RESUMO
Of 103 patients with acute coronary syndrome (mean age 51.6 +/- 0.9 years) 47 patients participated in 5 group psychotherapeutic sessions added to conversional rehabilitation program. Psychotherapy included progressive muscular relaxation, neurolinguistic programming, eriksonian hypnosis, therapeutic metaphora. Psychotherapy decreased the hear rate, number of ventricular extrasystoles, stimulated tonicity of the parasympathetic nervous system. Compared to the controls, the test patients developed higher exercise tolerance and lower reactivity of the central hemodynamics in all the exercise tests.
Assuntos
Terapia por Exercício , Isquemia Miocárdica/reabilitação , Psicoterapia , Doença Aguda , Adulto , Idoso , Sistema Nervoso Autônomo/fisiopatologia , Eletrocardiografia , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Isquemia Miocárdica/fisiopatologia , Síndrome , Resultado do TratamentoRESUMO
AIM: To test electric stimulation of the skeletal muscles in rehabilitation of patients with complicated myocardial infarction. MATERIALS AND METHODS: 27 patients with macrofocal myocardial infarction (age 67 +/- 2.4 years) with persisting left ventricular insufficiency in the beginning of the subacute period. From day 3-4 all the patients were subjected to electrostimulation of large skeletal muscles (ESSM). The procedures were made daily for 2 hours using the Mioritm-040 unit. In the course of the first session the study was made of the changes in the intracardiac hemodynamics and doppler parameters of circulation in the popliteal artery. RESULTS: In the course of ESSM of 10-15 sessions none of the patients had anginal attacks, aggravation of dyspnea, arrhythmia episodes. After the course there was a marked increase in left ventricular ejection fraction and stroke volume. CONCLUSION: ESSM is safe in complicated myocardial infarction, prevent unwanted effects of long-term stay in bed, improves intracardiac hemodynamics.
