CLINICAL AND PHYSIOLOGICAL ASPECTS OF REHABILITATION MEASURES IN THE POST-INFARCTION PERIOD
Keywords:
myocardial infarction, postinfarction period, medical rehabilitation.Abstract
The relevance of research. The interest in this area stems from the relative novelty of rehabilitation as an independent medical specialty in the Republic of Kazakhstan, which requires the improvement and optimization of ongoing rehabilitation measures in key areas of medicine, including cardiovascular diseases.
Purpose of the study. Clinical justification of the possibility of early comprehensive medical rehabilitation in the postinfarction period in patients with uncomplicated acute myocardial infarction.
Materials and Methods. The research program included 68 patients aged 40 to 70 years with primary myocardial infarction, who began comprehensive medical rehabilitation at 2-3 weeks of the postinfarction period. The control group included patients with a similar clinical picture, but their medical rehabilitation began at 3-4 weeks of the postinfarction period.
Results and Discussion. Based on comprehensive clinical and instrumental laboratory monitoring of patients' condition in the early post-infarction period, the possibility of early (2-3 weeks) initiation of medical rehabilitation has been confirmed. This enabled a 30% reduction in patients' adaptation time to physical exertion.
Conclusions. A clinically justified early start of rehabilitation in the post-infarction period creates conditions for a steady increase in exercise tolerance, eliminates the effects of psychoemotional stress, does not adversely affect the number of cardiac complications, and reduces the time required for patient adaptation and socialization.
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