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