ELECTROCARDIOGRAPHIC EVALUATION OF HEALTH SCHOOL FOR PHTHISIO-PULMONOLOGICAL PATIENTS EFFICIENCY (THE CARDIOLUNG COMPLEX AS BASE OF MORPHOFUNCTIONAL DIAGNOSTIC)

Abstract

Purpose – to investigate the diagnostic morphofunctional capabilities of the cardiopulmonary complex for electrocardiographic evaluation of the health school (HS) classes for phthisiopulmonological male patients MDR XDR MBT effectiveness. Materials and methods. 74 male patients of the Rostov Regional Clinical Center for Phthisiopulmonology took part in the study after signing a voluntary informed consent. The age of the patients ranged from 26 to 67 years. The study was conducted in 2018. 40 patients (the main group) took part in the HS and attended from 1 to 6 classes out of 10. The interval between classes was 7 days. 34 patients did not participate in the work of the HS and made up the control group. The medical effectiveness of HS was assessed by the difference in the angles of the alpha electrical axes of the atria, ventricles and the heart as a whole before classes (on admission to the hospital) and after classes (before discharge). Results and discussion. Significant correlations (p<0.05) were established between the frequency of visits to HS by patients with MDR XDR MBT and the following indicators: "Angle alpha deviation of the electrical axis of the ventricles (in degrees)" = -0.461; "Angle alpha deviation of the electrical axis of the heart (in degrees)" = -0.408. Conclusion. The positive dynamics of electrocardiographic vectors allows us to consider the cardiopulmonary complex as a universal indicator system that reflects morphofunctional and clinical changes in the state of phthisiopulmonological patients as a result of informational and cognitive influences.

Keywords

• health school
• morphofunctional features
• cardiopulmonary complex
• indicator system
• electrocardiogram