EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY
Aim. To assess the efficacy of physical cardiorehabilitation in patients with acute coronary syndrome non-ST-elevation (NSTEACS) and percutaneous coronary intervention (PCI) on infarction-relevant artery.Material and methods. To the prospective study, 35 patients included — mean age ...
Main Authors: | , , , , , |
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Format: | Article |
Language: | Russian |
Published: |
«SILICEA-POLIGRAF» LLC
2017-02-01
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Series: | Кардиоваскулярная терапия и профилактика |
Subjects: | |
Online Access: | https://cardiovascular.elpub.ru/jour/article/view/564 |
Summary: | Aim. To assess the efficacy of physical cardiorehabilitation in patients with acute coronary syndrome non-ST-elevation (NSTEACS) and percutaneous coronary intervention (PCI) on infarction-relevant artery.Material and methods. To the prospective study, 35 patients included — mean age 57,9±9,7 y.o.; 78% males, 22% females after NSTEACS with urgent PCI on symptom-dependent artery and noncomplicated post-surgery period. Time of inclusion into the study was 2-8 weeks after ACS onset. At 1 and 12 weeks of cardiorehabilitation programs there was functional (echocardiography, electrocardiography, exercise testing) and laboratory diagnostics (lipids and chemistry). For 12 weeks the participants visited 3 times per weeks the standard cardorehabilitation trainings.Results. After the cardiorehabilitation course, in patients we found decreae of total cholesterol from 4,4±1,4 to 3,9±1,1 (р=0,02); low density lipoproteides level from 2,6±1,1 to 2,1±0,7 (р=0,002); significant increase of high density lipoproteides from 0,9±0,3 to 1,2±0,4 min (р<0,001) and left ventricle ejection fraction from 55±8,3% to 60,6±8,2% (p<0,001). Significant decrease of the resting heartrate (HR) from 72,9±10,3 bpm to 67,9±6 bpm (р=0,04); mean time of the HR recovery from 4,1±1,2 min to 3,8±1 min (р=0,03) and blood pressure from 4,2±1,1 min to 3,8±1 min (р=0,013) after exercise testing; significant increase of exercise tolerance to physical exertion from 4,0±1,5 МЕТ to 5,0±1,7 МЕТ (p<0,001) and time of test from 5,0±1,9 min to 6,7±2 min (p<0,001).Concusion. 12-week program of cardiorehabilitation leads to significant normalization of carbohydrate and lipid metabolisms, helps to increase exercise tolerance and significantly recovers the hemodynamical parameters of circulation. |
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ISSN: | 1728-8800 2619-0125 |