Russian Heart Failure Journal 2005year Clinical characteristics of patients with myocardial infarction at in-patient and sanatorium stages of rehabilitation
Clinical characteristics of patients with myocardial infarction at in-patient and sanatorium stages of rehabilitation
Perepech N.B., Madzalevskaya T.M., Misyura O.F., Shatilova T.N
Urgency. A major goal of the sanatorium stage in rehabilitation of patients with myocardial infarction (MI) is recovery of their physical working ability and improvement of their psychological status. At the same time, data of the Foundation of Social Insurance show that the post-infarction social rehabilitation is currently administered to only 55% of men and 27% of women requiting this type of medical care. Therefore a considerable part of patients does not realize in full volume the possibility of recovering the working ability. On the other hand, not all patients having undergone the sanatorium stage of rehabilitation return to work. Study was focused on analyzing the dynamics of clinical state of patients with MI and the therapeutic measures at the in-patient (cardiological department of a multidiscipline municipal hospital) and sanatorium (local specialized sanatorium) stages of rehabilitation. Material and methods. Clinical condition and pharmacotherapy were analyzed in 48 patients with MI referred to the local cardiological sanatorium from the cardiological department of the multidiscipline municipal hospital. Social and demographic characteristics of patients and information on the risk for ischemic heart disease (IHD) were presented. Results. Major causes for slowing down the process of physical rehabilitation in patients with MI were chronic heart failure CHF) and angina. However about 1/4 of patients could return to work immediately after completing the sanatorium stage of rehabilitation. A similar part of patients needed counseling of a cardiosurgeon. Mistakes of treatment included the non-use of incorrect use of thrombolytics, anticoagulants and β-adrenoblockers in the acute period of disease.