Clinical efficacy in the restored period of recovery treatment of patients with ischemic heart disease after surgical revascularization of patients
DOI:
https://doi.org/10.11603/2414-4533.2017.4.8313Keywords:
ischemic heart disease, surgical revascularization of myocardial disorders, delay results, renewal treatment.Abstract
The aim of the work – to examine the clinical efficacy of the remote period of the sanatorium stage of rehabilitation of patients with coronary heart disease after surgical myocardium revascularization.
Materials and Methods. 151 patients with coronary heart disease after surgical myocardium revascularization (SMR) were examined. 111 patients in the main group received renewal treatment. The course of treatment was 21 days, after which recommendations for lifestyle modification were provided. Patients in the comparison group (40 people) did not receive rehabilitation treatment. Long-term results were studied according to the outpatient card data of patients (myocardial infarction for 12 months after SMR, the number of hospitalizations on IHD complications, and the number of angina attacks), all non-invasive studies were performed in all patients, which included ECG, echocardioscopy. With the purpose of diagnosing lesions of the coronary tract, patients with a positive breakdown on bicycle ergometer (ВEM) underwent coronary angiography.
Results and Discussion. According to ВEM, in 7.5 % of patients who did not undergo a renewal treatment, signs of myocardial ischemia were detected in 1.5 % of patients in the main group. The number of attacks of angina, which resulted in a repeated procedure for revascularization (percutaneous coronary intervention), was found in 3 (2.7 %) patients in the main group, while in the comparison group it was more likely that 5 (12.5 %) of patients (p <0.05).
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