[Results of early rehabilitation treatment of patients with ischemic heart disease with cardiovascular failure after surgical revascularization of the myocardium]. / Rezul'taty rannego vosstanovitel'nogo lecheniia bol'nykh ishemicheskoi bolezn'iu serdtsa s serdechno-sosudistoi nedostatochnost'iu posle khirurgicheskoi revaskuliarizatsii miokarda.

AIM: To estimate effects of early 12-month combined rehabilitation treatment on modification of risk factors, cardiorespiratory reserve and physical performance in IHD patients with cardiovascular failure (CVF) initiated 2-4 weeks after surgical revascularization of the myocardium. MATERIAL AND METHODS: 87 IHD patients (mean age 61.3 +/- 8.6 years) of NYHA functional class I-III were divided into 4 groups by K.T. Weber, J.S. Janicki criteria. The tests were made before and 12-week after the rehabilitation. RESULTS: The rehabilitation program proposed by the authors modified risk factors, cardiorespiratory reserve and physical performance. Early multimodality rehabilitation treatment with individually adjusted aerobic exercise in IHD patients with CVF after surgical revascularization of the myocardium raises cardiorespiratory reserve and exercise tolerance. Adaptation reserves enhanced more in patients with the lowest values of the above parameters. The 12-week program of rehabilitation did not reduce overweight significantly. CONCLUSION: Physical exercise is indicated to all the patients after surgical revascularization of the myocardium in individual doses. Modification of the risk factors should be continued.