The features of the clinical condition and medical rehabilitation of patients with ischemic sergeum disease, who transferred percutaneous transthyminal coronary angiplasty with apnea-hypopnea syndrome, under conditions of a rehabilitation Center
The article presents the materials to identify the frequency of obstructive sleep apnea-hypopnea syndrome (OSA), the investigation of the features of the clinical picture of the cardiorespiratory system and the psychological state of patients with ischemic heart disease (CHD) after percutaneous transluminal coronary angioplasty, development and implementation of a program of medical rehabilitation of patients with non-invasive respiratory support constant positive pressure in the respiratory tract (CPAP therapy). General clinical, laboratory, instrumental and psychological research methods were used for the study.
It was revealed that in 35.7% of cases in operated patients with coronary heart disease sleep apnea-hypopnea syndrome can be found. The presence of OSA is associated with a more severe clinical picture of CHD, excessive daytime drowsiness, night snoring, headaches in the morning, a higher body mass index, poorly correctable hypertension, the presence of cardiac arrhythmias during sleep, correlating with the degree of severity of OSA. The inclusion in the comprehensive program of medical rehabilitation of patients with coronary heart disease with OSA after percutaneous transluminal coronary angioplasty of the method of non-invasive respiratory support – CPAP therapy provided an increase in the effectiveness of rehabilitation measures, improving the quality of life of this category of patients and reducing the risk of complications.
It is shown that application of complex clinical-psychological research of patients with CHD and OSA after percutaneous transluminal coronary angioplasty improves the efficiency of rehabilitation (the restoration of the functional capacity of the organism of the operated patients), early medical rehabilitation and return to work that significantly adds to the scientific concept of medical rehabilitation for cardiosurgical patients with ischemic heart disease and OSA after percutaneous transluminal coronary angioplasty.
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