SOME ASPECTS OF MODIFICATION OF THE LIFE METHOD ON BASIS OF DIAGNOSTIC APPROACHES IN CARDIAC REHABILLITATION OF PATIENTS WITH ISCHEMIC HEART DISEASE AND AFTER HEART SURGERIES

Abstract

At present, rehab programs are being developed around the world, there is a tendency towards their individualization and inclusion of new methods, expansion of impressions for their appointment. This allows for a wider and more efficient use of rehab medicine. Having studied the types of intermittent fasting, we have applied a simple and safe scheme of food for patients with coronary artery disease using the method of limiting "eating window".

The aim of the work – to increase the efficiency of cardiac rehabilitation of patients with coronary heart disease and after heart surgery by using the method of restricting the "eating window", to substantiate the expediency of its application.

Material and Methods. 54 patients with coronary heart disease and after cardiac surgery aged 42 to 71 years were studied. In 78.3 % of patients the disease was combined with concomitant illnesses (alimentary obesity compensated by type II diabetes, etc.). All patients received standard medical treatment according to the diagnosis, according to clinical recommendations. Clinical efficacy of this type of rehabilitation and pharmacological agents was evaluated taking into account the frequency and intensity of angina attacks, heart rate, blood pressure, ECG data at rest and in conditions of dynamic loading. When carrying out a load test, the value of the threshold dynamic load was taken into account, a double product was calculated. In dynamics (in the beginning and after 6–12 months of observation) biochemical methods of lipid metabolism, an atherogenicity coefficient were studied.

Results. It was established that in applying a long period of restriction of the "eating window” (6–12 months) during cardiac rehabilitation of patients there is a positive dynamics of hemodynamic parameters, increased tolerance to physical activity, normalization of parameters of the lipid profile of the blood.

Conclusion. The expediency of using this method in the complex of prophylactic, medical and rehabilitation measures in patients with coronary heart disease and postoperative operations on the heart is substantiated.