Peningkatan Kapasitas Aerobik Melalui Latihan Aerobik pada Pasien Congestive Heart Failure Post AVR dengan Six Minute Walking Test Evaluation: Studi Kasus

Muhammad Rafi Ammar, Farid Rahman, Kadek Agustini Aryani

Abstract


Patients with congestive heart failure (CHF) after aortic valve replacement (AVR) often experience a decline in aerobic capacity even though heart pump function shows improvement. Structured aerobic exercise is thought to optimize cardiovascular adaptation and accelerate functional recovery after surgery. This case report aims to evaluate the effectiveness of a combination of walking exercise and static bicycle exercise in improving functional capacity in patients with Functional Class II CHF after AVR, as assessed using the Six Minute Walking Test. A 56-year-old man underwent 12 sessions of phase II cardiac rehabilitation over four weeks. All exercise sessions were stable with no signs of intolerance. This intervention proved to be safe and effective in improving aerobic capacity, cardiovascular efficiency, and overall physical function. A simple, structured, and easy-to-implement exercise program can provide significant clinical benefits to CHF patients after AVR.

Keywords


Heart Failure, Cardiac Rehabilitation, Aortic Valve, Exercise Therapy, Six-Minute Walk Test.

Full Text:

PDF

References


Sousa Nunes F, et al. Reverse left ventricular remodeling after aortic valve replacement for aortic stenosis: a systematic review and meta-analysis. Front Cardiovasc Med. 2024;11:1407566. https://doi.org/10.3389/fcvm.2024.1407566

Zhang MK, Li LN, Xue H, Tang XJ, Sun H, Wu QY. Left ventricle reverse remodeling in chronic aortic regurgitation patients with dilated ventricle after aortic valve replacement. J Cardiothorac Surg. 2022;17(1):1–7. https://doi.org/10.1186/s13019-022-01754-5

Treibel TA, et al. Reverse myocardial remodeling following valve replacement in patients with aortic stenosis. J Am Coll Cardiol. 2018;71(8):860–871. https://doi.org/10.1016/j.jacc.2017.12.035

Gunawan A, Hidayat N, Siti Rahmah S. Implementation of deep breath relaxation techniques as an effort to overcome shortness of breath in congestive heart failure patients. J VNUS (Vocational Nurs Sci). 2023;5(2):74–82. https://doi.org/10.52221/jvnus.v5i2.338

Prokopidis K, et al. Exercise capacity in heart failure: a systematic review and meta-analysis of HFrEF and HFpEF disparities in VO2peak and 6-minute walking distance. Eur Heart J Open. 2025;5(3):1–10. https://doi.org/10.1093/ehjopen/oeaf055

Nurjannah S, Syam Y, Yusuf S, Latif AI, Yahya S. The effectiveness of aerobic training (walking) on the functional capacity of heart failure (HF) patients: a systematic review. Sys Rev Pharm. 2022;13(4):273–278. https://doi.org/10.31858/0975-8453.13.4.273-278

American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. 6th ed. Human Kinetics; 2021.

Vetrovsky T, et al. Lifestyle walking intervention for patients with heart failure with reduced ejection fraction: the WATCHFUL trial. Circulation. 2024;149(3):177–188. https://doi.org/10.1161/CIRCULATIONAHA.123.067395

von Haehling S, et al. Improving exercise capacity and quality of life using non-invasive heart failure treatments: evidence from clinical trials. Eur J Heart Fail. 2021;23(1):92–113. https://doi.org/10.1002/ejhf.1838

Brown TM, et al. Core components of cardiac rehabilitation programs: 2024 update: a scientific statement from the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2024;150(18):e328–e347. https://doi.org/10.1161/CIR.0000000000001289

Anderson L, et al. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. J Am Coll Cardiol. 2016;67(1):1–12. https://doi.org/10.1016/j.jacc.2015.10.044




DOI: https://doi.org/10.52643/jbik.v16i3.8514

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Jurnal Bidang Ilmu Kesehatan

Flag Counter