Optimal rehabilitation of patients with coronary heart disease in outpatient setting


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The problem of invalid rehabilitation in Russia is an important state task and dictates necessity of design of an effective state program of primary prevention of cardiovascular diseases. Common global practice of medico-social model is based on complex detailed medico-social aid. Rehabilitation of post-myocardial infarction patients consists of three phases (stages): hospital, posthospital (readaptation) and postreconvalescent (supportive). The program includes physical, psychological and pharmacological rehabilitation. Departments of readaptation and medico-social rehabilitation provide effective conduction of all kinds of rehabilitation. The Moscow North-East Regional Administration has a rich experience in organization of departments of readaptation and medico-social rehabilitation. The departments practice an individual approach to the patients and work in a close contact with bureaus of medico-social commission of experts. Management of patients by cardiologist, rehabilitation specialist and outpatient clinic's physicians provides uninterrupted staged rehabilitation, timely correction of pharmacotherapy, early patient referral to invasive investigations and treatment of coronary heart disease. A course of rehabilitative measures lasts 2 months. Setting up departments of medico-social rehabilitation in outpatient clinics provides more effective use of money assigned by the state for social support of invalids.

作者简介

Nikolay Korzhenkov

Email: krank93@list.ru

Svetlana Kuzichkina

Email: krank31@list.ru

Natal'ya Shcherbakova

Email: natscherb@list.ru

Nino Kukhaleishvili

Email: kukhaleishvilin@mail.ru

Igor' Yarlykov

Email: yarlvar@mail.ru

N Korzhenkov

City outpatient clinic N 31, Moscow; I.M. Sechenov First Moscow State Medical University

City outpatient clinic N 31, Moscow; I.M. Sechenov First Moscow State Medical University

S Kuzichkina

City outpatient clinic N 31, Moscow

City outpatient clinic N 31, Moscow

N Scherbakova

I.M. Sechenov First Moscow State Medical University

I.M. Sechenov First Moscow State Medical University

N Kukhaleishvili

City outpatient clinic N 31, Moscow; I.M. Sechenov First Moscow State Medical University

City outpatient clinic N 31, Moscow; I.M. Sechenov First Moscow State Medical University

I Yarlykov

City outpatient clinic N 31, Moscow

City outpatient clinic N 31, Moscow

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