| Autor: |
D M, Aronov, V B, Krasnitskiĭ, M G, Bubnova, Iu M, Posdniakov, D V, Ioseliani, A N, Shchegol'kov, G G, Efremushkin, I V, Osipova, S F, Guliaeva, S V, Mal'chikova, E V, Kazakevich, N P, Liamina, I N, Riamzina, L N, Mingazetdinova |
| Rok vydání: |
2006 |
| Předmět: |
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| Zdroj: |
Terapevticheskii arkhiv. 78(9) |
| ISSN: |
0040-3660 |
| Popis: |
To assess efficacy of early and long-term exercise in patients with ischemic heart disease (IHD) after acute coronary events (acute myocardial infarction--AMI, unstable angina--UA, coronary artery bypass grafting--CABG) in wide outpatient medical practice of Russia.Three to eight weeks after the acute coronary event (ACE) 373 patients from different clinics of RF regions were randomized into two groups: the study group (n = 188) and a control one (n = 185). Both groups received standard therapy, the study group performed also a special exercise program (moderate exercise for maximum 1 hour 3 times a week for a year). The efficacy of the treatment was assessed by clinical, device and biochemical findings during 6-month follow-up.Physical work capacity, total amount of performed work (PW) in stress test rose in the study group by 26.5% (p0.01) and 59.4% (p0.01), respectively; HRmax and BPSmax x HRmax increased by 6.4 and 9.8%, respectively, p0.01); PW/Hrpeak rose by 48.6% (p0.01), PW/DP peak--by 45.9% (p0.01). Left ventricular ejection fraction increased by 5.6% (p0.05), LV stroke volume--by 3.4% (p0.05). In 6 months, controls demonstrated a 4.7% (p0.05) rise in HDLP cholesterol, total cholesterol lowered in the study group by 6.4% (p0.01), body mass index--by 1.9%, number of anginal attacks--by 0.9%.The proposed exercise program is effective and can be applied in outpatients after acute coronary events. The program can be also used as a method of secondary prophylaxis as it lowers total cholesterol, atherogenic index and body mass index. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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