[The medical aspects of the rehabilitation of patients with congenital heart defects and the problems of their social integration into modern society]. / Meditsinskie aspekty reabilitatsii bol'nykh s vrozhdennymi porokami serdtsa i problemy ikh sotsial'noi integratsii v sovremennoe obshchestvo.

Treatment of 500 patients was used as a basis for the development of a complex stepwise programme of rehabilitation of patients with congenital heart diseases (CHD). It was noted that for a valuable social integration of people with CHD into the modern society it was necessary to perform not only the indicated, adequate and timely operations but also the inescapable measures for the improvement of their physical and psychophysiological adaptation. The following job in remote periods of observations of the patients operated upon must take into account its conformity to functional possibilities of energy expenditure for the chosen occupation and should be effected with the individually accessible (or indicated) level of the physical tension taken into consideration.

[Current aspects in the rehabilitation of patients with congenital heart defects]. / Aktual'nye aspekty reabilitatsii bol'nykh s vrozhdennymi porokami serdtsa.

Repeated examinations of patients with congenital heart diseases of "pale type" (33 patients operated upon and 20 patients not subjected to operations) were performed during continuous periods of observations. A stable rehabilitative effect was noted in the group of patients operated upon who retained their physical work capacity and adequate reactions of blood circulation and ventilation systems to physical exercise. While in men the level of physical work capacity was characterized by relative constancy, in women it had a clear tendency to elevation in the dynamics of continuous terms of observation. In the group of nonoperated patients in whose childhood the congenital heart diseases were not accompanied by lung hypertension the elevated pressure in the lung artery was observed in adult age in more than half of the cases. Deterioration of functional reserves was observed in all the patients.

[Sex differences in the rehabilitative effect in patients after the correction of congenital heart defects under long-term observation]. / Polovye razlichiia reabilitatsionnogo éffekta u bol'nykh posle korrektsii vrozhdennykh porokov serdtsa pri dlitel'nom nabliudenii.

In the process of prolonged observations a clinical and special functional examination of 33 patients (13 men and 20 women) operated upon in childhood for congenital heart diseases of the "pale type" was performed. A stable rehabilitating effect was obtained after radical surgical treatment. At the same time it was found that the level of the maximum physical work ability was retained in greater degree in women as compared with men and was even a little greater when economically used in rest and under physical load at the expense of higher gas exchange efficiency of blood circulation.

[The importance of studying 11-HCS in determining the optimal times for the correction of congenital heart defects]. / Znachenie issledovaniia 11-OKS v opredelenii optimal'nykh srokov korrektsii vrozhdennykh porokov serdtsa.

The hormonal reaction of the adrenal cortex to growing physical exercise was studied in 42 patients with congenital heart diseases and 54 healthy persons. The age of the people under examination was from 7 to 35 years. It was found that in response to submaximal physical exercise a reliable drop of glucocorticoid activity of the adrenals takes place in patients as early as at the period of the second childhood. It is observed not only in people with light hypertension but also in those with relatively favourable course of the disease. These findings evidence to early correction of the defect.