# Comprehensive Physiotherapy Approach for Pneumonia After Angioplasty in an 83-Year-Old Hypertensive Male Patient: A Case Report

**Authors:** Sojwal P Nandanwar, Lajwanti Lalwani, Priyanka K Chilhate

PMC · DOI: 10.7759/cureus.55454 · Cureus · 2024-03-03

## TL;DR

This case report describes the successful use of physiotherapy to treat pneumonia in an elderly man after angioplasty.

## Contribution

The paper highlights a comprehensive physiotherapy approach tailored for pneumonia recovery post-angioplasty in an elderly patient.

## Key findings

- The patient's pneumonia was managed with medications and cardio-respiratory physiotherapy.
- Physiotherapy included chest vibrations, suctioning, and mobility exercises before and after extubation.
- Outcome measures like ICU mobility scale and CURB-65 score were used to track progress.

## Abstract

Pneumonia is an infection that causes inflammation in the air sacs of the lungs. Coronary artery disease is a condition characterized by the buildup of plaque in the coronary arteries, which supply blood to the heart. This obstruction restricts blood flow, resulting in chest pain (angina) and, in extreme cases, heart attacks. An important part of successfully treating diseases like peripheral artery disease and coronary artery disease is balloon angioplasty, a commonly used medical procedure for treating narrowed or clogged arteries. An 83-year-old man who had pneumonia after angioplasty was the subject of this case study. The patient had pneumonia after angioplasty, which was managed by proper medications and cardio-respiratory physiotherapy. The patient was intubated and referred for cardio-respiratory physiotherapy. Physiotherapy treatments like mild chest vibrations, suctioning, and bed mobility exercises were given initially. After extubation, physiotherapy treatment continued with deep breathing exercises, coughing techniques, relaxation techniques, and mobility exercises for the upper limbs and lower limbs. Effective physical rehabilitation was necessary in order to minimize complications following angioplasty and allow him to resume his daily activities. Several outcome measures, like the ICU mobility scale, CURB-65 score, and chest X-ray grading scores, were used to monitor the patient's progress during rehabilitation. The benefits of pulmonary rehabilitation programs emphasize the need for tailored approaches in addressing individual patient needs for comprehensive recovery.

## Linked entities

- **Diseases:** pneumonia (MONDO:0005249), coronary artery disease (MONDO:0005010)

## Full-text entities

- **Diseases:** Coronary artery disease (MESH:D003324), peripheral artery disease (MESH:D058729), infection (MESH:D007239), heart attacks (MESH:D009203), Hypertensive (MESH:D006973), angina (MESH:D000787), inflammation (MESH:D007249), chest vibrations (MESH:D013898), Pneumonia (MESH:D011014), chest pain (MESH:D002637)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10988022/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC10988022/full.md

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Source: https://tomesphere.com/paper/PMC10988022