Open AccessRehabilitation of patients with chronic heart failure: opportunities and unresolved issues
Author(s) -
Vladimir E. Vladimirskiy,
Y.M. Bobylev
Publication year - 2021
Publication title -
permskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2687-1408
pISSN - 0136-1449
DOI - 10.17816/pmj38485-103
Subject(s) - medicine , contraindication , rehabilitation , heart failure , population , intensive care medicine , physical therapy , alternative medicine , cardiology , pathology , environmental health
The review is devoted to the problem of rehabilitation of patients with chronic heart failure (CHF). About 7 % of the population of our country have confirmed CHF. This fact is a reason for serious concern since this pathology is the main cause of death of patients from cardiovascular diseases. Until the end of the 20th century, the presence of symptomatic CHF in a patient was a contraindication for physical rehabilitation. However, over the past 10-15 years, rehabilitation care for this category of patients has been recommended by many medical communities. This review provides data on the mechanisms of the effect of physical activity on patients with CHF. Much attention is paid to clinical studies and meta-analyzes, which assess the clinical effectiveness of cardiac rehabilitation (CR) in patients with CHF. It has been shown that the effectiveness of this aid differs in different groups of CHF patients. Attention is paid to the description of the CR methodology among patients with CHF. Alternative opinions of the authors on the effectiveness of different types of training regimes are presented, methods for assessing the intensity of physical exercises are described. The review provides data on different models of organizing the delivery of rehabilitation care to CHF patients.