[Results of early rehabilitation treatment of patients with ischemic heart disease with cardiovascular failure after surgical revascularization of the myocardium].
OBJECTIVE
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.


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.


CONCLUSIONS
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.
D000222:Adaptation, Physiological; D000368:Aged; D002303:Cardiac Output, Low / Q000150:complications* / Q000503:physiopathology; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D015444:Exercise; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D016896:Treatment Outcome
Rezul'taty rannego vosstanovitel'nogo lecheniia bol'nykh ishemicheskoĭ bolezn'iu serdtsa s serdechno-sosudistoĭ nedostatochnost'iu posle khirurgicheskoĭ revaskuliarizatsii miokarda.