[Reaction of the autonomic nervous system to carbon dioxide baths in patients with cardiovascular diseases].

Holter ECG monitoring was for the first time accomplished before, during, and several hours after a balneologic procedure (carbon dioxide bath) with simultaneous analysis of cardiac rhythm variability. Results of the study suggest the possibility of high-quality ECG monitoring n the course of balneologic treatment. Its data can be used to evaluate cardiac rhythm variability and estimate the degree of activation of sympathetic and parasympathetic components of the vegetative nervous system in patients with cardiovascular diseases in response to balneotherapeutic procedures.

[Exercise training of patients in a health resort after surgery for rheumatic heart disease]. / Fizicheskie trenirovki na terrenkure bol'nykh, operirovannykh po povodu revmaticheskikh porokov serdtsa.

We studied the effect of cardiovascular system function on the response to terrain cure in the course of rehabilitation of 88 patients after surgical correction of valvular defects in conditions of low-mountain health resort. We have found that the response to the above exercise depends on functional condition of the cardiovascular system (the degree of correction of hemodynamic disorders related to valvular disease, the degree of myocardial hypertrophy and dilation of the chambers, left ventricular contractility). Terrain cure exercise promotes improvement in regulation of cardiovascular system and mobilization of its reserves.

[Carbonate mineral baths in the combined treatment at a piedmont health resort of patients operated on for rheumatic heart defects]. / Mineral'nye uglekislye vanny v kompleksnom lechenii na nizkogornom kurorte bol'nykh, operirovannykh po povodu revmaticheskikh porokov serdtsa.

The response of the cardiovascular system of 64 patients operated for rheumatic heart disease to mineral carbon dioxide baths was studied in the course of rehabilitation in low-mountain health resort. It was found that the above baths have a training effect on the cardiac muscle, improve myocardial metabolism. They are an essential factor in combined sanatorium treatment of patients after surgical correction of valvular defects. Baths-induced changes in the central and peripheral hemodynamics depend on cardiovascular function. Therefore, they require an individual approach. If the exposition increases to 15 minutes, mineral carbon dioxide baths have more potent training effect on the myocardium and raise effectiveness of the sanatorium treatment.

[Changes in lipoprotein metabolism during the rehabilitation of ischemic heart disease patients after aortocoronary bypass at a health resort in the foothills]. / Izmenenie obmena lipoproteidov pri reabilitatsii bol'nykh ishemicheskoi bolezn'iu serdtsa posle aortokoronarnogo shuntirovaniia v usloviiakh nizkogornogo kurorta.

284 patients with IHD after coronary artery bypass operation have undergone rehabilitation at low-mountain health resort Kislovodsk. The study of lipoprotein metabolism has detected a positive trend in this metabolism as shown by lowering of blood cholesterol, low density lipoproteins, phospholipids and triglycerides, elevated levels of high density lipoproteins.

[The rehabilitation of patients following the surgical treatment of ischemic heart disease at a low-altitude health resort]. / Reabilitatsiia bol'nykh posle khirurgicheskogo lecheniia ishemicheskoi bolezni serdtsa na nizkogornom kurorte.

We developed well grounded differentiated methods of rehabilitation treatment in low mountains for patients after surgery for ischemic heart disease. Evaluation of the results was carried out with due account for variety of clinical course of the disease, condition of coronary and myocardial reserves of the heart and concomitant diseases. 475 males aged 22-65 years who underwent aorto-coronary bypass surgery for CAD were examined. As a result of spa treatment significant improvement of general patients condition was observed in 22.7% and condition improved in some way--in 70.2; no change of general condition was detected in 6.7% patients. It is established that condition of contractile activity of the myocardium of left ventricle is of much importance for effectiveness of the spa treatment stage of rehabilitation of cardiosurgical patients. Differentiated methods of the usage of terrain cure in the complex of sanatoria and health resort treatment are developed and introduced into practice. Severity of the principal disease, extended scar formations in the myocardium and concomitant diseases are the reasons influencing low effectiveness of the treatment.

[The reaction of the cardiovascular system to terrain cure in patients with ischemic heart disease who have undergone surgical myocardial revascularization]. / Reaktsiia serdechno-sosudistoi sistemy na terrenkur u bol'nykh ishemicheskoi bolezn'iu serdtsa, perenesshikh khirurgicheskuiu revaskuliarizatsiiu miokarda.

Muscular training in IHD patients who have undergone surgical revascularization of the myocardium should be planned on the individual basis regarding functional condition of the cardiovascular system. Patients with reduced left ventricular contractility should exercise under Holter ECG monitoring to control episodes of ventricular arrhythmia.

[The dynamic clinical manifestations of ischemic heart disease during the rehabilitation at a low-altitude health resort of patients who have undergone surgical myocardial revascularization]. / Dinamika klinicheskikh proiavlenii ishemicheskoi bolezni serdtsa v protsesse reabilitatsii na nizkogornom kurorte bol'nykh, perenesshikh khirurgicheskuiu revaskuliarizatsiiu miokarda.

Left ventricular myocardial contractility was found essential in dynamics of clinical IHD picture in patients on rehabilitation treatment at low mountain resorts. All the patients have previously undergone surgical myocardial revascularization. Patients with normal left ventricular myocardial contractility benefited most of all.

[The characteristics of the adaptation to the hypoxic conditions at a low-altitude health resort in IHD patients after an aortocoronary bypass]. / Osobennosti adaptatsii k usloviiam gipoksii na nizgogornom kurorte bol'nykh IBS posle aortokoronarnogo shuntirovaniia.

Adaptation to hypoxia is an important training factor for patients with ischemic heart disease subjected to aortocoronary shunting. In the conditions of low-maintain health resort this adaptation lasts for 3-5 days and most of the patients avoid complications. Pathological reactions occur in patients with inadequate reserves of the coronary system, having essential hypertension, severe concomitant diseases, in those who arrived at health resort earlier than 5 months after aortocoronary shunting.

[The terrain cure under moderate altitude hypoxia in the combined sanatorium-health resort treatment of patients with ischemic heart disease after aortocoronary bypass]. / Terrenkur v usloviiakh umerennoi vysotnoi gipoksii v kompleksnom sanatorno-kurortnom lechenii bol'nykh ishemicheskoi bolezn'iu serdtsa posle aortokoronarnogo shuntirovaniia.

Muscular exercise in the form of terrain walking proved to be a useful component of combined conditioning of coronary heart disease patients after aortocoronary shunt functional class 1 and 2. In conditions of moderate altitude resort such training mobilizes cardiovascular reserves of CHD patients. The outcome of the above sanatorium rehabilitation depends largely on contractility of left ventricular myocardium.

[The role of carbonate mineral baths in the total health-resort treatment complex and the mechanisms of their effect on patients with ischemic heart disease who have had an aortocoronary bypass]. / Rol' mineral'nykh uglekislykh vann v obshchem komplekse kurortnogo lecheniia i mekhanizmy ikh vliianiia na bol'nykh ishemicheskoi bolezn'iu serdtsa, perenesshikh aortokoronarnoe shuntirovanie.

The data obtained by the authors demonstrate a favourable effect of effervescent baths on coronary heart disease patients who have undergone aortocoronary shunt. The baths have a training effect on the cardiac muscle, improve coronary circulation autoregulation and stimulate basic metabolism.

[Sanatorium-resort treatment in a low-mountain region of patients with ischemic heart disease after aortocoronary bypass]. / Sanatorno-kurortnoe lechenie v usloviiakh nizkogor'ia bol'nykh ishemicheskoi bolezn'iu serdtsa posle aortokoronarnogo shuntirovaniia.

Sanatorium treatment of patients with coronary heart disease performed in Kislovodsk 6-8 months after aortocoronary bypass leads to a substantial improvement of the functional status of patients without anginal episodes and with Functional Classes I and II angina pectoris.