[Controlled kinesitherapy of patients after surgical myocardial revascularisation in early rehabilitation period]. / Upravliaemaia dvigatel'naia terapiia bol'nykh posle khirurgicheskoi revaskuliarizatsii miokarda v rannei stadii vosstanovitel'nogo lecheniia.

Kinesitherapy in the form of controlled individually dose-adjusted aerobic exercise in patients early (2-4 weeks) after surgical revascularization of the myocardium increases physical performance and cardiorespiratory reserve of the organism. The above kinesitherapy is indicated for all the patients early after surgical revascularization of the myocardium. Monitoring of the heart rate allowed individual adjustment of the exercise regime with estimation of each training session, weekly and month loads. This insures safety of the trainees and improves methodology of providing exercise therapy.

[Changes of parameters of the functional state of the organism and oxidative stress in patients after surgical revascularization at early stage of restorative treatment]. / Izmeneniia pokazatelei funktsional'nogo sostoianiia organizma i oksidativnogo stressa u bol'nykh posle khirurgicheskoi revaskuliarizatsii miokarda na rannei stadii vosstanovitel'nogo lecheniia.

Early complex restorative treatment with individualized aerobic physical exercise in 2-4 weeks after surgical myocardial revascularization significantly increased physical working capacity and cardiorespiratory reserve of the body. Pronounced oxidative stress which had been present after myocardial revascularization decreased under the action of restorative therapy. Most pronounced increases of total physical capacity and cardiorespiratory reserve and lowering of oxidative stress occurred in patients with lowest initial parameters of the functional state of the organism.

[Results of early rehabilitation treatment of patients with ischemic heart disease with cardiovascular failure after surgical revascularization of the myocardium]. / Rezul'taty rannego vosstanovitel'nogo lecheniia bol'nykh ishemicheskoi bolezn'iu serdtsa s serdechno-sosudistoi nedostatochnost'iu posle khirurgicheskoi revaskuliarizatsii miokarda.

AIM: To estimate effects of early 12-month combined rehabilitation treatment on modification of risk factors, cardiorespiratory reserve and physical performance in IHD patients with cardiovascular failure (CVF) initiated 2-4 weeks after surgical revascularization of the myocardium. MATERIAL AND METHODS: 87 IHD patients (mean age 61.3 +/- 8.6 years) of NYHA functional class I-III were divided into 4 groups by K.T. Weber, J.S. Janicki criteria. The tests were made before and 12-week after the rehabilitation. RESULTS: The rehabilitation program proposed by the authors modified risk factors, cardiorespiratory reserve and physical performance. Early multimodality rehabilitation treatment with individually adjusted aerobic exercise in IHD patients with CVF after surgical revascularization of the myocardium raises cardiorespiratory reserve and exercise tolerance. Adaptation reserves enhanced more in patients with the lowest values of the above parameters. The 12-week program of rehabilitation did not reduce overweight significantly. CONCLUSION: Physical exercise is indicated to all the patients after surgical revascularization of the myocardium in individual doses. Modification of the risk factors should be continued.

[Functional state of the cardiovascular system in patients with chronic coronary insufficiency 12 months after direct myocardial revascularization depending on the bypass patency]. / Funktsional'noe sostoianie serdechno-sosudistoi sistemy u bol'nykh s khronicheskoi koronarnoi nedostatochnost'iu cherez 12 mes posle priamoi revaskuliarizatsii miokarda v zavisimosti ot proknodimosti shuntov.

A comparative study of the functional state of the cardiovascular system (CVS) in the presence of chronic heart failure was performed 12 months following direct myocardial revascularization. It involved 49 patients with open aortal coronary bypasses and 20 patients with bypass occlusion. The CVS functional state was assessed by both invasive and noninvasive methods of investigation. The bypass patency was associated with an improvement in the patients' subjective conditions, an increased exercise tolerance and better indices of the left ventricle function. It is inferred that successful revascularization of the myocardium by an aortal coronary bypass produces a considerable therapeutic effect on the CVS functional state in patients with chronic heart failure.

[Indications for surgical treatment in ischemic heart disease and its results]. / Pokazaniia k khirurgicheskomu lecheniiu ishemicheskoi bolezni serdtsa i ego rezul'taty.

Of the 210 patients who underwent direct coronary surgery for stable and unstable angina pectoris and acute myocardial ischemia, 187 were followed up after the operation for 11 months on the average. Operative mortality was 11%. Among the 187 patients, 46.5% were completely relieved of angina, 36.4% showed moderate improvement, and 16.9% had no improvement in their condition. Patients with prior myocardial infarction had a substantially diminished success rate for relief of angina. Postoperative angiography in 125 patients demonstrated high correlation between clinical response and graft patency. It is concluded that direct coronary surgery provides partial or complete relief of angina pectoris in 82.9% of patients, and this response to operative treatment may be directly related to the success of the surgery ensuring patency of the graft, evidence of which is demonstrated by angiography.