СПОСОБ ВЫБОРА БОЛЬНЫХ ДЛЯ ДИФФЕРЕНЦИРОВАННОГО ПРИМЕНЕНИЯ РЕАБИЛИТАЦИОННЫХ ПРОГРАММ У БОЛЬНЫХ ИШЕМИЧЕСКОЙ БОЛЕЗНЬЮ СЕРДЦА ПОСЛЕ ЭНДОВАСКУЛЯРНЫХ ВМЕШАТЕЛЬСТВ НА АМБУЛАТОРНО-ПОЛИКЛИНИЧЕСКОМ ЭТАПЕ
KRASNITSKIJ VLADIMIR BORISOVICH,Красницкий Владимир Борисович,ARONOV DAVID MEEROVICH,Аронов Давид Меерович,BUBNOVA MARINA GENNADEVNA,Бубнова Марина Геннадьевна
申请号：
RU2011133955/14
公开号：
RU0002485895C2
申请日:
2011.08.15
申请国别(地区):
RU
年份:
2013
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to cardiology, and can be used for rehabilitation of patients with ischemic heart disease (IHD) after endovascular intervention (EVI) at outpatient polyclinic stage. Patients with eliminated hermodynamically essential stenoses of coronary arteries who do not have criteria of high risk of recurrent coronary events, and whose movement activity (MA) is very high, high or moderate, are subjected to uncontrolled physical trainings (PT) in home conditions. Patients, who underwent urgent EVI caused by large-focal myocardial infarction (Q-MI), have acute coronary syndrome, chronic form of IHD in case if 2 of 3 suggested conditions: incomplete revascularisation of myocardium in case of multi-vascular affection, including hemodynamically inessential stenoses of coronary arteries, present high risk of recurrent coronary events and present low or very low MA level, are given doctor-controlled PT for 1.5 months, with further transfer to uncontrolled PT. patients MA is determined by with application of MAQ23+ questionnaire. MA is determined as very high, high, moderate, low, very low by the sum of questionnaire points. Controlled PT and uncontrolled PT are carried out not fewer than 3 times per week, within 60 min, for 2 weeks with 50% loading, then 60% loading of individual threshold loading. Planned repeated MAQ23+ tests and tests with PT are carried out after 6 and 12 months from EVI time.EFFECT: method makes it possible to organise rehabilitation of IHD patients after EVI on coronary arteries in outpatient polyclinic conditions in optimal and structured manner.5 tbl, 2 exИзобретение относится к медицине, а именно к кардиологии, и может быть использовано для реабилитации больных ишемической болезнью сердца (ИБС) после эндоваскулярных вмешательств (ЭВВ) на амбулаторно-поликлиническом этапе. Пациентам, у которых ликвидированы гемодинамически значимые стенозы коронарных артерий, нет критериев высокого риска повторны
