Features of the functional state of patients with acute coronary pathology and the influence on them of the level of physical rehabilitation at the discharge moment

Author(s):  V.P. Mikhin, Dr., Prof., Kursk state medical university, Kursk, Russia, kurskmed@mail.ru

V.N. Korobova, Kursk state medical university, Kursk, Russia, viktoria.korobova@mail.ru

A.V. Kharchenko, candidate of Sciences, associate Professor, Kursk state medical university, Kursk, Russia, laboratory@nacpp.ru

M.A. Chernjatina, candidate of Sciences, associate Professor, Kursk state medical university, Kursk, Russia

N.I. Gromnackiу, Dr., Prof., Kursk state medical university, Kursk, Russia

A.A. Spasskiy, Dr., Prof., National agency of clinical pharmacology and pharmacy, Moscow, Russia

A.B. Kayushnikov, National agency of clinical pharmacology and pharmacy, Moscow, Russia

S.M. Ledovskiy, National agency of clinical pharmacology and pharmacy, Moscow, Russia

Issue:  Volume 41, № 3

Rubric:  Clinical Medicine

Annotation:  Cardiac rehabilitation of patients with acute coronary pathology is one of the most important tasks of modern cardiology, because mortality and disability rates of this category of patients continue to be high. The purpose of this work was to study the parameters of the functional state of the organism and their relationships with the level of physical activity in patients with unstable angina and acute myocardial infarction in the process of hospital and post-hospital rehabilitation. The study was involved 197 patients admitted with a diagnosis acute coronary syndrome. To assess of the characteristics of rehabilitation, the functional state of the patient's organism was determined using the “Dinamika-Omega-M” hardware and software complex for the 3rd, 8th, and 14th days of hospital stay and after 6 and 12 months. The physical activity of the patients was assessed at the time of discharge by means of a 6-minute walking test and a Borg scale. As a result, it was found that between patients with unstable angina and acute myocardial infarction there are significant differences from 3 days to 6 months in a number of parameters of the functional state. The level of physical activity of patients with acute coronary pathology has a significant correlation with the indicators of the functional state at all stages of observation, which can be used to develop prognostic criteria for assessing the course of the rehabilitation period in patients with unstable angina and acute myocardial infarction

Keywords:  acute coronary pathology, unstable angina, acute myocardial infarction, cardiac rehabiblitation, Borg scale, functional state, hardware-software complex "Dynamics-Omega-M"

Full text (PDF):  Download

Downloads count:  349