ABSTRACT
The objective of this sanatorium-based study was to evaluate effect of short courses of iodine-bromine bath therapy and veloergometer exercises during 14 days on the working capacity, ventricular and supraventicular extrasystoles, painful and "silent" myocardial ischemia in patients with a combination of coronary heart disease (CHD), stable angina of functional class II, and grade II hypertensive disease (according to the WHO classification). The patients' conditions were monitored by means of spiroveloergometry and Holter ECG recordings. The study included a total of 108 patients. It was shown that short courses of iodine-bromine bath therapy and veloergometer exercises had training and anti-arrhythmic effect on the patients with concurrent coronary heart disease, stable angina, and hypertensive disease. The treatment improved their working capacity, enhanced coronary heart reserve, reduced the frequency of ventricular and supraventicular extrasystoles, decreased manifestations of painful and "silent" myocardial ischemia.
Subject(s)
Arrhythmias, Cardiac/therapy , Bromine/therapeutic use , Exercise , Hypertension/therapy , Iodine/therapeutic use , Myocardial Ischemia/therapy , Balneology/methods , Humans , Male , Middle AgedABSTRACT
AIM: To study effects of combined use of general artificial nitric baths and bicycle exercise for 6 months on physical performance (PP) and extrasystole (ES) in patients with coronary heart disease (CHD) and stable angina pectoris (SAP) of functional class I-II. MATERIAL AND METHODS: A total of 129 CHD with SAP patients entered the study. Of them, 44 patients received balneotherapy (a course of general artificial nitric baths); 37 patients took the baths and exercised on bicycle ergometer; 48 patients took the baths, exercised on bicycle ergometer in the outpatient clinic and continued the exercises for 6 months. The patients were examined with spiroveloergometry and ambulatory Holter ECG monitoring. RESULTS: The latter group of patients achieved the highest training effect manifesting with increased PP and coronary heart reserve, an antiarrhythmic effect (a 73.3% fall in the mean number of ventricular ES for 24 hours, a 72.2% one in this number of supraventricular ES). CONCLUSION: A significant efficacy is shown of combined use of general nitric baths and bicycle exercise with prolongation for 6 months in CHD patients and SAP of functional class I-II with ES.
Subject(s)
Angina Pectoris/rehabilitation , Baths/methods , Cardiac Complexes, Premature/prevention & control , Exercise Therapy , Nitrogen , Physical Fitness , Angina Pectoris/complications , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/etiology , Electrocardiography, Ambulatory , Exercise Test , Humans , Male , Middle Aged , Myocardial Ischemia/complications , Myocardial Ischemia/physiopathology , Myocardial Ischemia/rehabilitation , Ventricular Function/physiologyABSTRACT
AIM: To study impact of UHF electromagnetic fields in combination with bicycle exercise on muscular performance (MP) and extrasystole (ES) in IHD patients with stable angina of functional class 1 and 2 (SA). MATERIAL AND METHODS: The trial included 112 IHD patients with SA and ES. 36 of them were exposed to coursed electromagnetic fields (40 W, on heart area). The other 42 patients received the same treatment and exercised on bicycle ergometer. 34 patients received placebo procedures and did therapeutic exercises. The effect was assessed with spiroveloergometry and ECG Holter ambulatory monitoring. RESULTS: It was found that 40 W UHF electromagnetic fields in combination with exercise on veloergometer exert a training effect in IHD patients with extrasystole manifesting with higher physical performance and coronary heart reserve. The antiarrhythmic effect consisted in a significant daily fall in mean ventricular ES number by 48.2%, supraventricular EX by 54.8%. CONCLUSION: Combined application of 40 W UHF electromagnetic fields on heart area with bicycle exercise is effective in IHD patients with ES.
Subject(s)
Angina Pectoris/physiopathology , Electromagnetic Fields , Exercise Test , Myocardial Ischemia/physiopathology , Systole , Humans , Male , Middle Aged , Muscle, Skeletal/physiopathology , Placebos , Task Performance and AnalysisABSTRACT
137 patients with coronary heart disease (CHD) and stable angina pectoris (functional classes I and II) participated in the study. 67 patients received a course of sinusoidal modulated currents (SMC) on the heart area; 40 patients--SMC on the sinocarotid zones; 30 patients received placebo procedures. The treatment outcomes were assessed with spiroveloergometry, ambulatory Holter ECG monitoring. The results demonstrate that course SMC provide a training effect (improved physical performance, coronary heart reserve) and antiarrhythmic action (mean daily number of ventricular extrasystoles decreased by 36.6-50.4%, supraventricular extrasystoles by 42.7-43.2%).
Subject(s)
Coronary Disease/physiopathology , Electric Stimulation Therapy , Heart Rate , Task Performance and Analysis , Electrocardiography , Humans , Male , PlacebosABSTRACT
The study was made of 111 patients with coronary heart disease (CHD) who had stable angina pectoris of functional class I and II, extracyctoles. They received artificial nitric baths (n = 44, group 1), artificial nitric baths plus bicycle exercise (n = 37, group 2), fresh water baths (n = 30, group 3). As shown by the results of spiroveloergometry and Holter ECG monitoring, patients of group 1 and 2 benefited more. The average number of ventricular and supraventricular extracyctoles reduced daily by 30.4-36.4 and 59.9-64.2% in group 1 and 2, respectively.
Subject(s)
Angina Pectoris/rehabilitation , Arrhythmias, Cardiac/rehabilitation , Baths , Exercise Therapy , Nitrogen/therapeutic use , Angina Pectoris/complications , Angina Pectoris/physiopathology , Arrhythmias, Cardiac/complications , Arrhythmias, Cardiac/physiopathology , Electrocardiography , Humans , Male , Middle Aged , Physical Endurance , Single-Blind Method , Treatment OutcomeABSTRACT
73 patients with ischemic heart disease (IHD) and stable angina pectoris of NYHA class I and II underwent balneotherapy. 43 of them took a course of sodium chloride baths, 30 control patients took common water baths. As shown by spiroveloergometry and Holter monitoring, sodium chloride baths are a good training modality in IHD patients. They enhance muscular performance and coronary heart reserve, reduce the mean 24-h number of ventricular extrasystoles by 49.9%, supraventricular extrasystoles by 57.5%.
Subject(s)
Angina Pectoris/rehabilitation , Baths/methods , Cardiac Complexes, Premature/rehabilitation , Myocardial Ischemia/rehabilitation , Sodium Chloride/therapeutic use , Work Capacity Evaluation , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/physiopathology , Electrocardiography, Ambulatory , Exercise Test , Humans , Hypertension/physiopathology , Hypertension/rehabilitation , Male , Middle Aged , Myocardial Ischemia/physiopathology , SpirometryABSTRACT
Balneotherapy was given to 113 patients with ischemic heart disease (IHD) with stable angina (functional class I and II). 40 patients and 43 patients took radon baths (40 nCi/l and 120 nCi/l, respectively), 30 patients took the course of fresh-water baths. Treatment results were assessed at spiroveloergometry and ambulatory Holter monitoring. Radon baths had a training effect in IHD with extra-systole. It manifests in higher physical performance and coronary heart reserve. Antiarrhythmic effect of the radon baths was different: a significant reduction in the average number of 24-h ventricular extrasystoles by 78.1, supraventricular extrasystoles by 92.3%, and by 79.9 and 94.7% for the 40 nCi/l baths and 120 nCi/l baths, respectively.
