Effect of Physical Rehabilitation on Hemodynamic Status
Grashchenkova АN, Grashchenkov DE, Puzin SN, Bogova ОТ
Cardiovascular diseases (hereinafter - CVD) have become the leading cause of death worldwide: for no
other reason as many people die every year as from CVD. This problem affects low and middle income
countries to varying degrees. More than 80% of deaths from CVD occur in these countries, almost
equally among men and women, however, patients who survived after myocardial infarction (hereinafter
- MI) are at high risk of death. According to the main facts of the WHO, 17.9 million people died from
CVD in 2016, which accounted for 31% of all deaths in the world. In this connection, it is necessary to
improve medical rehabilitation (hereinafter - MR), in particular for CVD, especially on an outpatient
basis. Competent MR, cardiac rehabilitation in patients with myocardial infarction is associated with
improved survival and effectiveness of quality of life, as well as prevention of recurrent MI. There
is a legislative framework FZ-No. 323 of 21.11.2011 "On the basics of health protection of citizens
in the Russian Federation" concerning medical rehabilitation and "Procedure for organizing medical
rehabilitation" No. 1705n of 29.12.2012.
Multiple meta-analysis showed that cardiovascular rehabilitation (hereinafter - CVR) reduces mortality
in patients with coronary artery disease. Despite the recommendations and recommending the use of
programs for patients with previous MI, patient participation in these programs remains low, which has
led to the development of alternative models of medical rehabilitation.
