location

Hall of Governors

Start Date

7-4-2017 4:00 PM

End Date

7-4-2017 6:00 PM

Description

Coronary Artery Bypass Graft surgeries are performed to restore blood flow to the heart of a patient with Coronary Artery Disease, which is a leading causes of death in the United States. After receiving a CABG or corrective procedure for revascularization, patients often receive cardiac rehabilitation and physical therapy to reduce postoperative complications and optimize their return to daily functional activities. Patient is a 78 year-old male with a history of severe CAD with nine prior stent procedures and one angioplasty who received a CABG surgery to bypass 2 arteries on his heart, his LAD and RCA. The patient was independent with daily activities and mobility prior to the surgery. Patient completed 5 cardiac rehab sessions, 3 of which PT was present for while in the hospital, first seen in the Intensive Care Unit until he was transferred to the Telemetry floor. The patient had improved outcomes in the AM-PAC and 2MWT outcome measures as well as decrease in assistance with ambulation and functional transfers. He was discharged from PT upon discharge from the hospital to continue phase 2-4 of his post-operative therapy with cardiac rehab at home. The subject's improvement in functional transfers and ambulation were attributed to not only PT direction but also with frequency of two visits per day as compared to one for other in-hospital therapy patients. PT in collaboration with cardiac rehabilitation could help enhance recovery of post-operative CABG patients to return them to prior functioning quicker.

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Apr 7th, 4:00 PM Apr 7th, 6:00 PM

Treatment of Post-Surgical Coronary Artery Bypass Grafts in the Acute Inpatient Hospital Setting with Physical Therapy and Cardiac Rehabilitation: A Retrospective Case Report

Hall of Governors

Coronary Artery Bypass Graft surgeries are performed to restore blood flow to the heart of a patient with Coronary Artery Disease, which is a leading causes of death in the United States. After receiving a CABG or corrective procedure for revascularization, patients often receive cardiac rehabilitation and physical therapy to reduce postoperative complications and optimize their return to daily functional activities. Patient is a 78 year-old male with a history of severe CAD with nine prior stent procedures and one angioplasty who received a CABG surgery to bypass 2 arteries on his heart, his LAD and RCA. The patient was independent with daily activities and mobility prior to the surgery. Patient completed 5 cardiac rehab sessions, 3 of which PT was present for while in the hospital, first seen in the Intensive Care Unit until he was transferred to the Telemetry floor. The patient had improved outcomes in the AM-PAC and 2MWT outcome measures as well as decrease in assistance with ambulation and functional transfers. He was discharged from PT upon discharge from the hospital to continue phase 2-4 of his post-operative therapy with cardiac rehab at home. The subject's improvement in functional transfers and ambulation were attributed to not only PT direction but also with frequency of two visits per day as compared to one for other in-hospital therapy patients. PT in collaboration with cardiac rehabilitation could help enhance recovery of post-operative CABG patients to return them to prior functioning quicker.