PHYSICAL TRAINING AS PART OF REHABILITATION PROGRAMME IN OUT-PATIENTS FOLLOWING NON-ST-SEGMENT-ELEVATION ACUTE CORONARY SYNDROME

Abstract

Patients surviving non-ST-segment-elevation acute coronary syndrome constitute a group of high coronary risk and sudden death risk and are therefore in particular need of adequate and proper rehabilitation and secondary prevention including physical training. 122 patients surviving non-Q-wave myocardial infarction or an episode of unstable angina have been studied, with mild to moderate arterial hypertension (mean age 52. 26± 0. 56 years), in the period of stabilization 3-8 weeks following the onset of the acute period. The main group (80 subjects) underwent controlled systematic physical training of moderate intensity for 3 months, leading to improved central hemodynamical parameters, left ventricle diastolic function, increased tolerance to physical stress, promoting blood pressure decrease, which, in overall, improved the clinical course of the disease and led to early restoration of working capacity, decreased invalidation, decreased the risk of cardiovascular complications.

Keywords

• rehabilitation
• physical training
• non-q-wave myocardial infarction
• unstable angina