Objectives: The aim of the study was to evaluate the safety, effectiveness and clinical problems during post-stroke model of rehabilitation patients with the history of heart transplantation.
We conducted a retrospective observational case study of 3 patients with left side paresis after first-life ischemic strokeand with the history of heart transplantation.
Our 31 days model of rehabilitation was conducted as an intensive interval of 3-5 (10 min long exercises) with gradually increasing time of trainings (from 120 to 180 min/ per day 6 days per week), physical therapy (10-20 min/day) and psychological therapy (30-60 min/day). The results were estimated in several scales: Barthel index, Rankin scale, Rivermead Motor Assessment, The National Institutes of Health Stroke Scale, Mini–Mental State Examination, Geriatric Depression scale. Moreover, the monitoring of heart rate (before and after training) and other clinical parameters were carried out.
As a result of comprehensive rehabilitation, functional status improvement was observed in all estimated scales. The highest differences (admission vs discharge) were reported in Barthel index 3.3 vs 13.7 and National Institutes of Health Stroke Scale 13.7 vs 7.7 . Main clinical problems were: heart rate (the mean value 94/min after training), depression (18.3 vs 7.0) and cognitive impairment (21.6 vs 26.7).
In the case of patients with the history of heart transplantation despite the tachycardia gradually increasing physical effort was tolerated. Early post stroke rehabilitation may achieve significant improvement in functional status.