title: [Organization of rehabilitative treatment of patients with myocardial infarct].
abstract: 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.
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D006739:Hospital Administration; D006801:Humans; D008097:Lithuania; D008875:Middle Aged; D009203:Myocardial Infarction / Q000534:rehabilitation* / Q000628:therapy; D026741:Physical Therapy Modalities; D011613:Psychotherapy; D012047:Rehabilitation Centers
vernacular_title: Opyt organizatsii vosstanovitel'nogo lecheniia bol'nykh infarktom miokarda