[Central hemodynamic function and the correction of heart rhythm disorders at the rehabilitation stage in IHD
Abstract:
Life expectancy and quality of sanatorium rehabilitation for patients with macrofocal myocardial lesions vary in line with severity of cardiac arrhythmia and left ventricular dysfunction. 24-h monitoring revealed defects in cardiac rhythm and conduction in 44.2% of cases. 42% and 36% of patients had ventricular extrasystole and high-grade Lown-Wolf ectopy, respectively. Supraventricular extrasystole occurred in 7.7%, combined extrasystole in 40% of cases. As to hemodynamics type, hypokinetic, hyperkinetic and eukinetic central hemodynamics were recorded in 63.0%, 5.2%, 31.8% of cases, respectively. Combinations of antiarrhythmic drugs (kilintin + obsidan, cordaron + disopiramide, cordaron + kinilentin, kinilentin + verapamil) were selected with consideration of the baseline type of central hemodynamics. Combined chemotherapy was more effective against different kinds of arrhythmia.
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