[Short courses of iodine-bromine bath therapy and physical exercises for patients with coronary heart disease and concomitant cardiac rhythm disturbance].

The objective of this sanatorium-based study was to evaluate effect of short courses of iodine-bromine bath therapy and veloergometer exercises during 14 days on the working capacity, ventricular and supraventicular extrasystoles, painful and "silent" myocardial ischemia in patients with a combination of coronary heart disease (CHD), stable angina of functional class II, and grade II hypertensive disease (according to the WHO classification). The patients' conditions were monitored by means of spiroveloergometry and Holter ECG recordings. The study included a total of 108 patients. It was shown that short courses of iodine-bromine bath therapy and veloergometer exercises had training and anti-arrhythmic effect on the patients with concurrent coronary heart disease, stable angina, and hypertensive disease. The treatment improved their working capacity, enhanced coronary heart reserve, reduced the frequency of ventricular and supraventicular extrasystoles, decreased manifestations of painful and "silent" myocardial ischemia.

[Effect of general magnetotherapy on specific activity of blood phagocytes in patients with ischemic heart disease].

In general magnetotherapy for patients with hyporeactive phagocytes (less than 67% from the level of normal chelicoluminescent response) the adequate level of magnetic induction is 1 mT, for patients with normoreactive phagocytes--0.5 mT and for patients with hyperreactive phagocytes (more than 133% from the level of normal chelicoluminescent response)--0.75 mT daily.

[Effect of combined application of nitrogen baths and 6 month physical training on physical work capacity and extrasystole in patients with ischemic heart disease and stable stenocardia]. / Vliianie kombinirovannogo primeneniia azotnykh vann i fizicheskikh trenirovok s prodolzheniem poslednikh do 6 mes na fizicheskuiu rabotosposobnost' i ékstrasistoliiu u bol'nykh ishemicheskoi bolezn'iu serdtsa so stabil'noi stenokardiei.

AIM: To study effects of combined use of general artificial nitric baths and bicycle exercise for 6 months on physical performance (PP) and extrasystole (ES) in patients with coronary heart disease (CHD) and stable angina pectoris (SAP) of functional class I-II. MATERIAL AND METHODS: A total of 129 CHD with SAP patients entered the study. Of them, 44 patients received balneotherapy (a course of general artificial nitric baths); 37 patients took the baths and exercised on bicycle ergometer; 48 patients took the baths, exercised on bicycle ergometer in the outpatient clinic and continued the exercises for 6 months. The patients were examined with spiroveloergometry and ambulatory Holter ECG monitoring. RESULTS: The latter group of patients achieved the highest training effect manifesting with increased PP and coronary heart reserve, an antiarrhythmic effect (a 73.3% fall in the mean number of ventricular ES for 24 hours, a 72.2% one in this number of supraventricular ES). CONCLUSION: A significant efficacy is shown of combined use of general nitric baths and bicycle exercise with prolongation for 6 months in CHD patients and SAP of functional class I-II with ES.

[Effect of superhigh frequency electromagnetic fields and physical exercise on physical performance and extrasystole in myocardial ischemia patients with stable angina pectoris]. / Vliianie élektromagnitnykh polei sverkhvysokoi chastoty i fizicheskikh trenirovok na fizicheskuiu rabotosposobnost' i ékstrasistoliiu u bol'nykh ishemicheskoi bolezn'iu serdtsa so stabil'noi stenokardiei.

AIM: To study impact of UHF electromagnetic fields in combination with bicycle exercise on muscular performance (MP) and extrasystole (ES) in IHD patients with stable angina of functional class 1 and 2 (SA). MATERIAL AND METHODS: The trial included 112 IHD patients with SA and ES. 36 of them were exposed to coursed electromagnetic fields (40 W, on heart area). The other 42 patients received the same treatment and exercised on bicycle ergometer. 34 patients received placebo procedures and did therapeutic exercises. The effect was assessed with spiroveloergometry and ECG Holter ambulatory monitoring. RESULTS: It was found that 40 W UHF electromagnetic fields in combination with exercise on veloergometer exert a training effect in IHD patients with extrasystole manifesting with higher physical performance and coronary heart reserve. The antiarrhythmic effect consisted in a significant daily fall in mean ventricular ES number by 48.2%, supraventricular EX by 54.8%. CONCLUSION: Combined application of 40 W UHF electromagnetic fields on heart area with bicycle exercise is effective in IHD patients with ES.

[Effects of the combination of nitrogen baths and physical training on physical performance and extrasystole in patients with coronary heart disease with intraventricular blocks]. / Vliianie kombinirovannogo primeneniia fizicheskikh trenirovok i azotnykh vann na fizicheskuiu rabotosposobnost' i ékstrasistoliiu u bol'nykh koronarnoi bolezn'iu serdtsa s vnutrizheludochkovymi blokadami.

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.

[Effect of sinusoidal modulated currents on physical ability to work and disruption of cardiac rhythm in coronary heart disease with stable angina pectoris]. / Vliianie sinusoidal'nykh modulirovannykh tokov na fizicheskuiu rabotosposobnost' i narusheniia serdechnogo ritma u bol'nykh koronarnoi bolezn'iu serdtsa so stabil'noi stenokardiei.

137 patients with coronary heart disease (CHD) and stable angina pectoris (functional classes I and II) participated in the study. 67 patients received a course of sinusoidal modulated currents (SMC) on the heart area; 40 patients--SMC on the sinocarotid zones; 30 patients received placebo procedures. The treatment outcomes were assessed with spiroveloergometry, ambulatory Holter ECG monitoring. The results demonstrate that course SMC provide a training effect (improved physical performance, coronary heart reserve) and antiarrhythmic action (mean daily number of ventricular extrasystoles decreased by 36.6-50.4%, supraventricular extrasystoles by 42.7-43.2%).

[Color-physiopuncture corrections of autonomic disorders]. / Tsvetofiziopunkturnaia korrektsiia vegetativnykh narushenii.

Investigations have shown that electromagnetic waves of color band used for physiopuncture correction of functional-dynamic condition of channel-meridional system of the body in young patients with vegetovascular asthenia of a hypertensive type lead to a regress of the clinical symptoms, normalization of arterial pressure, correction of cerebral hemodynamic disorders, recovery of normal bioelectric activity of the brain.

[Use of nitrogen baths and exercise in the treatment of patients with coronary heart disease complicated by arrhythmia]. / Primenenie azotnykh vann i fizicheskikh trenirovok u bol'nykh koronarnoi bolezn'iu serdtsa s narusheniem serdechnogo ritma.

The study was made of 111 patients with coronary heart disease (CHD) who had stable angina pectoris of functional class I and II, extracyctoles. They received artificial nitric baths (n = 44, group 1), artificial nitric baths plus bicycle exercise (n = 37, group 2), fresh water baths (n = 30, group 3). As shown by the results of spiroveloergometry and Holter ECG monitoring, patients of group 1 and 2 benefited more. The average number of ventricular and supraventricular extracyctoles reduced daily by 30.4-36.4 and 59.9-64.2% in group 1 and 2, respectively.

[Changes in the autonomic status in vegetovascular dystonia syndrome during exposure to permanent magnetic field ]. / Izmenenie vegetativnogo statusa pri sindrome vegetososudistoi distonii pod vliianiem postoiannogo magnitnogo polia.

Permanent magnetic field was applied by placing two magnetic discs (induction 60 mT) in the projection of great arteries on both sides symmetrically. The treatment was given to hypertensive patients with vegetovascular asthenia. A course of such magnetic treatment affects pathogenetic mechanisms of vegetative disorders due to the ability of permanent magnetic field to restore vegetative homeostasis, normalize sympathicotony and vegetative regulation.

[The effect of sodium chloride baths on the physical work capacity and extrasystole of patients with ischemic heart disease and stable stenocardia]. / Vliianie khloridnykh natrievykh vann na fizicheskuiu rabotosposobnost' i ékstrasistoliiu u bol'nykh ishemicheskoi bolezn'iu serdtsa so stabil'noi stenokardiei.

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%.

[The effect of radon baths on the physical work capacity and extrasystole in patients with ischemic heart disease and stable stenocardia]. / Vliianie radonovykh vann na fizicheskuiu rabotosposobnost' i ékstrasistoliiu bol'nykh ishemicheskoi bolezn'iu serdtsa so stabil'noi stenokardiei.

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.

[The effect of carbon dioxide baths on the physical work capacity and extrasystole of patients with ischemic heart disease and stable stenocardia]. / Vliianie uglekislykh vann na fizicheskuiu rabotosposobnost' i ékstrasistoliiu bol'nykh ishemicheskoi bolezn'iu serdtsa so stabil'noi stenokardiei.

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.

[The combined use of carbon dioxide baths and physical training on a bicycle ergometer in the treatment of patients with ischemic heart disease at sanatoria and health resorts]. / Kompleksnoe primenenie uglekislykh vann i fizicheskikh trenirovok na veloérgometre v lechenii bol'nykh ishemicheskoi bolezn'iu serdtsa v sanatorno-kurortnykh usloviiakh.

The effectiveness of exercise on bicycle ergometer in combination with effervescent baths was studied in 158 patients with ischemic heart disease receiving treatment in conditions of the sanatorium. Relevant combination is shown to raise IHD sanatorium treatment efficacy, the best regimen being bicycle ergometry exercise followed in 2 hours by the baths or performed on the next day after the bath taking.

[Chronotropic insufficiency in patients with ischemic heart disease]. / O khronotropnoi nedostatochnosti u bol'nykh ishemicheskoi bolezn'iu serdtsa.

A study is presented of 80 patients with ischemic heart disease (IHD): 37 patients with a low reaction of the cardiac rhythm to physical load--chronotropic insufficiency (CHI) and 43 patients with an adequate reaction of the cardiac rhythm to loads. Physical working capacity was evaluated by the strength of threshold load, pulsepressure double product, rest quotient, oxygen pulse, oxygen consumption per 1 kgm of work. Interval between the 1 and 2 examination--6.5 years. It was shown that CHI in IHD does not influence the prognosis of the disease and does not reflect the grade of its severity. They are, however, the marker of involvement of the atria. Chronic insufficiency in ischemic heart disease makes it difficult to objectively evaluate the physical working capacity.

[Improvement in the forms of control over the knowledge of interns in a department of polyclinical therapy]. / K voprosu o sovershenstvovanii form kontrolia znanii u subordinatorov na kafedre poliklinicheskoi terapii.

The authors summarize their experience gained with the methods of perfection the subinterns' knowledge control at the chair of polyclinical therapy. While taking the course of polyclinical therapy, the subinterns are to take 3 tests: the first one after the 4-day studies of urgent conditions which the district physician faces, the second one after the 5-day studies into expert medical evaluation of the working capacity in the activity of the district internist, and the third one after a cycle of studies into polyclinical therapy. During such tests, the knowledge may often be checked in writing.

[Comparative analysis of the significance of transesophageal stimulation of the left atrium and bicycle ergometry in the detection of residual myocardial ischemia during the early period of myocardial infarct]. / Sravnitel'nyi analiz znachimosti chrespishchevodnoi stimuliatsii levogo predserdiia i veloérgometrii v vyiavlenii rezidual'noi ishemii miokarda v rannie sroki infarkta miokarda.

The study was undertaken to compare transesophageal left atrial pacing (TLAP) and bicycle ergometry (BE) in the detection of residual myocardial ischemia (RMI) in 187 patients with myocardial infarction in the early periods of the disease (on days 20 to 26). The intensity of TLAP and BE was increased up to the threshold and submaximal levels according to the conventional criteria. Among the patients, RMI was detected in 71% with TLAP and in 55% with BE (p less than greater than 0.01). Thus, this suggests that TLAP has advantages over BE in the detection of RMI in patients with myocardial infarction in the early periods of the disease.