Issue №3-21, 2022

Drug-Free Therapy of Lipid Metabolism in Patients with Cardiovascular Pathology, after COVID-19, in Course of Aftertreatment (Rehabilitation) in Sanatorium Conditions

^1,2 Natalya G. Kulikova, ³ Vera S. Vinzhegina, ² Tinatin B. Chkheidze, ² Anna A. Kolodeznikova, ² Albina S. Tkachenko

¹ National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
² Peoples’ Friendship University of Russia, Moscow, Russian Federation
³ Rehabilitation Sanatorium Victoria, Cherkizovo, Moscow Region, Russian Federation

ABSTRACT

COVID-19 has seen a rise in cardiovascular diseases (CVD). Treatment (rehabilitation) of COVID-19 survivors is one of the most difficulttasks, and non-drug correction of lipid metabolism in COVID-19 survivors is complicated by the low level of research on this issue.Aim. To conduct a comparative assessment of lipid metabolism and to estimate the efficacy of COVID-19 patients at the stages ofrehabilitation in a sanatorium.Material and methods. The study enrolled 117 patients with CVD and after endovascular treatment (EV) who underwent COVID-19 forthe last 6 months. Three groups for non-drug treatment with intranasal B1 electrophoresis and low-intensity infrared laser irradiation(LILI) were formed in patients with CVD who underwent COVID-19.Results and discussion. A significant increase in total cholesterol (TC) and triglycerides (TG) was found in 75.5% of patients afterCOVID-19, which was reflected in the electrocardiogram (ECG) in the form of right ventricular (RV) overstress. In addition to drugtherapy, a combination of intranasal drug electrophoresis B1 and low-intensity infrared laser radiation (LILI) in pulsed mode (l=904nm, power (PM) – 8-10 W/cm2, pulse duration 100-150 ns, frequency 80- 10000 Hz) on projection zones of the liver (angle of the 9thintercostal space in front/right and behind/right 5 minutes each) with special physical exercises can become as a method of additionallipid-correcting action. Lipidogram values in patients with IBI, HD and MI differ significantly, with the prevalence of total cholesterollevels, especially in patients with CAD and MI after a history of covid-infection, demonstrating the negative impact of viral infection onmetabolic processes. Physiotherapeutic treatment in sanatoriums helped to eliminate lipid-vascular shifts – potential risks of thromboticcomplications.Conclusion. Lipid metabolism correction in patients with CVD after COVID-19 allows reducing the risk of complications of theunderlying disease and increasing the efficiency at the stage of recovery (rehabilitation) in a sanatorium.

KEYWORDS: cardiovascular pathology, follow-up treatment, sanatorium conditions, COVID-19

For citation: Kulikova N.G., Vinzhegina V.S., Chkheidze T.B., Kolodeznikova A.A., Tkachenko A.S. Drug-Free Therapy of Lipid Metabolism in Patients with Cardiovascular Pathology, after COVID-19, in Course of Aftertreatment (Rehabilitation) in Sanatorium Conditions. Bulletin of Rehabilitation Medicine. 2022; 21 (3): 36-44. https://doi.org/10.38025/2078-1962-2022-21-3-36-44

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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.