EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY
Aim. To assess the efficacy of physical cardiorehabilitation in patients with acute coronary syndrome non-ST-elevation (NSTEACS) and percutaneous coronary intervention (PCI) on infarction-relevant artery.Material and methods. To the prospective study, 35 patients included — mean age ...
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«SILICEA-POLIGRAF» LLC
2017-02-01
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| author | К. A. Volodina R. М. Linchak E. Е. Achkasov E. N. Alaeva N. V. Tkhay О. V. Bulgakova |
| author_facet | К. A. Volodina R. М. Linchak E. Е. Achkasov E. N. Alaeva N. V. Tkhay О. V. Bulgakova |
| author_sort | К. A. Volodina |
| collection | DOAJ |
| description | Aim. To assess the efficacy of physical cardiorehabilitation in patients with acute coronary syndrome non-ST-elevation (NSTEACS) and percutaneous coronary intervention (PCI) on infarction-relevant artery.Material and methods. To the prospective study, 35 patients included — mean age 57,9±9,7 y.o.; 78% males, 22% females after NSTEACS with urgent PCI on symptom-dependent artery and noncomplicated post-surgery period. Time of inclusion into the study was 2-8 weeks after ACS onset. At 1 and 12 weeks of cardiorehabilitation programs there was functional (echocardiography, electrocardiography, exercise testing) and laboratory diagnostics (lipids and chemistry). For 12 weeks the participants visited 3 times per weeks the standard cardorehabilitation trainings.Results. After the cardiorehabilitation course, in patients we found decreae of total cholesterol from 4,4±1,4 to 3,9±1,1 (р=0,02); low density lipoproteides level from 2,6±1,1 to 2,1±0,7 (р=0,002); significant increase of high density lipoproteides from 0,9±0,3 to 1,2±0,4 min (р<0,001) and left ventricle ejection fraction from 55±8,3% to 60,6±8,2% (p<0,001). Significant decrease of the resting heartrate (HR) from 72,9±10,3 bpm to 67,9±6 bpm (р=0,04); mean time of the HR recovery from 4,1±1,2 min to 3,8±1 min (р=0,03) and blood pressure from 4,2±1,1 min to 3,8±1 min (р=0,013) after exercise testing; significant increase of exercise tolerance to physical exertion from 4,0±1,5 МЕТ to 5,0±1,7 МЕТ (p<0,001) and time of test from 5,0±1,9 min to 6,7±2 min (p<0,001).Concusion. 12-week program of cardiorehabilitation leads to significant normalization of carbohydrate and lipid metabolisms, helps to increase exercise tolerance and significantly recovers the hemodynamical parameters of circulation. |
| format | Article |
| id | doaj-art-2007cc9bbf6345d2ac1204f686dda90c |
| institution | Matheson Library |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2017-02-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
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| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-2007cc9bbf6345d2ac1204f686dda90c2025-08-04T12:50:22Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252017-02-01161616610.15829/1728-8800-2017-1-61-66430EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERYК. A. Volodina0R. М. Linchak1E. Е. Achkasov2E. N. Alaeva3N. V. Tkhay4О. V. Bulgakova5National Research Center for Preventive Medicine; I. M. Sechenov First Moscow State Medical UniversityNational Research Center for Preventive MedicineI. M. Sechenov First Moscow State Medical UniversityNational Research Center for Preventive MedicineNational Research Center for Preventive MedicineNational Research Center for Preventive MedicineAim. To assess the efficacy of physical cardiorehabilitation in patients with acute coronary syndrome non-ST-elevation (NSTEACS) and percutaneous coronary intervention (PCI) on infarction-relevant artery.Material and methods. To the prospective study, 35 patients included — mean age 57,9±9,7 y.o.; 78% males, 22% females after NSTEACS with urgent PCI on symptom-dependent artery and noncomplicated post-surgery period. Time of inclusion into the study was 2-8 weeks after ACS onset. At 1 and 12 weeks of cardiorehabilitation programs there was functional (echocardiography, electrocardiography, exercise testing) and laboratory diagnostics (lipids and chemistry). For 12 weeks the participants visited 3 times per weeks the standard cardorehabilitation trainings.Results. After the cardiorehabilitation course, in patients we found decreae of total cholesterol from 4,4±1,4 to 3,9±1,1 (р=0,02); low density lipoproteides level from 2,6±1,1 to 2,1±0,7 (р=0,002); significant increase of high density lipoproteides from 0,9±0,3 to 1,2±0,4 min (р<0,001) and left ventricle ejection fraction from 55±8,3% to 60,6±8,2% (p<0,001). Significant decrease of the resting heartrate (HR) from 72,9±10,3 bpm to 67,9±6 bpm (р=0,04); mean time of the HR recovery from 4,1±1,2 min to 3,8±1 min (р=0,03) and blood pressure from 4,2±1,1 min to 3,8±1 min (р=0,013) after exercise testing; significant increase of exercise tolerance to physical exertion from 4,0±1,5 МЕТ to 5,0±1,7 МЕТ (p<0,001) and time of test from 5,0±1,9 min to 6,7±2 min (p<0,001).Concusion. 12-week program of cardiorehabilitation leads to significant normalization of carbohydrate and lipid metabolisms, helps to increase exercise tolerance and significantly recovers the hemodynamical parameters of circulation.https://cardiovascular.elpub.ru/jour/article/view/564acute coronary syndromeexercisesrehabilitationfunctional diagnosticslaboratory diagnostics |
| spellingShingle | К. A. Volodina R. М. Linchak E. Е. Achkasov E. N. Alaeva N. V. Tkhay О. V. Bulgakova EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY Кардиоваскулярная терапия и профилактика acute coronary syndrome exercises rehabilitation functional diagnostics laboratory diagnostics |
| title | EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY |
| title_full | EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY |
| title_fullStr | EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY |
| title_full_unstemmed | EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY |
| title_short | EFFECTIVENESS OF 12-WEEK OUTPATIENT PHYSICAL REHABILITATION OF PATIENTS AFTER NON-ST-ELEVATION ACUTE CORONARY SYNDROME WITH PERCUTANEOUS CORONARY INTERVENTION ON INFARCTION-RELEVANT ARTERY |
| title_sort | effectiveness of 12 week outpatient physical rehabilitation of patients after non st elevation acute coronary syndrome with percutaneous coronary intervention on infarction relevant artery |
| topic | acute coronary syndrome exercises rehabilitation functional diagnostics laboratory diagnostics |
| url | https://cardiovascular.elpub.ru/jour/article/view/564 |
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