Optimal rehabilitation of patients with coronary heart disease in outpatient setting

Nikolay Petrovich Korzhenkov; Корженков Николай Петрович; Svetlana Fedorovna Kuzichkina; Кузичкина Светлана Федоровна; Natal'ya Anatol'evna Shcherbakova; Щербакова Наталья Анатольевна; Nino Robertovna Kukhaleishvili; Кухалеишвили Нино Робертовна; Igor' Igorevich Yarlykov; Ярлыков Игорь Игоревич; N P Korzhenkov; Korzhenkov N P; S F Kuzichkina; Kuzichkina S F; N A Scherbakova; Scherbakova N A; N R Kukhaleishvili; Kukhaleishvili N R; I I Yarlykov; Yarlykov I I

Optimal rehabilitation of patients with coronary heart disease in outpatient setting

Authors: Korzhenkov N.P.¹, Kuzichkina S.F.¹, Shcherbakova N.A.¹, Kukhaleishvili N.R.¹, Yarlykov I.I.¹, Korzhenkov NP²^,3, Kuzichkina SF², Scherbakova NA³, Kukhaleishvili NR²^,3, Yarlykov II²
Affiliations:
2. City outpatient clinic N 31, Moscow
3. I.M. Sechenov First Moscow State Medical University
Issue: Vol 84, No 1 (2012)
Pages: 18-22
Section: Editorial
URL: https://ter-arkhiv.ru/0040-3660/article/view/30972
ID: 30972

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Abstract

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.

Keywords

rehabilitation, coronary heart disease, myocardial infarction, medico-social model, outpatient setting

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Optimal rehabilitation of patients with coronary heart disease in outpatient setting

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