Issue: 2018, Vol. 23, No. 4
LIFE QUALITY IN PATIENTS WHO UNDERGONE CARDIOREHABILITATION COURSE AFTER ACUTE CORONARY SYNDROME
- acute coronary syndrome, life quality, cardiorehabilitation.
- Objective – to study life quality (LQ) in patients who undergone rehabilitation course after acute coronary syndrome (ACS). Material and methods. 42 patients (27 men and 15 women) who were treated in primary vascular centers with acute myocardial infarction or unstable angina and then were administered medical rehabilitation course (3 weeks) at the teaching hospital of the Ivanovo State Medical Academy. Average age of the patients was amounting to 61 ± 7,5 years. The rehabilitation program included the attendance of “Health School”, measures to correct cardiovascular risk factors; individual program of physical trainings (remedial gymnastics, cardiotraining), psychological tests, and the correction of revealed disturbances in need. The examination was performed at the end of the rehabilitation program and then after four weeks of ambulatory treatment. The reached heart rate (HR) and arterial pressure (AP) were estimated, 6 minute walk test and physical load tolerance test by Borg scale were performed. Quality of life was evaluated by SeattleAngin- aQuestionnaire – SAQ). Results. According to SAQ in a month after rehabilitation course completion it was marked trustworthy positive dynamics by the scale of physical loads (PL) limitation from 87,77 (71; 93) to 93 (87; 97)%; by the scale of angina attacks stability (AS) from 75 (50; 100) to 100 (75; 100)%; by the scale of attitude to disease – from 58,3 (41; 72) to 66,6 (50; 89,5)% (p< 0,05 in all cases). Treatment satisfaction (TS) was high both at the moment of the end of rehabilitation course and in a month after its completion (respectively 88 (72; 95) and 95 (88; 95)%). Conclusion. The heightening of life quality indices was marked in patients who undergone acute coronary syndrome after complex rehabilitation program in daytime stationary within one month of ambulatory observation parallel with positive clinical dynamics and physical load tolerance improvement.