RESUMEN
As many as 26 patients with arterial hypertension (AH) associated with postmyocardial infarction cardiosclerosis were examined for assessing the efficacy of a new preparation belonging to a panel of calcium antagonists, viz. isradipine (<
Asunto(s)
Bloqueadores de los Canales de Calcio/uso terapéutico , Hipertensión/tratamiento farmacológico , Isradipino/uso terapéutico , Infarto del Miocardio/tratamiento farmacológico , Isquemia Miocárdica/tratamiento farmacológico , Anciano , Evaluación de Medicamentos , Femenino , Hemodinámica/efectos de los fármacos , Humanos , Hipertensión/fisiopatología , Masculino , Persona de Mediana Edad , Infarto del Miocardio/complicaciones , Infarto del Miocardio/fisiopatología , Isquemia Miocárdica/etiología , Isquemia Miocárdica/fisiopatologíaRESUMEN
The disturbances in the cardiac left ventricular contractility have been shown to be much graver in complete blockade of the right bundle of His as evidenced by the examination of 35 patients who had a history of myocardial infarction, and data from the two-year follow-up. The data obtained should be considered in determining time for the patients fo return to their ordinary activities and become functional members of society.
Asunto(s)
Bloqueo de Rama/rehabilitación , Infarto del Miocardio/rehabilitación , Absentismo , Adulto , Bloqueo de Rama/diagnóstico , Bloqueo de Rama/etiología , Tolerancia al Ejercicio , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Infarto del Miocardio/complicaciones , Infarto del Miocardio/diagnóstico , Factores de TiempoRESUMEN
Two-year follow-up of 335 patients who endured myocardial infarction (MI) was carried out. Study of intracardial haemodynamics and mathematical modelling were demonstrated to provide grounds for remote prognosis of effectiveness of rehabilitative treatment. It was established that indices of intracardial haemodynamics differed as regards to their prognostic values. In patients with uncomplicated MI dynamic indices proved to be informative while in patients with recurrent MI initial value of final diastolic volume was the most prognostically important parameter. Deterioration of working capacity was modelled. This allowed to single out patients with potentially unfavorable course of the disease and take preventive measures.
Asunto(s)
Corazón/fisiopatología , Infarto del Miocardio/fisiopatología , Infarto del Miocardio/rehabilitación , Evaluación de la Discapacidad , Estudios de Seguimiento , Hemodinámica , Humanos , Persona de Mediana Edad , Infarto del Miocardio/epidemiología , Pronóstico , Recurrencia , Factores de TiempoRESUMEN
The possibility is shown of reducing the time of hospitalization for 7-12 days in 25% of patients with a history of myocardial infarction. An analysis of health resort rehabilitation of patients according to program of enhanced activation revealed that such rehabilitation program proved effective and showed the possibility of its realization in conditions of practical medicine.
Asunto(s)
Ambulación Precoz/métodos , Colonias de Salud , Infarto del Miocardio/rehabilitación , Alta del Paciente , Electrocardiografía , Humanos , Tiempo de Internación , Infarto del Miocardio/diagnóstico , UcraniaAsunto(s)
Plaquetas/fisiología , Contracción Miocárdica , Infarto del Miocardio/fisiopatología , Formación de Anticuerpos , Tolerancia al Ejercicio , Imagen de Acumulación Sanguínea de Compuerta , Humanos , Inmunidad Celular , Masculino , Persona de Mediana Edad , Infarto del Miocardio/sangre , Infarto del Miocardio/inmunología , Infarto del Miocardio/rehabilitación , Agregación Plaquetaria , Pertecnetato de Sodio Tc 99mRESUMEN
Age-related effects on the function of restoration in 254 patients with a history of myocardial infarction were investigated. It was found that the age effect influenced tolerance to physical load, the values of which are not always related to the character of the sustained infarction of the myocardium.
Asunto(s)
Envejecimiento/fisiología , Corazón/fisiopatología , Infarto del Miocardio/fisiopatología , Adulto , Hemodinámica/fisiología , Humanos , Persona de Mediana Edad , Resistencia Física/fisiología , Factores de TiempoRESUMEN
The authors provide data obtained during long-term follow up of patients with myocardial infarction, activated at the hospital stage according to the accelerated program (50 persons) and within the generally accepted period (50 persons). Account was taken of the clinical course of the disease exercise tolerance, its hemodynamic and oxygen supply in the acute period and throughout the whole observation time. It has been shown that referral of patients to the sanatorium stage of rehabilitation should be determined by functional preparedness of the patient rather than by the time of myocardial infarction. It is desirable that the program of accelerated activation may be implemented in patients with uncomplicated macrofocal and restricted transmural myocardial infarction in the absence of marked painful syndrome while the threshold power should not be less than 50 watt during bicycle ergometry performed 2 weeks after the disease onset.
Asunto(s)
Ambulación Precoz/métodos , Hospitalización , Infarto del Miocardio/rehabilitación , Adulto , Ecocardiografía , Prueba de Esfuerzo , Estudios de Seguimiento , Hemodinámica/fisiología , Humanos , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Infarto del Miocardio/fisiopatología , Resistencia Física/fisiología , Factores de TiempoRESUMEN
A 2-year follow-up of 200 myocardial infarction patients with regard to clinical findings, intracardiac hemodynamics, oxygen and hemodynamic provision of loading tests has furnished evidence on validity of the proposed scheme of the patients long-term monitoring survey. The scheme is adjusted for season, functional class, follow-up duration and permits reduced number of 2-year follow-up examinations of patients with a history of myocardial infarction.