Issue 3-21, 2022

Original article

https://doi.org/10.38025/2078-1962-2022-21-3-96-107

The Use of Enhanced External Counterpulsation in Complex Medical Rehabilitation of Stable Coronary Heart Disease in Patients Permanently Residing in Humid Subtropics

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1 ORCIDAnna V. Shmaliy, 2 ORCIDAndrey V. Chernyshev, 1 ORCIDAram F. Khechumyan, 2 ORCIDAnatoliy T. Bykov, 1,2 ORCIDLeonid S. Khodasevich

1 Research Centre of Balneology and Rehabilitation, Branch of the Federal Research and Clinical Centre of Medical Rehabilitation and Balneology, Sochi, Russian Federation
2 Kuban State Medical University, Krasnodar, Russian Federation


ABSTRACT

Enhanced external counterpulsation (EECP) has taken a worthy place among other methods in the complex treatment andrehabilitation of patients with cardiovascular pathology. Its use in outpatient and sanatorium-clinical practice significantly expands theprospect of treatment and improvement of prognosis in a wide range of patients with multifocal atherosclerosis.Aim. To study the effect of the EECP method in the complex medical rehabilitation of stable forms of coronary heart disease (CHD) inpatients permanently residing in the resort city of Sochi.Material and methods. The study included 60 patients with CHD (FC II – 23, FC III – 29, FC IV – 8) living in the resort city of Sochi.Patients were randomized into intervention and control groups, in which there were no significant differences between clinical andanthropometric parameters. All of them received basic drug therapy, a complex of climatotherapeutic non-drug effects and attendedthe Coronary Club, a public health school for patients with СHD. Additional outpatient courses of EECP were conducted in the formof 35 one-hour sessions daily, 5 days a week, a full course for 7 weeks for each patient of the intervention group on basis. Initially andafter the end of the rehabilitation course, the patients of both groups underwent electrocardiography (ECG), bifunctional daily ECG andblood pressure monitoring, Doppler echocardiography, ultrasound duplex scanning of brachycephalic vessels and lower limb vessels,exercise test on cycle ergometer, six-minute walking test, as well as physical activity level determination using IPAQ questionnaire andpsychodiagnostic testing.Results and discussion. When comparing the data, patients in the intervention group showed a significant reduction in angina attacksand nitroglycerine use, stabilization of central haemodynamic parameters, increased exercise tolerance and improved subjective“quality of life” indicators.Conclusion. The data obtained confirm the experience accumulated in the world medical practice of the effective clinical impact of theEECP method in the treatment of patients with chronic coronary syndromes in outpatient treatment, including in conditions of humidsubtropical climate. Therefore, its inclusion in the programs of complex sanatorium-resort rehabilitation of patients with stable formsof CHD is justified and promising.


KEYWORDS: enhanced external counterpulsation, coronary heart disease, humid subtropics, medical rehabilitation

FOR CITATION: Shmaliy A.V., Chernyshev A.V., Khechumyan A.F., Bykov A.T., Khodasevich L.S. The Use of Enhanced External Counterpulsation in Complex Medical Rehabilitation of Stable Coronary Heart Disease in Patients Permanently Residing in Humid Subtropics. Bulletin of Rehabilitation Medicine. 2022; 21 (3): 96-107. https://doi.org/10.38025/2078-1962-2022-21-3-96-107


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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.