[Physical rehabilitation of inpatients with ischemic heart disease]

In modern physical rehabilitation of IHD patients the main tendencies are early activation and elaboration of new safe programs of physical trainings (PhT) improving the hemodynamic indices and increasing physical rehabilitation (PhR) of patients. The aim of the present study was to investigate the effect of bicycle exercise (BE) in the free-load bicycle exercise (FBE) on central hemodynamics and PhR of inpatients with different clinical forms of IHD. 185 patients (99 males and 86 females) aged 46-76 years (mean age of 68.4 +/- 1.6 years), with different clinical forms of IHD, were been examined. The inclusion of IHD cases into complex management is been followed by significant improvement of cardiac pump function--increase of stroke index, ejection fraction (EF) and rise in PhR in all clinical groups. The use of traditional therapy only in management is been followed by merely significant rise in EF (mean--by 19%) and total amount of performed work and microcirculation indices in patients with paroxysmal arrhythmia and stenocardia, less evident than in use of FBE. The absence of complications in our patients permit to recommend the application of this method in IHD inpatients.