CARDIOREHABILITATION OF PATIENTS WITH ACUTE CORONARY SYNDROME IN CONDITIONS OF HEALTH RESORT “UST-KACHKA”. SIGNIFICANCE OF THERAPEUTIC PHYSICAL TRAINING

Aim. To present the formation stages and modern possibilities for cardiorehabilitation in conditions of Health-Resort “Ust-Kachka” with estimation of the efficiency of two regimes of physical rehabilitation in patients after myocardial infarction (MI). Materials and methods. Statistical accountability of specialized cardiological unit (SCU) of Health Resort Ust-Kachka was carried out; 28 men aged 38-58 (50,89 ± 5,97 years) were examined so as to assess physical component of cardiorehabilitation. Results. Since 1978 at specialized cardiological unit for aftercare of MI patients at Health Resort Ust-Kachka, rehabilitation was rendered to 24614 patients with MI, 757 - with unstable stenocardia. For patients of group 1, a 24-day rehabilitation program included individually selected dosed physical exercises ( n = 14) controlled by medical staff. For group 2 ( n = 14), active physical training was not conducted by the reason of patients’ refusal. Active physical rehabilitation permits to reach a significant reduction in the functional class of heart failure from 1,29 ± 0,61 to 0,71 ± 0,47 ( p = 0,013) as compared to an uncertain tendency of comparison group that was proved by the data of a 6-minute walking test, as well as to optimize the lipid spectrum parameters. Conclusions. Rehabilitation in conditions of SCU of Health Resort Ust-Kachka encloses physical, psychological, medicamentous aspects and measures for the secondary MI prevention. The obtained results of active physical rehabilitation efficiency are to be taken into consideration in the program of psychological rehabilitation, so to raise patients’ loyalty and motivation for exercise therapy.

Cardiorehabilitation, sanatorium stage, “Ust-Kachka”, acute coronary syndrome, myocardial infarction, exercise therapy