Early cardiac rehabilitation after heart transplantation in a patient with limb-girdle muscular dystrophy: A case report

Rationale: Cardiac rehabilitation (CR) after heart transplantation (HT) decreases the mortality rate and increases exercise capacity of patients. Dilated cardiomyopathy develops in most patients with muscular dystrophy (MD), leading to advanced heart failure, necessitating the use of left ventricular assist devices or HT. As the clinical outcomes of left ventricular assist devices and HT in patients with myopathy differ from those in patients without myopathy, CR adapted to patients with MD should be considered. Patient concerns: A 39-year-old man with limb-girdle muscular dystrophy developed dilated cardiomyopathy and underwent HT. Diagnosis: The patient was diagnosed as having limb-girdle muscular dystrophy in 1997. Intervention: Early CR was performed based on the patient's physical condition and ability. Outcomes: With chest physiology, aerobic, and resistance exercises, the patient was able to walk using a walker 28 days after HT. This is important because his lower-extremity strength and walking ability were, to some extent, maintained after surgery. Lessons: Since an increasing number of patients with MD are undergoing HT, specific CR programs for these patients should be discussed.