[Age and late outcome of myocardial infarction]. / Otdalennye iskhody infarkta miokarda v vozrastnom aspekte.

Age-dependent differences in the clinical state, lethality, incidence of repeated infarction, frequency and duration of temporary disability were studied in 993 patients during 2 years after myocardial infarction. The stage of heart failure is the main factor responsible for the less favourable outcomes after myocardial infarction survived in middle and senile age. The incidence rate of repeated myocardial infarction during two years, and preservation of capacity for work in subjects, who returned to work, do not differ significantly in varying age groups.

[Method of conducting a staged rehabilitation of patients who have had a myocardial infarct]. / Metodika provedeniia poétapnoï reabilitatsii bol'nykh, perenesshikh infarkt miokarda.

Stage rehabilitation with the use of special centres is a combination of physical culture, physiotherapeutic, psychological and medicinal effects. The patients is early passed, contraindications excepted, with an average hospital treatment of 22 days with bicycle ergometry examinations at dismissal. A whole round method of assessment of the patients condition during rehabilitation is being used. Results achieved are reinforced during out-patient examination of all patients who had had myocardial infarction in a cardiological centre.

[Mortality and its determining factors in patients who have had a myocardial infarct]. / Letal'nost' i opredeliaiushchie ee faktory u bol'nykh, perenesshikh infarkt miokarda.

The two-year mortality in 993 patients aged from 29 to 86 years included into the register of the acute myocardial infarction and survived during the first 4 weeks totalled 22.9%. The more frequent causes of lethal outcome was sudden death (31.3%) and progressing circulatory insufficiency (19.1%). A system of factors has been established acting favourably or unfavourably on the late results. Attention is drawn to the fact that different factors act differently in persons of different age.

[Results of the long-term comprehensive rehabilitation of patients who have had a myocardial infarct]. / O rezul'taty dolgosrochnoi kompleksnoi reabilitatsii bol'nykh, perenesshikh infarkt miokarda.

Comprehensive stage-by-stage rehabilitation according to the WHO program was conducted in 73 males after myocardial infarction. The indices of physical working capacity and psychic readaptation were better in them than in the control group, while the need in in-patient treatment and the incidence of repeated infarction were less.

[Organization of rehabilitative treatment of patients with myocardial infarct].

Purposeful continuous comprehensive rehabilitation of myocardial infarction patients is impossible without centralization. The authors share their long-term experience in arranging and running such a centralized stage-wise system of rehabilitation and secondary prophylaxis. All the stages (specialized hospital department -- post-hospital center -- sanatorium -- outpatient dispensary center) are manned with cardiologists, specialists in kinesitherapy and functional diagnosis, psychologists. All the measures are coordinated by persons responsible for the particular stages of rehabilitation. When the patients return to their professional activities, the state of their cardiovascular system is controlled at work, and ECG is recorded during the working hours. The well-coordinated work of all the links of this rehabilitation system permitted to achieve 91.7% restoration of the capacity for work in patients of a pre-retirement age who have survived myocardial infarction. In order to make scientifically substantiated conclusions on the effect of rehabilitation and secondary prophylaxis on the prognosis of the patients joint efforts of several centers are necessary, as well as standardizing all the studies, unification of the criteria of assessment of the patients' state and of the efficacy of the measures taken. This would serve as a foundation for the creation of a rehabilitation system suitable for the practical health services.