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Барвиха
Клинический санаторий

Cardiac rehabilitation 2 (after myocardial infarction, stenting, with stable angina, chronic cardiac failure)

Cardiac rehabilitation (programmable loads)

The programme of cardiac rehabilitation implemented in Medical Rehabilitation Center "Barviha" has many years of application experience and uses the most modern techniques and equipment. After the programme of 14-21 day, you significantly decrease the risk factors of recurrence and other complications, increase tolerance and endurance at least by 20%. The programme is held according to four-stage technology and fully meets foreign standards ("Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs." American Association of Cardiavascular and Pulmanory Rehabilitation, 2004), and on a number of parameters exceeds them.

Stages of cardiac rehabiltation

1st STAGE

Evaluation of the disease pattern, comorbidity and individual capacities of the patient. Choosing of the individual rehabilitation mode: gentle, medium or hard.

This part of the program includes:

General clinical examination by your doctor. Study of the disease history, identification of risk factors of a cardiovascular disease, survey, evaluation of physical loads' tolerance, emotional state of a patient, and complications after an accident or an operation.

Functional assessment of the cardiovascular system.

  • Electrocardiogram (ECG) in 12 derivations to evaluate coronary circulation, rhythm and conductivity.
  • Echocardiographic study of the heart (Echocardiography) to assess myocardial contractility, intracardiac hemodynamics.
  • Definition of the functional abilities of the patient (load tests-bicycle ergometry, treadmill test, 6-minute walking test).

Laboratory examination methods.

  • General blood analysis to detect anemia, inflammatory reaction.
  • Biochemical blood analysis for evaluation of lipid spectrum, the level of glycemia, kidney and hepatic function (for the exception of renal failure and liver disfunction).

2d STAGE

Management of the patients due to an individual program and correction of the used treatment based on the results of daily monitoring.

The second stage includes:

Physical rehabilitation:

Excersise walking, remedial aerobic gymnastics using complex of cardio simulators, therapeutic exercises in power mode, therapeutic massage, swimming in the pool.

Classes take place under individual control. If necessary, the scheme of the training is amended, it is possible to transfer a patient to a higher or lower step of the workouts. For patients with high risk of cardiovascular complications and concomitant severe pulmonary pathology trainings are held using an oxygen concentrator.

Myocardium functional recovery, general health improvement of the body with the help of various physiotherapeutic methods.

    • Magnetotherapy.
    • Instrumental training of breathing.
    • Using balneotherapy tools (dry carbonic baths, general and chamber baths, hydromassage, circular and fan shower).
    • Using of the enhanced external counterpulsation.

Psychological rehabilitation.

Includes individual psychotherapy. Treatment is aimed at the development of the patient's sense of optimism, self-confidence, restoration of the holistic inner self-image, not conflating oneself with the disease.

Physician, specialist-psychotherapist, and the environment itself, nature, rhythm of life and the friendly staff of the Medical Rehabilitation Center participate in psychotherapy.

3d Stage

It’s conducted simultaneously with the 2d stage. Prevention of atherosclerosis progression (usage of programmes to combat risk factors of the cardiovascular diseases).

This step is very important, as even small change in lifestyle of the patient is able to improve significantly its quality.

This stage includes:

Smoking cessation.

Methods: tobacco usage restriction, motivation of the patient and his family to quit smoking, interviewing, usage of psychotherapy.

Achieve optimal blood pressure.

Methods: correction of diet, increasing of physical activity, drug therapy with individual scheme for each patient .

Achieve optimal level of blood lipid spectrum.

Methods: diet for all patients, increasing of physical activity and weight correction. Increasing of Omega-3 polyunsaturated fatty acids consumption. If necessary, drug therapy is assigned.

Increase of physical activity.

Minimum 30 min 3-4 days a week. Optimum regimen - daily workouts.

Methods: excersise terrenkur walking , cardio simulators, swimming in the pool.

Excess weight correction.

Methods: diet, physical activity and exercise.

Correction of carbohydrate metabolism.

Achieving optimal levels of blood glucose and glycosylated hemoglobin.

Methods: diet therapy, anti hyperglycemic therapy, control of other risk factors (physical inactivity, excess weight, arterial hypertension, hypercholesteremia).

4th STAGE

«Homework»

Leaving the Medical Rehabilitation Center, every patient receives individual recommendations, which include:

  • Individual motion state, modification of existing risk factors;
  • Diet;
  • Medication;
  • Timing and amount of necessary diagnostic studies, consultations with doctors-specialists.
The following doctors supervise cardiac rehabilitation in the Medical Rehabilitation Center:
      • Markeev Igor Ivanovich - Deputy Director of Medical Affairs, cardiologist, Candidate of Medicine.
      • Buzunov Roman Vyacheslavovich – scientific supervisor of the Medical Rehabilitation Center, Chief of restorative sleep department, doctor of medical sciences, Professor.
Professional cardiologists conduct cardiac rehabilitation programme in the Medical Rehabilitation Center: GO TO PRICELISTS

Indicative cost of medical and other services on the programme, excluding accommodation and meals:

from 75571 rub.

Cost of the programme includes:
        • Accommodation in the room of the chosen category (4 and 5 stars);
        • 5-time per day diet menu "a la carte";
        • Day and night surveillane of the medical staff;
        • Daily checkups with cardiologist (excluding weekends);
        • Individual training at health school for patients with cardiovascular diseases.

Professional medical advice:

        • Nutritionist;
        • Exercise Therapy Doctor;
        • Surgeon;
        • Psychotherapist;
        • Physical therapist;
        • Dermatologist.

Full range of instrumental methods of the cardiovascular system examination:

        • ECG (1 time per week);
        • ECHO CG (ultrasound of the heart);
        • Load test with the assessment of blood oxygen saturation (veloergometry, stress-test, 6-minute walking test - 1 type of test at the discretion of the treating physician twice during the patient’s stay);
        • Holter (daily) ECG monitoring;
        • 24-hour monitoring of arterial pressure (SMAD);
        • Ultrasound of the pleura;
        • Night monitoring pulse oximetry.

A wide range of clinical analyses:

    • General blood analysis;
    • Detailed biochemical blood analysis;
    • Urinalysis;

Effective methods of physiotherapy *:

  • Magnetic therapy;
  • Respiratory simulators sessions;
  • Therapeutic exercise in small groups (3-5 people) * individual lessons-upon indications;
  • Cardiac simulator sessions with supervisor, physical therapist;*
  • Collar zone massage (if no counterindications);**

Physical therapy sessions in small groups (3-5 persons), individual sessions if indicated:

  • Cardiac simulators sessions with supervisor, physical therapist;*
  • Course of massage (if no counterindications);*
  • Swimming pool sessions (if no counterindications);**

Research, consulting, procedures performed within the programme if indicated (no extra payment)**:

  • Consultations of the specialists: endocrinologist, neurologist, pulmonologist;
  • Special exam: Ultrasound of main arteries of the head, arteries and veins of the lower limbs, soft tissue, x-ray of lungs, spirometry with body plethysmography;
  • Clinical tests: blood test for TSH, Nechiporenko test, protein level in urine;
  • Procedures: low-current oxygen therapy (permanent or during physical training), the impact of short UV radiation (EUV) in the area of postoperative wounds;

Additional services (not included in the price) *:

  • Diagnosis of sleep disorders and sleep-disordered breathing (polysomnography);
  • A full range of respiratory support methods applied with patients suffering cardiac and/or respiratory failure, sleep–disordered breathing (CPAP, BIPAP, TriLevel therapy, adaptive servoventilation);
  • Hyperbaric oxygen therapy;
  • Inhalation of therapeutic doses of medical Xenon;
  • Enhanced external counterpulsation;
  • Consultations of ophthalmologist, gynecologist, urologist, traumatologist-orthopaedist, gastroenterologist;
  • A wide range of ultrasound research on expert class equipment;
  • Colonoscopy, gastroscopy with application of medication sleep;
  • Physiotherapeutic methods of treatment for concomitant diseases;
  • Complex of dentistry services;
  • Acupuncture, hirudotherapy;
  • Manual therapy;
  • SPA and cosmetology department services.
*the number of procedures depends on the duration of stay in the Medical Rehabilitation Center. * Indications and contraindications are determined by the attending physician.