Affiliation:
1. Krasnoyarsk Science Center of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”
2. Moscow Research Center for Medical Rehabilitation, Restorative and Sports Medicine of Moscow Health Department
Abstract
Introduction. The high morbidity and mortality from heart disease determines the relevance of improving the methods of treatment and rehabilitation for this pathology. However, many issues of long-term complex use of balneohydrotherapy and preformed physical factors in this disease have not been studied enough. Aim. To study the possibilities of long-term complex use of general fresh baths and amplipulse therapy in the rehabilitation treatment of patients with coronary heart disease with stable angina. functional class II. Materials and methods. A prospective single-center controlled randomized study was carried out. 107 people were under observation: male patients with CHD with stable angina pectoris FC II, disease duration from 5 to 10 years. The study participants were divided into three age-matched groups (mean age 50 ± 2 years): 1) were prescribed fresh baths and amplipulse therapy (effect on the heart area) according to the generally accepted method, while physical factors were prescribed every other day, and the duration of treatment was 1 month; 2) were prescribed fresh baths and amplipulse therapy according to the same method for a duration of treatment of 3 months; 3) control – fresh baths and therapeutic exercises were prescribed for 1 month. Rehabilitation was carried out against the background of drug therapy. The evaluation of the results was carried out by functional methods: 24-hour Holter ECG monitoring, spiroergometry, exercise test. Results. Analysis of the results of the exercise test (bicycle ergometry, spiroergometry) showed that long-term complex use of fresh baths and amplipulse therapy in CHD patients provided a more pronounced training effect and an increase in the coronary heart reserve than a monthly course of fresh baths and amplipulse therapy or fresh baths and therapeutic exercises. The training effect of long-term complex use of fresh baths and amplipulse therapy leads to an increase in the level of physical performance, coronary reserve of the heart, a decrease in myocardial ischemia and an average number of ventricular (1-3 class according to B. Lown) and supraventricular arrhythmias (extrasystoles) per day. 24-hour Holter ECG monitoring confirms these data. Conclusion. Long-term complex use of fresh baths and amplipulse therapy allows to increase the efficiency of rehabilitation treatment in CHD patients.
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