The Features of Post-infarction Period in Patients of Law Tolerance to Physical Activity and Chronic Heart Failure

IF 0.3 Q4 REHABILITATION
Oksana Prytuliak, I. Vakaliuk, R. Nesterak, V. Sovtus, N. Haliuk, R. Denina
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Abstract

Aim: To determine the features of the early post-infarction period in patients after acute coronary syndrome with concomitant arterial hypertension, depending on the response to dosed physical activity. Materials and Methods: 120 patients with a reduced response to dosed physical activity, with Q, QS MI and concomitant hypertension, who were at the stage of rehabilitation and recovery treatment, were examined. Results: In the course of the study, during the 6-minute walk test, a decrease in oxygen consumption was found in the group of patients of an adequate tolerance to physical activity by 18.42% compared to 15.21% in the group of patients of low tolerance to activity. During the analysis of ABPM (Ambulatory Blood Pressure Monitoring) indicators, it was found that in patients who made up the group of low tolerance to DPA (Dosed Physical Activity), significantly higher average values of systolic blood pressure (SBP) (159.24}3.4) mm Hg and diastolic blood pressure (DBP) (96.26}2 .49) mm Hg, as well as heart rate. During urgent coronary angiography, it was found that in patients of an adequate response to DPA, one vascular lesion was detected in most cases (73.3%), in the group of patients of low tolerance to DPA, one vascular lesion of CA was detected in (14.5%), in (55.5%) recorded two vascular lesions of the CA, and (30%) patients had three or more vascular lesions of the CA. The level of troponin I in blood serum at the time of hospitalization in the group of patients of low tolerance to DPA was 36.38}6.79 ng/ml, the level of NT-proBNP – 726.4}36.32 pg/ml, the level of endothelin-1-9,37}1.34 pmol/L. Conclusions: During the recovery period of treatment of patients after an acute myocardial infarction with concomitant arterial hypertension, a low tolerance to dosed physical activity occurs (in 63.7% of cases), which is accompanied by the appearance of anginal pain, changes in clinical indicators in the early and late post-infarction period and prevents the conducting a full range of rehabilitation measures.
慢性心力衰竭患者运动耐受规律的梗死后期特征
目的:探讨急性冠状动脉综合征合并高血压患者对大剂量体力活动的反应与梗死后早期期的关系。材料与方法:选取120例处于康复和恢复治疗阶段的大剂量体力活动反应降低、Q、QS型心肌梗死并伴有高血压的患者。结果:在研究过程中,在6分钟步行测试中,体力活动耐受性足够的患者组的耗氧量下降了18.42%,而体力活动耐受性低的患者组的耗氧量下降了15.21%。在动态血压监测(ABPM)指标分析中发现,DPA(低剂量体力活动)耐受组患者收缩压(SBP)平均值(159.24 μ}3.4) mm Hg、舒张压(DBP)平均值(96.26 μ} 2.49) mm Hg及心率显著升高。急诊冠状动脉造影发现,在对DPA反应充分的患者中,大多数(73.3%)检测到1个血管病变,在对DPA耐受低的患者组中,检测到1个CA血管病变(14.5%),在(55.5%)记录到2个CA血管病变。DPA低耐受组住院时血清肌钙蛋白I水平为36.38 μ}6.79 ng/ml, NT-proBNP - 726.4 μ}36.32 pg/ml,内皮素-1-9,37 μ}1.34 pmol/L。结论:急性心肌梗死合并动脉性高血压患者在治疗恢复期出现低剂量体力活动耐受性(占63.7%),并伴有心绞痛的出现,梗死后早期和后期临床指标发生变化,妨碍了全方位康复措施的开展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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