Rehabilitation of patients after acute coronary syndrome at the sanatory stage

Abstract

The article compares the most effective from the point of view of modern scientific views, improved programs of cardio-rehabilitation of patients with acute coronary syndrome after acute myocardial infarction and cardiac surgery at the sanatory stage. The aim of the research: scientific development of improved modern rehabilitation programs for patients with ACS after acute myocardial infarction and/or cardiac surgery (CABG, MAB, coronary artery stenting) at the sanatory stage using a set of non-drug methods that simultaneously restore the metabolism of ischemic myocardium (enhanced external counterpulsation, dry carbon dioxide baths, laser therapy) and the most effective interval training on cyclic simulators and physiotherapy exercises. Material and methods: 100 patients with coronary artery disease after acute coronary syndrome. We compare 3 groups of patients receiving improved interval cyclic exercises on the treadmill and sensory track and therapeutic gymnastics in the gym, or procedures that improve metabolic processes in the myocardium (enhanced external counterpulsation, dry carbon dioxide baths, infrared matrix laser therapy) with a complex of the abovesaid cardio workouts and methods that restore metabolism in ischemic cardiomyocytes and improve adaptation to myocardial ischemia with the development of preconditioning effect, 5 times a week, daily, 8–10 procedures per course. The results of complex rehabilitation in patients of the main group compared with the 2 control groups showed maximum anti-ischemic, antianginal, antiarrhythmic, and antihypoxic effects, due to the simultaneous elimination of metabolic disorders in the ischemic myocardium and the development of cardioprotection, preconditioning. Due to this, the rehabilitation effect of the training itself is significantly increased.