Physical rehabilitation in idiopathic paroxysmal atrial fibrillation

Abstract

Physical rehabilitation a promising approach in the treatment of idiopathic paroxysmal atrial fibrillation which is a important medical problem. Study objective: To develop and scientifically substantiate reflexology and physical training methods for the treatment and prevention of regulatory functional cardiac disorders in idiopathic paroxysmal atrial fibrillation. Materials and methods. The study involved 90 patients with idiopathic atrial fibrillation (IAF), who were divided into 2 groups: 45 patients with adrenergic (AAFF) and 45 patients with vagotonic (VAFF) forms. The patients received a complex treatment consisting of reflexology and dosed walking. The treatment efficacy evaluation involved clinical, functional and instrumental examinations, psychological tests, psychophysiological stress-test, 24h ECG monitoring to identify the standard deviation of the normal-to-normal RR intervals (SDNN); echocardiography, high-definition oscillometry, and biochemical tests. Results. We found that the complex of reflexology and dosed walking in both groups produced an antiarrhythmic effect resulting in reliable normalization of the cardiovascular system autonomic regulation. Conclusions. The complex normalizes the heart rate autonomic regulation and hemodynamic parameters, improves the psychological and emotional state and the quality of life. The proposed treatment demonstrated high efficiency.

Keywords

• idiopathic paroxysmal atrial fibrillation
• physical rehabilitation
• reflexology and dosed walking complex
• autonomic regulation