RESULTS OF IMPLEMENTATION OF THE INNOVATIVE PROGRAM OF CARDIOREHABILITATION IN PATIENTS WITH MYOCARDIAL INFARCTION WITH COMORBID PATHOLOGY
DOI:
https://doi.org/10.11603/1681-2786.2019.1.10277Keywords:
myocardial infarction, cardio-rehabilitation, comorbid pathology, mathematical model of the reaction of the cardiovascular systemAbstract
Purpose: to analyze the effectiveness of the innovative cardio-rehabilitation program (CRP) for patients with myocardial infarction (MI) with comorbid pathology (CP).
Materials and Methods. The results of the survey of 371 patients with MI with CP, who were rehabilitated according to the traditional scheme (TSC) and the innovative model (IM) with the use of the "Diary of Rehabilitation" and the mathematical model of the reaction of the cardiovascular system (MMCVS), were generalized.
Results and Discussion. Innovative CRP for patients with MI with CP was more effective compared with the traditional one. Thus, at the stationary stage of rehabilitation, under the influence of IM, 87.9 % of patients with MI with CP achieved IV degree of motor activity versus 45.1 % of patients who were restored traditionally (P <0.05). At the outpatient stage, the use of RBI contributed to the achievement of VІІ degree of motor activity in 85.1% of patients with MI with CP, compared with 58.8 % of patients whom TSC group (P <0.05). Moreover, all indicators of physical activity tolerance – 6MWT10, 6MWT30, 6MWT90, remote walking in the discharge were significantly (P <0.05) higher under the influence of RBIs than with the use of TKR. In the framework of the innovative program of the Kyrgyz Republic, 84 patients with very high risk were treated, in which the additional use of MMCVS significantly increased the results of rehabilitation: before the end of the stage I of rehabilitation IV degree of physical activity reached 86.9 % of patients versus 39.6 % of patients in the control group (P <0.05).
Conclusions. 1. Innovative individualized cardio-rehabilitation program for patients with MI with CP is more effective than the traditional model at all stages of rehabilitation.
- In the process of rehabilitation of patients with very high cardiovascular risk, it is recommended to use the author’s mathematical model of the cardiovascular system response in order to predict risks at the stages of rehabilitation.
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