Методы физической реабилитации при идиопатической пароксизмальной фибрилляции предсердий

Abstract

Physical rehabilitation a promising approach in the treatment of idiopathic paroxysmal atrial fibrillation which is a important medical problem. Study objective : To develop and scientifically substantiate reflexology and physical training methods for the treatment and prevention of regulatory functional cardiac disorders in idiopathic paroxysmal atrial fibrillation. Materials and methods . The study involved 90 patients with idiopathic atrial fibrillation (IAF), who were divided into 2 groups: 45 patients with adrenergic (AAFF) and 45 patients with vagotonic (VAFF) forms. The patients received a complex treatment consisting of reflexology and dosed walking. The treatment efficacy evaluation involved clinical, functional and instrumental examinations, psychological tests, psychophysiological stress-test, 24h ECG monitoring to identify the standard deviation of the normal-to-normal RR intervals (SDNN); echocardiography, high-definition oscillometry, and biochemical tests. Results . We found that the complex of reflexology and dosed walking in both groups produced an antiarrhythmic effect resulting in reliable normalization of the cardiovascular system autonomic regulation. Conclusions . The complex normalizes the heart rate autonomic regulation and hemodynamic parameters, improves the psychological and emotional state and the quality of life. The proposed treatment demonstrated high efficiency.