Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2024 > Vol 5, №2 (2024) > Clinical case of medical rehabilitation of the patient with dilated cardiomyopathy

Clinical case of medical rehabilitation of the patient with dilated cardiomyopathy

Anastasia N. Grashchenkova , Liliya B. Chepkasova , Sergey N. Puzin , Olga T. Bogova , Lyudmila V. Ivanova

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Abstract

The paper provides a clinical case of physical and medical rehabilitation of patient D born in 1963. Principal diagnosis established in 2018 according to ICD-10: I42.0 dilated cardiomyopathy. Laboratory testing revealed DNA of herpes virus 6 (HHV6), positive test for cytomegalovirus (CMV) DNA, 6.0×102 copies/mL, positive test for the Epstein–Barr virus (EBV) DNA, 7.2×103 copies/mL. In April 2018, the patient underwent successful surgery, implantation of the biventricular bypass system supplemented by membrane oxygenation. Physical rehabilitation was performed that yielded positive results. 
Keywords: medical rehabilitation, physical rehabilitation, patient, laboratory data, herpes virus DNA, cytomegalovirus DNA, Epstein–Barr virus DNA, dilated cardiomyopathy, heart transplant, implanted left ventricular bypass, temporary mechanical circulatory support.

About the Author

Anastasia N. Grashchenkova 1 , Liliya B. Chepkasova 1 , Sergey N. Puzin 2 , Olga T. Bogova 3 , Lyudmila V. Ivanova 1

1 Center for Regenerative Medicine and Rehabilitation "Berezovaia roshcha", Afanasovo, Moscow Oblast, Russia;

2 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia; Federal Scientific and Clinical Center for Reanimatology and Rehabilitation, Lytkino, Moscow Oblast, Russia

3 Russian Medical Academy of Continuous Professional Education, Moscow, Russia;

References

1. Heymans S, Lakdawala NK, Tschöpe C, Klingel K. Dilated cardiomy-opathy: causes, mechanisms, and current and future treatment approaches. Lancet 2023;402(10406):998-1011. DOI: 10.1016/S01406736(23)01241-2. PMID: 37716772.
2. Gainetdinova DD, Novoselova AA. Modern possibilities for diagnosing and treating Duchenne muscular dystrophy. Kazan Medical Journal 2020;101(4):530-7. DOI: 10.17816/KMJ2020-530
3. Buin A, Gretto PA, Wehbe M et al. Persistence of enterovirus in heart cells of patients with idiopathic dilated cardiomyopathy is associated with with viral populations removed using 5'-terminal genomic RNA, with the activity of proteinases encoded by the virus. Blood Circulation
2019;139:2326-38. DOI: 10.1161/Circulationaha.118.035966
4. Grashchenkova AN, Puzin SN, Bogova OT et al. The rehabilitation, health path, mechanotherapy in recuperation of functional reserves of organization. Problems of social hygiene, public health and history of medicine 2022;30(1):107-11.
5. Grashchenkova AN, Chepkasova LV, Puzin SN et al. Application of the David Back Concept mechanotherapy method in patients who have suffered a myocardial infarction. Problems of social hygiene, healthcare and history of medicine 2022;30(3):494-8.
6. Puzin SN, Shurgaya MA, Chandirli SA et al. Aspects of medical and social rehabilitation of patients with hypertension. Medical and social expertise and rehabilitation 2014;(1):10-5.
7. Puzin SN, Bogova OT, Odebaeva R et al. Rehabilitation of patients with coronary heart disease. Bulletin of the All-Russian Society of Specialists in medical and social expertise, rehabilitation and rehabilitation industry 2014;(2):6-9.
8. Gasita AM, Pakelvartz MJ, McNally EM. Modeling of human dilated cardiomyopathy using humans. JAC

For citation:Grashchenkova A.N., Chepkasova L.B., Puzin S.N., Bogova O.T., Ivanova L.V. Clinical case of medical rehabilitation of the patient with dilated cardiomyopathy. Clinical analysis in general medicine. 2024; 5 (2): 57–63 (In Russ.). DOI: 10.47407/kr2023.5.2.00389


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