The technology of functional normalization of the cardiovascular system parameters by means of the alternating biofeedback on cardiac rhythm (cardiorespiratory training) with the use of a turning bed (verticalizer) is described, which allows to implement the oscillatory postural effects of ortho- and antiorthostatic nature automatically. Aim of the study. Increasing of application area of cardiorespiratory training due to the variety of options for biofeedback signals. Methods. The oscillation of the turning bed controlled by means of the parameters of heart rate variability sets for the examinee the order of alternation of the inspiration and expiration phases and the phases of the inspiration/expiration beginning. The method is available to patients with low vision, bedridden patients, early ages children; patients who are not able to understand the essence of the procedure. Results of researches. Positive dynamics of the test subjects’ functional state is, in particular, the normalization of activity of components of the autonomic nervous system; the reinstatement of the natural breathing pattern lost due to various reasons; increasing the variability of the heart rate; the cardiovascular system training due to moderate alternating ortho- and antiorthostatic load, estimated by number of physiological parameters.
The results and pattern of therapy were analyzed in 772 patients with acute myocardial infarction (AMI) who were treated at two Saint Petersburg hospitals in 1998 to 2007. A follow-up indicated that drug treatment quality and therapy adherence improved a year after AMI, resulting in a significant reduction in sudden cardiac death rates. At the same time, inadequate primary myocardial reperfusion and myocardial revascularization failed to significantly reduce mortality from chronic heart failure and incidence of myocardial reinfarction. Key words: acute myocardial infarction, sudden cardiac death, myocardial reinfarction, guidelines for the management of myocardial infarction, drug therapy adherence.
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