TO THE MODEL OF RECOVERING TREATMENT OF PATIENTS WITH ISCHEMIC HEART DISEASE AFTER SURGICAL MOVICULAR SURGERYRYARIZATION ON THE SUNNY STAGE
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i4.8314Keywords:
ischemic heart disease, renewal treatment, surgical recurracevenance, efficacy, model of sanatorium treatment.Abstract
In the last decade, the methods of surgical revascularization of the myocardium in treatment coronary heart diseases (CHD) have been developed, which allow to substantially remodel the myocardium and significantly improve its functional properties. However, surgical revascularization of the myocardium does not eliminate the main causes of the development of diseases of atherosclerotic nature. Ineffective rehabilitation, including inadequate management of the main factors of cardiovascular risk, can significantly reduce the results of the performed operation.
The purpose of the work is to develop a model of restorative treatment of patients with CHD after surgical revascularization (SRM) of the myocardium taking into account the comorbidity of the pathology at the sanatorium treatment stage
Materials of the study: The methodology of the conceptual model is based on the definite clinical and functional status of the patient and the calculation of the integral assessment of CHD progression in patients who have undergone SRM taking into account functional and metabolic parameters, the development of an individual program of renewal treatment and its effectiveness determination.
Results of the study The principle of constructing rehabilitation programs should include the following blocks: mobilization of sanogenetic mechanisms of restoration of the morphofunctional state of the myocardium, improvement of the psychosomatic state of patients and increase of physical capacity and a special place in the system of rehabilitation should take technologies aimed at reducing the risk of complications in the first days after the operative interventions, and in distant periods
Conclusions Differentiated approach (depending on the comorbid pathology) to the appointment of VL complexes contributes to improving the efficiency of sanatorium and renewal treatment by 44,4%.
References
International Classification of Impairment, Disabilities and Handicaps. (1980). Geneva: WHO 206-207.
Bokeriya, L.A., Gudkova, R. (2007). Serdechno-sosudistaya khirurgiya [Cardiovascular surgery]. Moscow: NTSSSKH [in Russian].
Perk, J., de Backer, G., Gohlke, H., Graham, I., Reiner, Z., Verschuren, W.M. et al. (2012). European guidelines on cardiovascular disease prevention in clinical practice (version 2012). Eur. Heart J., 33, 1635-1701.
Dukelskyi, O.O. (2010). Depresiia u khvorykh z ishemichnoiu khvoroboiu sertsia, yaki perenesly stentuvannia koronarnykh arterii [Depression in patients with ischemic heart disease who have suffered coronary artery stenting]. Ukrainskyi visnyk psykhonevrolohii – Ukrainian Journal of Psychoneurology, 18, 4 (65), 74-78 [in Ukrainian].
Vostrikov, V.E., Zubkova, V.I., & Shumkina M.S. (2000). Reabilitatsyya bolnykh IBS posle AKSh na sanatornom étape: Metodicheskie rekomendatsyi [Rehabilitation of patients with coronary heart disease after CABG at the sanatorium stage: Methodical recommendations]. Moscow: [in Russian].
Oganov, R.H. (2012). Profilakticheskaya kardiologiya: nadezhdy i realnost [Preventive cardiology: hope and reality]. Zdravookhraneniye – Healthcare, 9, 60-67 [in Russian].
Kolodenko, O., Kolodenko, V., & Babov, K. (2017). Integral evaluation of effectiveness of the renewal treatment of patients with ischemic heart disease after myocardium surgical revascularization. Eureka: Health Sciences, 5, 11-15.
