Effect of early intensive exercise rehabilitation on functional state of circulatory system in patients with myocardial infarction after angioplasty and artery stenting
The article refers to data concerning dynamics of functional state of circulatory system during 1 year of myocardial infarction (MI) and percutaneous coronary interventions (PCI) in various physical rehabilitation (PR) modes. 69 patients among those hospitalized were randomized in the RSPC «Cardiology» starting 2 to 24 hours from the onset of the disease. The main group (MG) included 35 patients who had received early intensive ER that included cycle ergometer physical training (PT) program. The CG included 34 patients, and the ER was performed traditionally. MI patients who undergone PCI in 2 weeks post-PCI showed a moderate ER tolerance (ERT) and low oxygen consumption (VO 2) according to spirobicycle testing (spiroERG). In the absence of early intensive PR in 3 months after MI development. The increase in ERT and VO 2 is absent compared to that attained as a result of PCI. Using early intensive PR in 3 months. A considerable increase in ERT and aerobic physical capacity. One year post MI the MG showed a higher ERT than that observed immediately after PCI, but the greater VO 2 attained as a result of PT course is not maintained necessitating the recurrent course of controlled rehabilitation at 1 year after MI.