Penatalaksanaan Fisioterapi Komprehensif Pada Kasus Pasca Coronary Artery By Pass Grafting Et Causa Coronary Artery Disease Involving 3 Vessels (CAD3VD): Case Report

Authors

  • Nurisma Pramudiana Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta
    Indonesia
  • Arif Pristianto Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta
    Indonesia

DOI:

https://doi.org/10.23917/fisiomu.v3i2.4997

Keywords:

Coronary Artery Bypass Grafting, Chest Physiotherapy, active and pasive exercise in extremity

Abstract

Coronary heart disease is a malfunctioning of the heart caused by stenosis of the heart blood vessels which can affect one or more arteries. In these cases the patient had Triple Vessels Disease (3-VD), where there was ≥50-70% stenosis in most of the main branches of the heart blood vessels, then the patient underwent a revascularization operation Coronary Artery Bypass Grafting (CABG) with a postoperative condition, namely pain. in the sternum and lower right leg, accumulation of pulmonary sputum, decreased thoracic expansion, shortness of breath, decreased activity and functional ability. The management of physiotherapy that is given is chest physiotherapy and active and passive exercises in extremity. After 3 times of therapy, the results obtained from the degree of shortness of T0: 5 to T3: 3, the decrease in pain T0: 6 to T3: 3, then tenderness T0: 6 to T3: 3 and silent pain T0: 4 to T3: 3 increased the difference in thoracic expansion in the axilla T0: 1 cm becomes T3: 2 cm, at ICS T0: 1 cm changes to T3: 2 cm and there has been no increase in the xypoideus process, by 2 cm at T0 and T3. Activity and functional abilities were calculated using the Barthel index on T0 of the total dependency category, changing to T3: weight dependence. Chest physiotherapy and active-passive exercises in extremity can alleviate problems in post-CABG surgery.

Downloads

Download data is not yet available.

References

Ahmad, A. M. (2018). Essentials of Physiotherapy after Thoracic Surgery : What Physiotherapists Need to Know . A Narrative Review. The Korean Journal of Thoracic and Cardiovascular Surgery, 6516(51), 293–307. https://doi.org/10.5090/kjtcs.2018.51.5.293

Altun, D., Çınar, Ö., Özker, E., & Türköz, A. (2017). The effect of tramadol plus paracetamol on consumption of morphine after coronary artery bypass grafting. Journal of Clinical Anesthesia, 36, 189–193. https://doi.org/10.1016/j.jclinane.2016.10.030

Arroyo-Rodríguez, C., Brito-Zurita, O. R., Sandoval-Navarrete, S., Solis-Vásquez, R., Ornelas-Aguirre, J. M., Olea-Hernández, C., … Castelan-Ojeda, A. M. (2018). Risk factors for three-vessel coronary artery disease in patients of Northwest Mexico. Archivos de Cardiologia de Mexico, 88(5), 423–431. https://doi.org/10.1016/j.acmx.2018.02.009

Derakhtanjani, A. S., Jaberi, A. A., Haydari, S., & Bonabi, T. N. (2019). Comparison the effect of active cyclic breathing technique and routine chest physiotherapy on pain and respiratory parameters after coronary artery graft surgery: A randomized clinical trial. Anesthesiology and Pain Medicine, 9(5). https://doi.org/10.5812/aapm.94654

Kementrian Kesehatan Republik Indonesia. Indonesia; 2019 [update 26 september 2019 cited 07 desember 2020]. Available from: http://p2ptm.kemkes.go.id/kegiatan-p2ptm/pusat-/hari-jantung-sedunia-hjs-

Purnomowati, A., Oehadian, A., & Dewi, S. (2013). Karakteristik dan tatalaksana penderita penyakit jantung koroner dengan triple-vessel disease (3VD) di rumah sakit Dr. Hasan sadikin bandung periode tahun 2013. Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Padjajaran, Vol. 13.

Seo, Y. G., Jang, M. J., Park, W. H., Hong, K. P., & Sung, J. (2017). Inpatient cardiac rehabilitation programs’ exercise therapy for patients undergoing cardiac surgery: National Korean Questionnaire Survey. Journal of Exercise Rehabilitation, 13(1), 76–83. https://doi.org/10.12965/jer.1732806.403

Sultanpuram, S., Alaparthi, G. K., Krishnakumar, S. K., & Ottayil, Z. C. P. (2016). Physiotherapy Practice Patterns for Management of Patients Undergoing Thoracic Surgeries in India: A Survey. Surgery Research and Practice, 2016, 1–11. https://doi.org/10.1155/2016/9717489

Westerdahl, E. (2015). Optimal technique for deep breathing exercises after cardiac surgery. Journal of Italian Society of Anesthesiology, Analgesia, Resucitation and Intensive Care, 81(June 2014), 678–683.

Downloads

Submitted

2024-05-12

Published

2024-06-08

How to Cite

Pramudiana, N., & Pristianto, A. (2024). Penatalaksanaan Fisioterapi Komprehensif Pada Kasus Pasca Coronary Artery By Pass Grafting Et Causa Coronary Artery Disease Involving 3 Vessels (CAD3VD): Case Report. FISIO MU: Physiotherapy Evidences, 3(2), 8–15. https://doi.org/10.23917/fisiomu.v3i2.4997

Issue

Vol.3,No.1 Januari 2022

Section

Articles

License

Copyright (c) 2022 Fisio Mu : Physiotherapy Evidaces Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Authors who publish with FISIO MU: Phsiotherapy Evidences agree to the following terms:

  1. Author(s) retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allow others to share the work within an acknowledgement of the work’s authorship and initial publication of this journal.
  2. Author(s) are able to enter into separate, additional contractual arrangement for the non-exclusive distribution of the the journal’s published version of the work (e.g. acknowledgement of its initial publication in this journal).
  3. Author(s) are permitted and encouraged to post their work online (e.g. in institutional repositories or on their websites) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published works.