[Radiologic evaluation of effectiveness of physical training in patients with myocardial infarction]. / Rentgenologicheskaia otsenka éffektivnosti fizicheskikh trenirovok u bolnykh infarktom miokarda.

The findings of two-projection large-image fluorography of the thorax of 134 men aged 32 to 60 with a history of myocardial infarction are presented. Physical rehabilitation of these patients was either traditional (controls) or enhanced by physical training (test group). X-Ray characteristics of the pulmonary vascular bed help to detect left ventricular insufficiency even in cases when there are no clinical symptoms of it. Time course of X-ray and cardiometrical data helps not only to assess the efficacy of training, but permits detection of the progress of left ventricular insufficiency as well. Cardiometrical parameters (volume of the heart, left ventricular coefficient, hvs index, right-atrial coefficient) may be used to predict the course of coronary heart disease in the postinfarction period.

[Possibilities for the rehabilitation of patients with myocardial infarction without application of coronary drugs during hospital treatment ]. / Vozmozhnosti vosstanovitelnogo lecheniia bolnykh infarktom miokarda bez primeneniia koronaroaktivnykh preparatov so statsionarnogo etapa reabilitatsii.

When restorative treatment was performed in 51 patients with myocardial infarction, 3 groups were identified, each including 17 persons. The main group comprised those whose rehabilitation had been achieved by early physical trainings with coronary active agents; the first control consisted of those who had gone in for physical exercises and received antianginal drugs, the second control group included those whose rehabilitation had been conducted by the well-known procedures (therapeutical exercises, graded walking, nitrates, beta-blockers, calcium antagonists). The treatment resulted in improvement in the functional status of patients from the main and the first control groups as compared to those from the second control group. It is concluded that in patients with myocardial infarction without pain syndrome in the subacute period of the disease the efficiency of restorative treatment may be enhanced by using early individualized physical trainings without application of coronary active drugs.