Issue №3-91, 2019
The dynamics of tolerance to physical activity in evaluating the effectiveness of programs of rehabilitation of patients with acute coronary syndrome at the outdoor stage
1 Dovgalyuk Y.V., 1 Mishina I.E., 1 Chistyakova Y.V.
1 Ivanovo State Medical Academy of the Ministry of Health of Russia, Ivanovo, Russia
ABSTRACT
The article is devoted to the study of the dynamics of tolerance to physical activity of patients who have undergone aprogram of physical rehabilitation after acute coronary syndrome in a day cardiorehabilitation hospital. The results of thestudy showed that a significant part of cardiac patients before admission to the hospital had reduced exercise tolerance,there was a restriction of daily household activity, more than half of the patients had angina attacks during exercise. By theend of the course of rehabilitation in most patients significantly increased exercise tolerance, which was expressed in improvingthe subjective tolerability of physical activity, increasing the performance of stress testing, reducing the frequencyof stress-induced angina, increasing the total amount of household load performed by patients.
KEYWORDS: cardiological rehabilitation, acute coronary syndrome, outpatient rehabilitation, tolerance to physical activity, physical performance, exercise testing.
References:
- Bubnova M.G., Aronov D.M. Ivanova G.E. i dr. Pilotnyj proekt «Razvitie sistemy reabilitacii bol’nyh s serdechno-sosudistymi zabolevaniyami v lechebnyh uchrezhdeniyah sub”ektov Rossijskoj Federacii». Rezul’taty trekhletnego nablyudeniya // Vestnik vosstanovitel’noj mediciny. - 2016. - № 4 (74). - S. 2-11.
- Vatutin N.T., Smirnova A.S., Gasendich E.S., Tov I.V. Sovremennyj vzglyad na kardiopul’monal’noe nagruzochnoe testirovanie (obzor rekomendacij EACPR/AHA, 2016). Arhiv” vnutrennej mediciny. 2017. - №7(1). - S. 5-14. Gal’ceva N.V. Reabilitaciya v kardiologii i kardiohirurgii // Klinicist. - 2015. - № 2. - S. 13-22.
- Gal’ceva N.V. Reabilitaciya v kardiologii i kardiohirurgii // Klinicist. - 2015. - № 2. - S. 13-22.
- Gloc D.D., Novak Z. Vliyanie velotrenirovok v pomeshchenii na parametry gemodinamiki levogo zheludochka muzhchin s ishemicheskoj bolezn’yu serdca i posle infarkta miokarda // Rossijskij kardiologicheskij zhurnal. - 2017. - № 3 (143). - S. 46-53.
- Ivanova G.E., Aronov D.M., Bubnova M.G. i dr. Pilotnyj proekt «Razvitie sistemy medicinskoj reabilitacii v Rossijskoj Federacii». Sistemy kontrolya i monitorirovaniya effektivnosti medicinskoj reabilitacii pri ostrom infarkte miokarda // Vestnik Ivanovskoj medicinskoj akademii. - 2016. - T. 21, № 1. - S. 15-18.
- Novye podhody k reabilitacii i vtorichnoj profilaktike u bol’nyh, perenesshih ostryj infarkt miokarda s pod”emom segmenta ST elektrokardiogrammy / pod red. D.M. Aronov, M.G. Bubnova. - izd.: Obshcherossijskaya obshchestvennaya organizaciya «Obshchestvo specialistov po serdechnoj nedostatochnosti», - T.55. - M.: Zhurnal Kardiologiya, 2015. - 125-132 s.
- Osnovnye principy kardioreabilitacii pacientov, perenesshih infarkt miokarda s pod”emom segmenta ST (v sootvetstvii s proektom rekomendacij Rossijskogo obshchestva kardiosomaticheskoj reabilitacii i vtorichnoj profilaktiki i Rossijskogo kardiologicheskogo obshchestva) / pod red. A.A. Gil’manov, S.D. Mayanskaya // ZHurnal mezhdunarodnoj mediciny, 2015. - 86 s.
- Soderzhanie i pervye rezul’taty reabilitacii kardiologicheskih bol’nyh v klinike / A. E. Baklushin, I. E. Mishina, S. V. Romanchuk i dr. // Vestnik vosstanovitel’noj mediciny. - 2014. - № 6. - S.43-46.
- Guazzi M, Arena R, Halle M, Piepoli MF, Myers J, Lavie CJ. 2016 Focused Update: Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations.Circulation.133 (24), e694/711, 2016
- Hltaky M.A., Boineau R.E. et al. A brief self-administered questionnaire to determine functional capacity (The Duke Activity Status Index). Am J Cardio. 1989; 64: 651-654.
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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.