Meditsinskiy aspekt reabilitatsii bol'nykhishemicheskoy bolezn'yu serdtsana sanatornom etape
- Authors: Shestakov V.N.1, Zobenko I.A.1, Misyura O.F.1, Perepech N.B.2
-
Affiliations:
- Центр сердечной медицины «Черная речка»
- ГОУ ВПО СПбГМА им. И.И.Мечникова
- Issue: Vol 2, No 1 (2011)
- Pages: 5-8
- Section: Articles
- URL: https://journals.rcsi.science/2221-7185/article/view/44952
- DOI: https://doi.org/10.26442/CS44952
- ID: 44952
Cite item
Full Text
Abstract
Summary. Analysis of the drug therapy in patients with myocardial infarction at sanatorium stage of rehabilitation
was performed at Health Medical Center Chernaya Rechka. Within the period from 2003 to 2009 the rate of patients
treated with drugs with proven effect on prognosis increased. Frequency of statins prescription increased from
8,3 to 95%. In majority of patients target values of blood pressure and heart rate were reached. Data on postoperative
complications in patients after aortocoronary bypass at sanatorium stage of cardiac rehabilitation is presented.
Hydrothorax and hydropericardium were revealed in 32 and 21% of all patients respectively, breath dysfunction in
40%, hypochromic anemia in 50, heart rate disorders in 27% of patients. The positive role of complex rehabilitation
in decreasing of severity of postoperative complications was confirmed.
was performed at Health Medical Center Chernaya Rechka. Within the period from 2003 to 2009 the rate of patients
treated with drugs with proven effect on prognosis increased. Frequency of statins prescription increased from
8,3 to 95%. In majority of patients target values of blood pressure and heart rate were reached. Data on postoperative
complications in patients after aortocoronary bypass at sanatorium stage of cardiac rehabilitation is presented.
Hydrothorax and hydropericardium were revealed in 32 and 21% of all patients respectively, breath dysfunction in
40%, hypochromic anemia in 50, heart rate disorders in 27% of patients. The positive role of complex rehabilitation
in decreasing of severity of postoperative complications was confirmed.
Keywords
About the authors
Vladimir Nikolaevich Shestakov
Центр сердечной медицины «Черная речка»Центр сердечной медицины «Черная речка»
Irina Aleksandrovna Zobenko
Центр сердечной медицины «Черная речка»Центр сердечной медицины «Черная речка»
Ol'ga Fedorovna Misyura
Центр сердечной медицины «Черная речка»Центр сердечной медицины «Черная речка»
Nikita Borisovich Perepech
ГОУ ВПО СПбГМА им. И.И.МечниковаГОУ ВПО СПбГМА им. И.И.Мечникова
References
- Guidelines on the Management of Stable Angina Pectoris: executive summary. The Task Force of the Management of Stable Angina Pectoris of the European Society of Cardiology. Eur Heart J 2006; 27: 1334-81.
- Gibbons RJ, Abrams J, Chatterjee K et al. ACC/AHA 2002 Guideline update for the management of patients with chronic stable anginasummary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Chronic Stable Angina). J Am Coll Cardiol 2003; 42: 159-68.
- Диагностика и лечение стабильной стенокардии. Россий- ские рекомендации (второй пересмотр). М., 2008.
- Явелов И.С., Грацианский Н.А. Российский регистр острых коронарных синдромов: лечение и исходы в стационаре при остром коронарном синдроме c подъемами сегмента ST. Кардиология. 2004; 1: 4-13.
- Диагностика и лечение больных острым инфарктом мио- карда с подъемом сегмента ST электрокардиограммы. Россий- ские рекомендации. 2007.
- Freemantle N, Cleland J, Young P et al. Beta blockade after myocardial infarction. Systematic review and metaregression analysis. BMJ 1999; p. 1730-7.
- Braunwald E. Expanding indications for beta-blockers in heart failure. N Engl J Med 2001; 344: 1711-2.
- Рекомендации по лечению острого коронарного синдрома без стойкого подъема сегмента ST на ЭКГ. Редакция 2003 г.
- Аретинский В.Б. Система восстановительного лечения после операций аортокоронарного шунтирования и эндоваскулярного протезирования коронарных артерий. Автореф. дис. … д-ра мед. наук. М., 2008.
- Климко В.В. Оптимизация этапной медицинской реабили- тации больных ишемической болезнью сердца, перенесших ко- ронарное шунтирование. Автореф. дис. … д-ра мед. наук. М., 2009.