Cardiac Rehabilitation in Patients with Pacemakers Implantation

Abstract

Total AV block is a condition when the impulses from the atrium cannot reach the ventricles. Indications for the implantation of a permanent pacemaker are symptomatic bradycardia and high-risk conditions such as total AV block. The following case discusses a patient with total AV block post implantation of permanent pacemaker (PPM).  Cardiac rehabilitation program started when the patient is hemodynamically stable. In bed exercises are carried out to prevent bed rest complications such as joint range of motion exercises and breathing exercises. After the patient underwent PPM insertion, the first phase of cardiac rehabilitation with mobilization program started 24 hours after implantation. More intensive mobilization was carried out and a six-minute walking test was carried out before discharge. In the next phase, a second phase of cardiac rehabilitation (outpatient) is carried out for 4-8 weeks considering the healing time after implantation after 1 weeks.