CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION

Aim. To study effect of long-term controlled physical training (CPT) of moderate intensity on diastolic function, depending on the degree of recanalization, in patients with ischemic heart disease (ICD) with left ventricle diastolic dysfunction (DD) who underwent percutaneous coronary intervention (...

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Main Authors: N. P. Lyamina, A. N. Nosenko, I. B. Razborova, O. V. Orlikova, E. V. Kotel'nikova, E. S. Karpova
Format: Article
Language:English
Published: Столичная издательская компания 2015-12-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/431
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author N. P. Lyamina
A. N. Nosenko
I. B. Razborova
O. V. Orlikova
E. V. Kotel'nikova
E. S. Karpova
author_facet N. P. Lyamina
A. N. Nosenko
I. B. Razborova
O. V. Orlikova
E. V. Kotel'nikova
E. S. Karpova
author_sort N. P. Lyamina
collection DOAJ
description Aim. To study effect of long-term controlled physical training (CPT) of moderate intensity on diastolic function, depending on the degree of recanalization, in patients with ischemic heart disease (ICD) with left ventricle diastolic dysfunction (DD) who underwent percutaneous coronary intervention (PCI). Material and methods. Patients with ICD (n=60, all males, aged from 49 to 58 years) who had undergone PCI last 3–6 weeks were included into the study. They were randomized into two groups depending on CPT availability in the rehabilitation program. Standard clinical examination, diastolic function assessment, exercise tolerance test were performed at baseline, after 6 and 9 months. Results. The long-term CPT of moderate intensity led to diastolic function improvement in 15.6% of patients after 6 months and 28.1% - in 9 months. Improvement of diastolic function in ICD patients with complete recanalization was observed after 6 months of CPT moderate intensity. Longer period of physical rehabilitation (9 months or more) was required for patients with incomplete recanalization. The improvement of diastolic function without CPT was observed after 6 months in 2 (7.1%) patients with a relaxation type of DD and complete recanalization. Normalization of diastolic function without CPT after 9 months was observed in 10.7% of patients and 3.5% of patients showed DD progression. Conclusion. Inclusion of the long-term CPT of moderate intensity into the rehabilitation program has cardioprotective effect in ICD patients with ischemic DD undergoing PCI.
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spelling doaj.art-b7fd1d06a54945ebbce8d04a92d8c7d42024-04-01T07:43:25ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532015-12-018341541910.20996/1819-6446-2012-8-3-415-419431CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTIONN. P. Lyamina0A. N. Nosenko1I. B. Razborova2O. V. Orlikova3E. V. Kotel'nikova4E. S. Karpova5Saratov Research Institute of Cardiology Saratov State Medical University named after V.I. RazumovskiiSaratov Research Institute of CardiologySaratov Research Institute of CardiologySaratov Research Institute of CardiologySaratov Research Institute of CardiologySaratov Research Institute of CardiologyAim. To study effect of long-term controlled physical training (CPT) of moderate intensity on diastolic function, depending on the degree of recanalization, in patients with ischemic heart disease (ICD) with left ventricle diastolic dysfunction (DD) who underwent percutaneous coronary intervention (PCI). Material and methods. Patients with ICD (n=60, all males, aged from 49 to 58 years) who had undergone PCI last 3–6 weeks were included into the study. They were randomized into two groups depending on CPT availability in the rehabilitation program. Standard clinical examination, diastolic function assessment, exercise tolerance test were performed at baseline, after 6 and 9 months. Results. The long-term CPT of moderate intensity led to diastolic function improvement in 15.6% of patients after 6 months and 28.1% - in 9 months. Improvement of diastolic function in ICD patients with complete recanalization was observed after 6 months of CPT moderate intensity. Longer period of physical rehabilitation (9 months or more) was required for patients with incomplete recanalization. The improvement of diastolic function without CPT was observed after 6 months in 2 (7.1%) patients with a relaxation type of DD and complete recanalization. Normalization of diastolic function without CPT after 9 months was observed in 10.7% of patients and 3.5% of patients showed DD progression. Conclusion. Inclusion of the long-term CPT of moderate intensity into the rehabilitation program has cardioprotective effect in ICD patients with ischemic DD undergoing PCI.https://www.rpcardio.online/jour/article/view/431ischemic heart diseasediastolic dysfunctionphysical rehabilitation
spellingShingle N. P. Lyamina
A. N. Nosenko
I. B. Razborova
O. V. Orlikova
E. V. Kotel'nikova
E. S. Karpova
CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
Рациональная фармакотерапия в кардиологии
ischemic heart disease
diastolic dysfunction
physical rehabilitation
title CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
title_full CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
title_fullStr CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
title_full_unstemmed CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
title_short CARDIOPROTECTIVE EFFECT OF PHYSICAL REHABILITATION IN PATIENTS WITH ISCHEMIC-ORIGIN DIASTOLIC DYSFUNCTION AFTER PERCUTANEOUS CORONARY INTERVENTION
title_sort cardioprotective effect of physical rehabilitation in patients with ischemic origin diastolic dysfunction after percutaneous coronary intervention
topic ischemic heart disease
diastolic dysfunction
physical rehabilitation
url https://www.rpcardio.online/jour/article/view/431
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AT annosenko cardioprotectiveeffectofphysicalrehabilitationinpatientswithischemicorigindiastolicdysfunctionafterpercutaneouscoronaryintervention
AT ibrazborova cardioprotectiveeffectofphysicalrehabilitationinpatientswithischemicorigindiastolicdysfunctionafterpercutaneouscoronaryintervention
AT ovorlikova cardioprotectiveeffectofphysicalrehabilitationinpatientswithischemicorigindiastolicdysfunctionafterpercutaneouscoronaryintervention
AT evkotelnikova cardioprotectiveeffectofphysicalrehabilitationinpatientswithischemicorigindiastolicdysfunctionafterpercutaneouscoronaryintervention
AT eskarpova cardioprotectiveeffectofphysicalrehabilitationinpatientswithischemicorigindiastolicdysfunctionafterpercutaneouscoronaryintervention