EFFECT OF CARDIAC REHABILITATION IN DILATED HEART DISEASE DUE TO RESIDUAL DAMAGE FROM COVID-19 INFECTION

TOPIC: Cardiovascular Disease TYPE: Global Case Reports INTRODUCTION: COVID-19 infection has generated cardiovascular affectations such as dilated heart disease, responsible for a high rate of morbidity and mortality due to its combination of dilatation and systolic dysfunction of the left ventricle or both ventricles. In addition to pharmacological intervention, cardiac rehabilitation (CR) could be useful. The aim was To establish the effect of cardiac rehabilitation in dilated heart disease due to residual damage from covid-19 infection. CASE PRESENTATION: Observational case study-type study in a 25-year-old woman with a diagnosis of dilated heart disease due to residual damage from COVID-19 infection confirmed by a cardiologist. Ethical approval was obtained from the institution and the informed consent was previously signed by the patient, the cardiac rehabilitation program consisted of 3 sessions a week for 12 weeks with a duration of 60 minutes, warming up, strength training was performed for 20 minutes with weights between 2 to 6 pounds increasing 2 pounds every 4 weeks performing 3 to 4 sets of 12 to 15 repetitions, the aerobic capacity was worked at an intensity of 60% -80% of the VO2 obtained in the 6 minute walk test (6MWT);Clinical variables, functional capacity, health-related quality of life and POST-COVID19 functional status (PCFS) were taken at the beginning and end of the CR. DISCUSSION: : 25-year-old female patient with dilated heart disease due to residual damage due to covid-19 infection, beginning and ending CR with the following values in the variables: Weight-pre 76.5kg, - post 74.7 kg, BMI-pre 28.1 kg / m2 -post 27.4 kg / m2, HR- pre 62 bpm- post 60 bpm, BP -pre 110/66 mmHg- post 110/60 mmHg, Distance 6MWT -pre 500 mts- post 549 mts, VO2 estimated: 11.8 ml / kg / min- post 12.7 ml / kg / min, PHQ-9 -pre 4 -post 4, DASI -pre 23.0 ml / kg / min -post 27.9 ml / kg / min, MLHFQ -pre D. Physical 3 D. Emotional 3 D.Total 6 -post Physical D. 1 Emotional D. 1 Total D. 2, PCFS -pre Grade 2 -post Grade 0. (Table 1) CONCLUSIONS: Cardiac rehabilitation in dilated heart disease caused by residual damage due to COVID-19 infection shows improvement in clinical variables, increased functional capacity, health-related quality of life and PCFS functional status. REFERENCE #1: Bader F, Manla Y, Atallah B, Starling RC. Heart failure and COVID-19. Heart Fail Rev. 2021 Jan;26(1):1-10. doi: 10.1007/s10741-020-10008-2. DISCLOSURES: No relevant relationships by Juan Carlos Avila-Valencia, source=Web Response No relevant relationships by Vicente Benavides, source=Web Response No relevant relationships by Jhonatan Betancourt-Pena, source=Web Response No relevant relationships by Kirby Gutierrez, source=Web Response No relevant relationships by Jenifer Rodriguez-Castro, source=Web Response