[Duration-outcome relations in nonpharmacological treatment of chronic cardiac failure developed after acute myocardial infarction].
Left-ventricular (LV) systolic-diastolic function and cardiac rhythm variability, the rate of pathological LV remodeling and outcomes of the disease for 18 months were studied in 394 males at the age 35-68 years suffering from chronic cardiac failure (CCF) of NYHA functional class I-II consequent to myocardial infarction occurring 9.6-4.2 months before. It was found that long-term (12-24 weeks) taking sauna, underwater dousch-massage, general effervescent baths and exercise in combination with drug therapy in patients with asymptomatic CCF inhibit the rate of LV remodeling, decrease LV hypertrophy, improve diastolic function of the heart. This results in lowering a cumulative risk of unfavourable outcomes of the disease by 42% (p = 0.006). The best of effect of the combined therapy is not achieved in angina of effort, massive myocardial hypoperfusion zones, no viable myocardium in the zones of the lesion, marked LV hypertrophy.
Nagiev
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D000208:Acute Disease; D000328:Adult; D000368:Aged; D016279:Atrial Function, Left / Q000502:physiology; D001452:Balneology; D001794:Blood Pressure / Q000502:physiology; D002303:Cardiac Output, Low / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D002908:Chronic Disease; D004562:Electrocardiography; D005500:Follow-Up Studies; D006294:Health Resorts; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000503:physiopathology; D016896:Treatment Outcome; D020257:Ventricular Remodeling / Q000502:physiology