FEATURES OF FUNCTIONING DISORDERS IN PATIENTS WITH STABLE ISCHEMIC HEART DISEASE
Viktoriia V Horachuk1, Tetiana V Mostepan2
1STATE INSTITUTION OF SCIENCE «RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE» STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE.
Insights
Patients with stable ischemic heart disease (IHD) often have functional impairments and comorbidities, necessitating comprehensive cardiac rehabilitation programs tailored to individual needs, including those with contraindications to physical therapy.
Area of Science:
- Cardiology
- Rehabilitation Medicine
- Public Health
Background:
- Stable ischemic heart disease (IHD) significantly impacts daily functioning and quality of life.
- Comorbidities are highly prevalent in IHD patients, complicating management and rehabilitation.
Purpose of the Study:
- To investigate the functional limitations experienced by patients with stable IHD in their daily lives.
- To determine the specific rehabilitation needs of these patients, considering comorbidities and contraindications.
Main Methods:
- Retrospective analysis of 346 inpatient medical records from a cardiology and cardiorehabilitation department.
- Utilized medical-statistical and graphical methods for data analysis.
Main Results:
- Angina pectoris and cardiosclerosis constituted the primary diagnoses in hospitalized IHD patients (34.7% and 65.3%, respectively).
- A high percentage of patients (92.8%) presented with comorbidities.
- Moderate functional impairment was common (25.0-49.0%), with 28.9% having contraindications for physical cardiorehabilitation.
Conclusions:
- Patients with stable IHD, with or without comorbidities, exhibit functional deficits affecting daily activities.
- A significant portion of IHD patients require tailored cardiac rehabilitation programs, including alternative components for those with contraindications.
- Early and comprehensive cardiac rehabilitation is crucial for improving outcomes in IHD patients.
Objective:
The aim: To reveal the peculiarities of functioning disorders in everyday life and the need for rehabilitation in the patients with stable ischemic heart disease (IHD).
Patients And Methods:
Materials and methods: Used 346 medical cards of inpatients with stable (IHD), Department of Cardiology and Cardiorehabilitation, Kyiv City Clinical Hospital No. 4. Research methods: collection, grouping, analysis and generalization of data from doctors' records, medical-statistical, graphical.
Results:
Results: It was established that the structure of hospitalized morbidity cases of IHD consisted of 34.7% of angina pectoris and 65.3% of cardiosclerosis. IHD was accompanied by other diseases in 92.8% of cases. It has been proven that among all cases, those with a moderate severity of functional impairment pre¬vail (25.0-49.0%). 28.9% of the patients have contraindications to physical cardiorehabilitation. The remaining the patients need a complex of rehabilitation measures, including physical rehabilitation, and patients with contraindications may use other components of cardiorehabilitation programs.
Conclusion:
Conclusions: It has been proven that patients with coronary heart disease, with or without comorbidities, experience impaired functions, reduced activity and participation in everyday life, as well as pain syndromes and painful sensations. This indicates the need for cardiac rehabilitation in the acute and post-acute periods.
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