Email this article Physicalrehabilitation in combined treatment of inpatients withchronic heart failure
- Authors: Efremushkin GG1, Antropova ON1, Osipova IV1
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Affiliations:
- Issue: Vol 78, No 12 (2003)
- Pages: 50-53
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/29710
- ID: 29710
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Abstract
Aim. To study action of medication in combination with free-choice bicycle exercise on cerebral and
peripheral hemodynamics in patients with chronic heart failure (CHF) of functional class I I-1II.
Material and methods. At admission to hospital and at discharge 100 patients with CHF of NYHA
functional class (FC) II-III hospitalized for progression of CHF have undergone clinical examination, dopplerechocardiography and biomicroscopy of conjunctival vessels. The patients were randomized into two groups: group 1 of 60 patients received standard drugs and exercised on bicycle: group
2 of 40 patients received standard drugs only.
Results. The patients of group 2 achieved better hemodynamic effect, greater lowering of total peripheral vascular resistance. In patients with CHF FC II cardiac output increased due to improvement of
left ventricular systolic function (end-systolic and end-diastolic volumes reduced by 20.3 and 38.7%,
respectively, ejection fraction increased by 13.7%); in patients with FC III - due to improvement of
diastolic function (end-diastolic volume reduced by 8.3%). Bicycle exercise in combined treatment of
FC II CHF provides improvement in perivascular and intravascular components of microcirculation by
46.7 and 24.3%, respectively. In FC III CHF intravascular microcirculation improved by 24.3%.
Conclusion. Bicycle exercise of patients with CHF of FC II and III used as an adjuvant to standard
drugs has an additional positive effect on central hemodynamics and microcirculation.
peripheral hemodynamics in patients with chronic heart failure (CHF) of functional class I I-1II.
Material and methods. At admission to hospital and at discharge 100 patients with CHF of NYHA
functional class (FC) II-III hospitalized for progression of CHF have undergone clinical examination, dopplerechocardiography and biomicroscopy of conjunctival vessels. The patients were randomized into two groups: group 1 of 60 patients received standard drugs and exercised on bicycle: group
2 of 40 patients received standard drugs only.
Results. The patients of group 2 achieved better hemodynamic effect, greater lowering of total peripheral vascular resistance. In patients with CHF FC II cardiac output increased due to improvement of
left ventricular systolic function (end-systolic and end-diastolic volumes reduced by 20.3 and 38.7%,
respectively, ejection fraction increased by 13.7%); in patients with FC III - due to improvement of
diastolic function (end-diastolic volume reduced by 8.3%). Bicycle exercise in combined treatment of
FC II CHF provides improvement in perivascular and intravascular components of microcirculation by
46.7 and 24.3%, respectively. In FC III CHF intravascular microcirculation improved by 24.3%.
Conclusion. Bicycle exercise of patients with CHF of FC II and III used as an adjuvant to standard
drugs has an additional positive effect on central hemodynamics and microcirculation.
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