Department of Faculty Therapy, Medical Faculty
кафедра факультетской терапии лечебного факультета
Aim – to identify the most affordable way of physical training (PT) in patients with ischemic heart disease (IHD), promoting effective control of the intensity of inactivity and has a high level of adherence in physical training of CHD patients on an outpatient basis – outpatient rehabilitation stage. Materials and methods. The study included 76 male patients with coronary artery disease aged from 49 to 64 years. Results. Among the PE methods used in the study, moderate-intensity treadmill exercises at least thrice weekly are most effective as they promote the most increased exercise tolerance (ET), but in 3 months there is a noticeable reduction in adherence to this PE method. The heavyweight walking method assists in increasing the ET comparable to that of treadmill exercises and in effectively correcting the degree of hypodynamia and preserves high adherence to PE even after 6 months of their regular performance. Conclusion. Hypodynamia as a risk factor for cardiovascular diseases is common and encountered in 86 % of the CHD patients who have undergone percutaneous coronary interventions and myocardial infarction with the baseline exercise capacity being 7 METs or more, as evidenced by treadmill tests. Therefore this category of patients must be actively involved into the programs of cardiac rehabilitation and secondary prevention. On choosing PE methods, preference should be given to the method that aids in increasing ET and adherence to PT and in effectively correcting hypodynamia.