ABSTRACT
I would like to describe the initial extreme physical and psychological effects of my posttraumatic stress disorder that appeared after multiple shocks from an implantable cardioverter-defibrillator, my surprise about my physical awareness, which I and apparently also the physicians could not understand, the feeling of helplessness, the lack of knowledge, the ignorance, and the unfairness of some of the physicians concerning my psychological illness, feelings of being stamped as a psychopath, not being believed, and being let down, my improvements during the course of the last 6 years, my current condition, and my appeal to physicians that better care be offered to patients with a similar illness.
Subject(s)
Defibrillators, Implantable/psychology , Sick Role , Stress Disorders, Post-Traumatic/psychology , Adult , Amiodarone/adverse effects , Amiodarone/therapeutic use , Anti-Arrhythmia Agents/adverse effects , Anti-Arrhythmia Agents/therapeutic use , Antisocial Personality Disorder/psychology , Antisocial Personality Disorder/rehabilitation , Attitude of Health Personnel , Cardiac Complexes, Premature/psychology , Cardiac Complexes, Premature/rehabilitation , Catheter Ablation/psychology , Combined Modality Therapy , Convalescence , Cooperative Behavior , Eye Movement Desensitization Reprocessing/methods , Heart Transplantation/psychology , Helplessness, Learned , Humans , Interdisciplinary Communication , Male , Medical Errors/psychology , Memory, Episodic , Patient Admission , Physician-Patient Relations , Psychotherapy/methods , Quality of Life/psychology , Rehabilitation Centers , Rehabilitation, Vocational/psychology , Stress Disorders, Post-Traumatic/rehabilitation , Tachycardia/psychology , Tachycardia/rehabilitationABSTRACT
99 patients with coronary heart disease (CHD), stable angina pectoris (functional class I-II), intraventricular blocks (IVB) took a course of general artificial nitrogen baths. Of them, 31 patients took the baths alone; 35 patients, in addition, exercised on veloergometer; 33 patients took baths and continued physical training up to 6 months. The results of the treatment were assessed with spiroveloergometry, ambulatory Holter ECG monitoring. Those who took baths and exercised for 6 months benefited from the treatment most as their muscular performance and coronary heart reserve increased; mean daily number of ventricular extrasystoles reduced by 73.3%, supraventricular extrasystoles--by 72.2%; intraventricular conduction was not damaged.
Subject(s)
Angina Pectoris/rehabilitation , Baths , Exercise Therapy , Heart Block/rehabilitation , Nitrogen , Physical Fitness , Angina Pectoris/complications , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/complications , Cardiac Complexes, Premature/physiopathology , Cardiac Complexes, Premature/rehabilitation , Electrocardiography , Heart Block/complications , Heart Block/physiopathology , Humans , Male , Middle AgedABSTRACT
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.
Subject(s)
Angina Pectoris/rehabilitation , Baths/methods , Cardiac Complexes, Premature/rehabilitation , Myocardial Ischemia/rehabilitation , Physical Fitness/physiology , Radon/therapeutic use , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/physiopathology , Dose-Response Relationship, Radiation , Electrocardiography, Ambulatory/statistics & numerical data , Exercise Test/statistics & numerical data , Humans , Male , Middle Aged , Myocardial Ischemia/physiopathology , Remission Induction , Spirometry/statistics & numerical dataABSTRACT
68 patients with CHD and stable angina pectoris class 1-2 in the presence of extrasystole were examined (spiro-bicycle ergometry, Holter ECG monitoring) before and after a course of general iodobromide baths (38 patients) or general fresh-water baths (30 patients). General iodobromide baths exerted marked antiarrhythmic effect in coronary heart disease with stable angina pectoris, the occurrence of ventricular, supraventricular extrasystoles reduced at least by half. Painful and silent myocardial ischemia decreased. Due to training effect of iodobromide balneotherapy muscular performance and coronary heart reserves improved.
Subject(s)
Angina Pectoris/rehabilitation , Baths/methods , Bromides/therapeutic use , Cardiac Complexes, Premature/rehabilitation , Iodides/therapeutic use , Myocardial Ischemia/rehabilitation , Physical Endurance , Angina Pectoris/etiology , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/etiology , Cardiac Complexes, Premature/physiopathology , Humans , Male , Middle Aged , Myocardial Ischemia/complications , Myocardial Ischemia/physiopathology , Remission InductionABSTRACT
97 patients with coronary heart disease (CHD) and stable angina pectoris class I and II underwent balneotherapy: 67 patients took effervescent baths and 30 patients took baths without carbon dioxide. Spiroveloergometry and ambulatory Holter's monitoring showed that carbon dioxide baths contribute to enhancement of antiarrhythmic effect in CHD patients with stable angina pectoris and secure a 50% decrease in the mean occurrence of ventricular and supraventricular extrasystoles correlating with a reduction in myocardial ischemia (painful and silent). There is also a training effect associated with improvement of muscular performance and coronary heart reserve.
Subject(s)
Angina Pectoris/rehabilitation , Baths/methods , Carbon Dioxide/therapeutic use , Cardiac Complexes, Premature/rehabilitation , Exercise Tolerance , Myocardial Ischemia/rehabilitation , Angina Pectoris/diagnosis , Angina Pectoris/physiopathology , Cardiac Complexes, Premature/diagnosis , Cardiac Complexes, Premature/physiopathology , Electrocardiography, Ambulatory , Exercise Test , Humans , Male , Middle Aged , Myocardial Ischemia/diagnosis , Myocardial Ischemia/physiopathology , SpirometryABSTRACT
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.
Subject(s)
Blood Transfusion, Autologous/methods , Blood/radiation effects , Coronary Disease/rehabilitation , Health Resorts , Ultraviolet Therapy/methods , Angina Pectoris/rehabilitation , Arteriosclerosis Obliterans/rehabilitation , Cardiac Complexes, Premature/rehabilitation , Combined Modality Therapy , Diabetes Mellitus/rehabilitation , Evaluation Studies as Topic , Humans , RussiaABSTRACT
A study of 186 coronary patients with rhythm disturbance has shown that early incorporation of the elements of physical rehabilitation in combined treatment improves functioning of all the links of the blood circulation system, helps to raise cardiac rhythm stability and reduces the period of patients' stay in hospital.
