[The medical rehabilitation of servicemen following aortocoronary bypass]. / Meditsinskaia reabilitatsiia voennosluzhashchikh posle aortokoronarnogo shuntirovaniia.

The results of aortocoronary shunting (ACSh) were studied in 243 patients after myocardial infarction at different stages of rehabilitation--in rehabilitative hospital and military sanatorium. Result assessment at the final stage of therapy in sanatorium confirmed ACSh efficiency in overwhelming majority of patients. At the same time principal peculiarities were revealed showing the necessity of differential approach to determination of volume and place for conduction of restorative therapy. Process of successful adaptation in most patients is achieved during the periods up to 8 weeks that corresponds to two-staged rehabilitative system. More long periods of therapy are required for patients having complications not arrested at hospital stage, low exercise tolerance, poor psychological readaptation. Optimization of rehabilitative system in order to determine the volume and place of rehabilitation will contribute to further improvement of staged therapy in such patient group.

[Program of medical and psychological support of patients after cardiosurgery]. / Opyt primeneniia programmy meditsinskoi i psikhologicheskoi podderzhki bol'nykh, prenesshikh kardiokhirurgicheskie operatsii.

AIM: To study effectiveness of the program of medical and psychological support of patients after aortocoronary by pass operations (ACBO). MATERIALS AND METHODS: The trial included 108 patients with coronary heart disease (CHD) after ACBO. 72 patients of the test group participated in the program of medical and psychological support. 36 patients who did not receive such support served control. All the patients underwent clinicophysiological and psychological tests aimed at assessment of exercise tolerance and personality types. RESULTS: Many of the patients after ACBO need psychological consulting and support. The course of group therapy gives the patients strong motivation for following the doctor's recommendations and health self-control. Use of this motivation produced improvement in psychosomatic health of the test group, increased the percentage of patients who resumed their previous jobs. CONCLUSION: The program of medical and psychological support in CHD patients after ACBO increases the effectiveness of their rehabilitation and psychosocial activity, quality of life and return to previous job.

[Aortocoronary bypass: methods of group psychotherapy and instruction and the rehabilitation potentials]. / Aortokoronarnoe shuntirovanie: metody gruppovoi psikhoterapii i obucheniia, vozmozhnosti reabilitatsii.

In a large number of patients aortocoronary shunting often leads to persistent neurotic disorders' development. Taking into account the biological, psychological and social factors contributing to the disease pathogenesis, the authors tend to introduce some methods of active involvement of patients into a rehabilitation-prophylactic process to restore their mental health balance, behavioral standards, communicative habits etc.

[The results of autogenic training in patients with ischemic heart disease after an aortocoronary bypass operation]. / Rezul'taty autogennoi trenirovki u bol'nykh ishemicheskoi bolezn'iu serdtsa posle operatsii aortokoronarnogo shuntirovaniia.

Were studied psychovegetative and somatic correlations in 115 patients with ischemic heart disease, having aortocoronary shunting operation and being at the sanatorium stage of the medical rehabilitation. To 70 patients was been carried out treatment with application of autogenous training (AT), to 45--without use of AT. The research has confirmed the presence in the patients psychological disadaptation, expressed essentially in asthenoneurotic and hypochondriac reactions. Is established, that estimation of expressiveness of emotional tension, investigated with the aid of Spilberger's psychometric scale, can be confirmed by parameters of peroxide oxidation of lipids and mathematical analysis of heart rythm. The use of variant of training modified by the authors has revealed improvement of clinical parameters, reflecting health state of the patients, which correlate with the data of the psychological test and the results of bicycle ergometry [correction of veloergometry].

[The autotransfusion of ultraviolet-irradiated blood in the rehabilitation of patients with ischemic heart disease at a sanatorium]. / Autotransfuziia ul'trafioletovom obluchennoi krovi pri reabilitatsii bol'nykh ishemicheskoi bolezn'iu serdtsa v sanatorii.

Autotransfusion of blood exposed to UV irradiation proved highly effective in multimodality rehabilitation treatment of coronary patients with the disease functional classes II and III. Short-term and long-term results indicate a positive effect on hyperlipoproteinemia, hyperglycosuria, hemodynamics, exercise tolerance. The method is recommended for use in sanatoria and outpatient clinics.