History of cardiac rehabilitation in Russia

Aronov, D M

doi:10.18087/cardio.2604

Kardiologiia

2018

DOI: 10.18087/cardio.2604

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History of cardiac rehabilitation in Russia

D M Aronov

Abstract: The review presents the history of establishing cardiac rehabilitation for patients who have had acute myocardial infarction, acute coronary conditions, cardiac and vascular surgery, and intravascular interventions. Stages and physiological basis of this treatment are described.

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Cited by 3 publications

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“…Medical scientists in Russia and abroad pay special attention to etiology, pathophysiology, pathogenesis, diagnosis, treatment and prognosis of AH. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] The prevalence of AH among the adult population is from 30-45% up to 60% and it is more frequent among people over 60 years. 18,19 Throughout the world, AH also significantly affects cardiovascular complications and results in high death rate.…”

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confidence: 99%

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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Arterial hypertension (AH) is a burning problem in the world. Antihypertensive pharmacological therapy combined by physical exercises is well-studied in patients with mild and moderate AH. However, studies that have investigated relaxation in patients with severe AH in addition to drug therapy are lacking. Optimization of a comprehensive treatment for patients with severe AH, by using a multicomponent rational antihypertensive pharmacotherapy (PT) with subsequent application of relaxation exercise therapy (RET). The study involved 32 male patients with severe AH. Initially, clinical-instrumental and laboratory examination, blood pressure registration and daily arterial blood pressure monitoring were carried out. Suitable PT was selected for all the patients. 3 months after starting PT the patients were divided in 2 groups. The patients of the 1st group were prescribed RET in addition to PT. The 2nd group of patients continued receiving PT alone. 3 months later, average daily blood pressure (ADBP)-syst and ADBP-diast were compared in both groups. Three months after PT both groups demonstrated a significant decrease in ADBP-syst and ADBP diast, but these indicators remained higher than normal and did not reach the target level. Three months after the inclusion of RET in the comprehensive treatment, the 1st group demonstrated a significant decrease in ADBP (systolic and diastolic), not only in comparison with the initial data, but also with the data observed three months after PT. After 6 months, ADBP-syst and ADBP-diast in the 1st group were significantly lower compared with those of patients in the 2nd group. The inclusion of RET in addition to a multicomponent antihypertensive PT is a promising treatment option for severe AH.

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mentioning

confidence: 99%

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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Cardiac rehabilitation: stages, principles and international classification of functioning (ICF)

Бубнова¹,

Аронов²

2020

Profil. med.

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Use of Non-Drug Methods in the Treatment of Patients With Arterial Hypertension

Lebedeva

Achilov²

2021

Acta med. Eurasica

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The aim of the study is to optimize the comprehensive treatment of patients with severe arterial hypertension, through the use of multicomponent rational antihypertensive pharmacotherapy, followed by the use of unloading therapeutic exercises. 32 men with severe arterial hypertension were examined. Initially, a clinical, instrumental and laboratory examination, registration of blood pressure and its 24-hour monitoring were carried out. The average daily systolic (ADBPsyst.) and average daily diastolic (ADBPdiast.) blood pressure were determined. A multicomponent rational antihypertensive pharmacotherapy, according to the clinical recommendations for the treatment of arterial hypertension was selected for all the patients. In at least 3 months after the selection of pharmacotherapy, the patients were divided into two groups, comparable in gender, age, severity of the condition, features of the disease course and medicamentous therapy. Patients of the 1st group (active treatment group) against the background of pharmacotherapy were prescribed unloading therapeutic exercises according to a patented technique. The 2nd group of patients continued to take pharmacotherapy and it was used as a baseline group. The average age in the 1st and 2nd groups was 46,3±6,8 and 43,6±7,2 years, respectively. Patients of the 1st group were prescribed unloading therapeutic exercises and in 3 months in both groups the ADBPsyst. and ADBPdiast. were compared. Initially, there was a significant increase in ADBPsyst. and ADBPdiast. compared to the normal range in both groups. These indicators in both groups differed insignificantly. In 3 months after pharmacotherapy, there was a significant decrease in ADsyst. and ADdiast. in both groups, but these indicators remained elevated and did not reach the target level. Then, in the 1st group, unloading therapeutic exercises were included in the comprehensive treatment. Patients of the 2nd group continued to receive pharmacotherapy. In 3 months after including unloading therapeutic exercises in the 1st group, there was a significant decrease in ADBP (syst. and diast.) not only in comparison with the initial data, but also with the data in 3 months after pharmacotherapy. In the 2nd group, these indicators did not change significantly compared to the three-month data. In 6 months, ADBPsyst. and ADBPdiast. in the 1st group were significantly lower compared to similar indicators in the 2nd group, which proves significant clinical effectiveness of unloading therapeutic exercises in patients of the 1st group. The results obtained confirm that patients with severe arterial hypertension have such types of disorders at the cellular-tissue and microcirculatory level that are not eliminated only by drug therapy. For their high-grade correction, along with multicomponent pharmacotherapy, it is necessary to include unloading therapeutic exercises. To optimize the treatment of severe arterial hypertension against the background of receiving multicomponent antihypertensive pharmacotherapy, it is recommended to include unloading therapeutic exercises in the therapeutic complex.

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History of cardiac rehabilitation in Russia

Abstract: The review presents the history of establishing cardiac rehabilitation for patients who have had acute myocardial infarction, acute coronary conditions, cardiac and vascular surgery, and intravascular interventions. Stages and physiological basis of this treatment are described.

Cited by 3 publications

References 13 publications

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Cardiac rehabilitation: stages, principles and international classification of functioning (ICF)

Use of Non-Drug Methods in the Treatment of Patients With Arterial Hypertension

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