PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM

The national healthcare system faces the task of reducing mortality and disability of patients with coronary heart disease. Rehabilitation and secondary prevention programs play an important role in this. Unfortunately, in our country, the publicly available system of management of cardiac patients...

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Main Authors: Алексей Алексеевич Марцияш, Вадим Гельевич Мозес, Кира Борисовна Мозес, Светлана Ивановна Елгина, Елена Владимировна Рудаева, Наталья Степановна Черных, Анна Владимировна Ромасюк, Кристина Владимировна Колесникова
Format: Article
Language:Russian
Published: The Publishing House Medicine and Enlightenment 2022-11-01
Series:Медицина в Кузбассе
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Online Access:https://mednauki.ru/index.php/MK/article/view/811
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author Алексей Алексеевич Марцияш
Вадим Гельевич Мозес
Кира Борисовна Мозес
Светлана Ивановна Елгина
Елена Владимировна Рудаева
Наталья Степановна Черных
Анна Владимировна Ромасюк
Кристина Владимировна Колесникова
author_facet Алексей Алексеевич Марцияш
Вадим Гельевич Мозес
Кира Борисовна Мозес
Светлана Ивановна Елгина
Елена Владимировна Рудаева
Наталья Степановна Черных
Анна Владимировна Ромасюк
Кристина Владимировна Колесникова
author_sort Алексей Алексеевич Марцияш
collection DOAJ
description The national healthcare system faces the task of reducing mortality and disability of patients with coronary heart disease. Rehabilitation and secondary prevention programs play an important role in this. Unfortunately, in our country, the publicly available system of management of cardiac patients in primary health care with the use of non-drug methods of treatment is not yet sufficiently developed, despite numerous evidence of their effectiveness. This is probably due to the insufficient material and technical base, the lack of a sufficient number of specialists and their awareness, the underestimation of this method by the attending physicians and the low motivation of patients to follow the recommendations for lifestyle modification. This article contains an overview of the main directions of physical rehabilitation for coronary heart disease. The review contains facts collected from the analysis of numerous randomized trials conducted worldwide on thousands of patients. The positive effect of cardiorehabilitation was revealed, which is confirmed by a decrease in both morbidity and mortality, both general and cardiovascular. There is a positive effect of cardiorehabilitation on the physical condition of patients, their weight, blood pressure, lipid profile, glycemia and insulin sensitivity, fibrinolytic activity. In addition, the data confirming that cardiorehabilitation can reduce the disability of the population and improve the quality of life of patients with coronary heart disease are confirmed.
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publisher The Publishing House Medicine and Enlightenment
record_format Article
series Медицина в Кузбассе
spelling doaj-art-0d37d2bd71d744e69495021c9f591a622025-08-20T03:32:57ZrusThe Publishing House Medicine and EnlightenmentМедицина в Кузбассе1819-09012588-04112022-11-012146069724PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEMАлексей Алексеевич Марцияш0Вадим Гельевич Мозес1Кира Борисовна Мозес2Светлана Ивановна Елгина3Елена Владимировна Рудаева4Наталья Степановна Черных5Анна Владимировна Ромасюк6Кристина Владимировна Колесникова7ФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоФГБОУ ВО КемГМУ Минздрава России, г. КемеровоГАУЗ КОКБ им. С.В. Беляева, г. КемеровоГАУЗ КОКБ им. С.В. Беляева, г. КемеровоThe national healthcare system faces the task of reducing mortality and disability of patients with coronary heart disease. Rehabilitation and secondary prevention programs play an important role in this. Unfortunately, in our country, the publicly available system of management of cardiac patients in primary health care with the use of non-drug methods of treatment is not yet sufficiently developed, despite numerous evidence of their effectiveness. This is probably due to the insufficient material and technical base, the lack of a sufficient number of specialists and their awareness, the underestimation of this method by the attending physicians and the low motivation of patients to follow the recommendations for lifestyle modification. This article contains an overview of the main directions of physical rehabilitation for coronary heart disease. The review contains facts collected from the analysis of numerous randomized trials conducted worldwide on thousands of patients. The positive effect of cardiorehabilitation was revealed, which is confirmed by a decrease in both morbidity and mortality, both general and cardiovascular. There is a positive effect of cardiorehabilitation on the physical condition of patients, their weight, blood pressure, lipid profile, glycemia and insulin sensitivity, fibrinolytic activity. In addition, the data confirming that cardiorehabilitation can reduce the disability of the population and improve the quality of life of patients with coronary heart disease are confirmed.https://mednauki.ru/index.php/MK/article/view/811ишемическая болезнь сердцакардиореабилитацияфизическая реабилитацияфизиотерапия
spellingShingle Алексей Алексеевич Марцияш
Вадим Гельевич Мозес
Кира Борисовна Мозес
Светлана Ивановна Елгина
Елена Владимировна Рудаева
Наталья Степановна Черных
Анна Владимировна Ромасюк
Кристина Владимировна Колесникова
PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
Медицина в Кузбассе
ишемическая болезнь сердца
кардиореабилитация
физическая реабилитация
физиотерапия
title PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
title_full PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
title_fullStr PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
title_full_unstemmed PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
title_short PHYSICAL METHODS OF REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE. PROS AND CONS. A LITERARY DIGRESSION INTO THE PROBLEM
title_sort physical methods of rehabilitation of patients with coronary heart disease pros and cons a literary digression into the problem
topic ишемическая болезнь сердца
кардиореабилитация
физическая реабилитация
физиотерапия
url https://mednauki.ru/index.php/MK/article/view/811
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