THE USAGE OF VELOERGOMETRY TRAINING IN THE MODE OF FREE SELECTION OF PHYSICAL STRESS PARAMETERS IN PATIENTS WITH MYOCARDIAL INFARCTION WITH ARRHYTHMIAS

Abstract

The aim of the study was to evaluate the influence of physical stress in the «free selection mode» on the dynamics of heart rhythm disturbances, its variability and myocardial ischemia parameters in patients with myocardial infarction (MI) on the stage of rehabilitation in special facilities. 75 patients admitted to the facility for rehabilitation treatment on days 19-38 following acute MI have been studied, divided into 2 groups: the basic one, with patients using veloergometry training with the mode of free selection of stress parameters; and the comparison group using no veloergometry training in treatment. All patients underwent physical rehabilitation programme, dose-adjusted walking, climbing stairs, physical training. Upon admission and at the discharge from the facility patients underwent 24-hours Hotter ECG monitoring. The inclusion of veloergometry training with the mode of free selection of stress parameters in the special facilities rehabilitation complex promotes restoration of vegetative balance and increases activity of parasympathetic autonomous nervous system, exerting protective action and increasing myocardial electrical stability, veloergometry training with the mode of free selection of stress parameters have been established to exert antiarrhythmic influence, decrease the prevalence of potentially hazardous high grade ventricular premature beats, decrease myocardial ischemia.

Keywords

• myocardial infarction
• rehabilitation
• veloergometry training
• rhythm disturbances
• holter monitoring