Rehabilitasi Fisioterapi untuk Akselerasi Pemulihan Pasien STEMI Anteroseptal CAD 1 VD Pasca Pemasangan DES Proksimal LAD TIMI Flow III di RSUD Dr.Moewardi Surakarta: Case Report
DOI:
https://doi.org/10.55606/jpmi.v5i2.7010Keywords:
Cardiac Rehabilitation, Coronary Heart Disease, Left Anterior Descending, PPCI, STEMIAbstract
Coronary heart disease (CAD) remains a leading cause of death and disability worldwide. One of its most severe manifestations is ST-Elevation Myocardial Infarction (STEMI), particularly in the anteroseptal region, which is commonly caused by occlusion of the Left Anterior Descending (LAD) artery. Although reperfusion procedures such as Primary Percutaneous Coronary Intervention (PPCI) and Drug-Eluting Stent (DES) placement are effective in reducing mortality and restoring coronary blood flow, many patients still experience reduced functional capacity, impaired cardiac function, and decreased quality of life after treatment. These conditions highlight the importance of comprehensive and continuous rehabilitation following medical intervention. A structured physiotherapy approach based on the FITT (Frequency, Intensity, Time, Type) principle can be applied to support recovery and improve patient outcomes. This approach includes breathing exercises, walking training, and home-based exercise programs aimed at improving VO₂max, increasing functional capacity, enhancing cardiovascular endurance, and ultimately improving the overall quality of life in post-STEMI patients.
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Adam, C. A., Erskine, J., Akinci, B., Kambic, T., Conte, E., Manno, G., Halasz, G., Sileikiene, V., Fogacci, F., & Perone, F. (2025). Exercise training and cardiac rehabilitation in patients after percutaneous coronary intervention: Comprehensive assessment and prescription. Journal of Clinical Medicine, 14(5). https://doi.org/10.3390/jcm14051607
Brown, T. M., Pack, Q. R., Aberegg, E., Brewer, L. C., Ford, Y. R., Forman, D. E., Gathright, E. C., Khadanga, S., Ozemek, C., & Thomas, R. J. (2024). 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, 150(18), e328–e347. https://doi.org/10.1161/CIR.0000000000001289
Delimanoli, E., Muurlink, O., Myrianthefs, P., & Korompeli, A. (2024). Cardiac rehabilitation after open heart surgery: A narrative systematic review. Journal of Cardiovascular Development and Disease, 11(11). https://doi.org/10.3390/jcdd11110376
Dibben, G. O., Faulkner, J., Oldridge, N., Rees, K., Thompson, D. R., Zwisler, A. D., & Taylor, R. S. (2023). Exercise-based cardiac rehabilitation for coronary heart disease: A meta-analysis. European Heart Journal, 44(6), 452–469. https://doi.org/10.1093/eurheartj/ehac747
Furqony, I. Y., Supriadi, A., & Susilo, R. A. (2025). Peran fisioterapi terhadap rehabilitasi jantung pada kasus post PPCI et causa CAD 1VD: Case report. Jurnal Fisioterapi. https://doi.org/10.24127/fisioterapi.v4i2.8410
Grochulska, A., Bryndal, A., & Glowinski, S. (2025). The impact of early rehabilitation program on exercise tolerance in post-myocardial infarction patients: A 5-week intervention study. BMC Cardiovascular Disorders, 25(1). https://doi.org/10.1186/s12872-025-04988-y
Hua, C., Huang, W., Chen, Z., Cao, D., Jia, J., Chen, X., Yang, J., & Zhang, L. (2024). Effects of exercise-based cardiac rehabilitation delivery modes on chronic heart failure: A systematic review and network meta-analysis. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-82608-z
Hussain, M., Kumar, R., Ammar, A., Alishan, S., Muhammad, A. S., Farooq, F., Saghir, T., Khan, N., Hassan Rizvi, S. N., & Ashraf, T. (2020). Frequency of thrombolysis in myocardial infarction III flow in patients with primary percutaneous coronary intervention: Not all culprit vessels are completely occluded in ST elevation myocardial infarction. Cureus. https://doi.org/10.7759/cureus.12036
Itoh, H., Amiya, E., Jimba, T., Shimbo, M., Narita, K., Taya, M., Kadokami, T., Yasu, T., Oka, H., Sogawa, M., Yokoi, H., Mizutani, K., Miura, S., Tokeshi, T., Date, A., Noma, T., Kutsuzawa, D., Usui, S., Sugawara, S., … Kimura, Y. (2024). Efficacy and safety of remote cardiac rehabilitation in the recovery phase of cardiovascular diseases (RecRCR study): A multicenter, nonrandomized, and interventional trial in Japan. IJC Heart & Vasculature, 52. https://doi.org/10.1016/j.ijcha.2024.101421
Lawton, J. S., Tamis-Holland, J. E., Bangalore, S., Bates, E. R., Beckie, T. M., Bischoff, J. M., Bittl, J. A., Cohen, M. G., Dimaio, J. M., Don, C. W., Fremes, S. E., Gaudino, M. F., Goldberger, Z. D., Grant, M. C., Jaswal, J. B., Kurlansky, P. A., Mehran, R., Metkus, T. S., Nnacheta, L. C., … Zwischenberger, B. A. (2022). 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. https://doi.org/10.1161/CIR.0000000000001038
Mahmood, A., Ray, R., Bin Salam, S. S. T., Haque, F., Akkaldevi, J., Masmoum, M. D., Hassan, M. S., Essani, B., Anjum, T., & Mirza, M. S. S. (2024). The effectiveness of cardiac rehabilitation programs in improving cardiovascular outcomes: Systematic review and meta-analysis. Cureus. https://doi.org/10.7759/cureus.72450
Mammadova, N., Soukup, J., Shkodivskyi, P., Gudowski, C., Ahmed, A., & Pliquett, R. U. (2022). A patient with severe metformin-associated lactic acidosis complicated by acute coronary syndrome: A case report. BMC Nephrology, 23(1). https://doi.org/10.1186/s12882-022-02781-z
Miftahurrizqia, E., & Rahman, F. (2024). High intensity interval training for patients with hypertension: A scoping review. Holistik Jurnal Kesehatan, 18(6), 711–723. https://doi.org/10.33024/hjk.v18i6.280
Nurhayati, K. I., Herawati, I., & Pratama, I. P. A. (2024). Manajemen fisioterapi pada post PCI et causa CAD 3VD: Studi kasus.
Putri, D. O., Hermawati, H., & Haq, R. K. (2023). Penerapan relaksasi Benson untuk menurunkan fatigue pada pasien coronary artery disease RSUD Dr. Moewardi Surakarta. Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 1(4), 95–108. https://doi.org/10.55606/termometer.v1i4.2396
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