cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2018-2-95-100cardiovascular-734Research ArticleОБЗОРЫREVIEWSСКОРОСТЬ ВОССТАНОВЛЕНИЯ СЕРДЕЧНОГО РИТМА ПОСЛЕ НАГРУЗКИ ПРИ ФИЗИЧЕСКОЙ РЕАБИЛИТАЦИИ КАРДИОЛОГИЧЕСКИХ ПАЦИЕНТОВTHE RATE OF CARDIAC RHYTHM RECOVERY POST EXERTION IN PHYSICAL REHABILITATION OF CARDIOLOGICAL PATIENTSИвановаО. А.IvanovaO. А.

Иванова Ольга Александровна — ассистент кафедры терапии.

Тел.: +7 (3952) 63­85­29, +7 (914) 946­82­64

olsimyur@mail.ruКуклинС. Г.KuklinS. G.

Куклин Сергей Германович — доктор медицинских наук, профессор, заведующий кафедрой терапии

sergeik61@yandex.ruИркутская государственная медицинская академия последипломного образования — филиал ФГБОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Минздрава РоссииРоссияIrkutskaya State Medical Academy of Postgraduate Education — branch of FSBEI CPE “Russian Medical Academy of Continuous Professional Development” of the Ministry of HealthRussian Federation20182004201817295100Copyright © Иванова О.А., Куклин С.Г., 20182018Иванова О.А., Куклин С.Г.Ivanova O.А., Kuklin S.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/734

В связи с высокой заболеваемостью и смертностью населения вследствие сердечно­сосудистых заболеваний (ССЗ), реабилитация кардиологических пациентов остается актуальной проблемой. Ведущим компонентом кардиореабилитации считают регулярные физические нагрузки, польза от которых имеет широкую доказательную базу. В связи с этим значимым является вопрос об адекватности и эффективности тренирующих режимов. Использование показателя, отражающего скорость снижения частоты сердечных сокращений (ЧСС) в конце каждой минуты восстановительного периода после дозированной физической нагрузки, оказалось высокоинформативным. Установлена граница в отношении ЧСС, ниже которой увеличивается риск сердечно­сосудистых осложнений. Динамика этого показателя в ходе программ физической реабилитации может служить маркером эффективности проводимых мероприятий. В настоящее время существует дефицит информации в отношении нормативных параметров скорости восстановления ЧСС для пациентов с ССЗ. Возникает вопрос об унификации подходов в оценке восстановительного периода и накоплении массива данных по влиянию длительных физических тренировок на прогноз пациентов с ССЗ.

Taken the rising mortality and morbidity of the population due to cardiovascular diseases (CVD), rehabilitation of cardiovascular patients remains actual. Regular exercises are the leading components of cardiorehabilitation, that is evidently beneficial. Taken this, the question raises on the adequacy and efficacy of training regimens. Utilization of the parameter representing the velocity of heart rate decline by every minute of recovery phase after the exertion, is quite informative. The borderline set for heart rate, with increasing cardiovascular risk if below. Dynamics of such parameter during the programs of physical rehabilitation might be a marker of the events efficacy. Recently, there is a deficiency of information on the normal parameters of heart rate recovery rate in CVD patients. Hence a question raises, on the unification of approaches in evaluation of recovery period and data collection on the influence of long term exercises on CVD prognosis.

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The authors declare that there are no conflicts of interest present.