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Кардиоваскулярная терапия и профилактика

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Физические тренировки больных с хронической сердечной недостаточностью

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Аннотация

Хроническая сердечная недостаточность (ХСН) проявляется неспособностью сердца обеспечить адекватный кровоток в органах и тканях. Один из наиболее значимых симптомов ХСН – снижение переносимости физических нагрузок (ФН), обусловленное нарушениями центральной гемодинамики и различными периферическими механизмами. Физические тренировки (ФТ) повышают толерантность к ФН, улучшают качество жизни и прогноз у больных с ХСН. В условиях доказанной эффективности ФТ при ХСН, в настоящее время существуют различные подходы к методам их проведения, в частности, используют два типа тренировок – с постоянной интенсивностью ФН и интервальные ФН. В этом обзоре литературы суммированы данные о механизмах снижения переносимости ФН при ХСН и эффектах ФТ у таких больных, рассматриваются аспекты методологии: сроки начала после эпизода декомпенсации, продолжительность, интенсивность ФТ.

Об авторах

А. В. Снытникова
Московская медицинская академия им. И.М.Сеченова Росздрава
Россия

Аспирант кафедры профилактической и неотложной кардиологии ФППОВ

Москва



Д. А. Андреев
Московская медицинская академия им. И.М.Сеченова Росздрава
Россия

Профессор кафедры профилактической и неотложной кардиологии ФППОВ

Москва



А. А. Долецкий
Московская медицинская академия им. И.М.Сеченова Росздрава
Россия

Врач-кардиолог кабинета кардиореабилитации клиники кардиологии

Москва



А. В. Свет
Московская медицинская академия им. И.М.Сеченова Росздрава
Россия

Заведующий кабинетом кардиореабилитации клиники кардиологии

Москва



А. В. Чаплыгин
Московская медицинская академия им. И.М.Сеченова Росздрава
Россия

Врач-кардиолог кабинета кардиореабилитации клиники кардиологии

Москва



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Для цитирования:


Снытникова А.В., Андреев Д.А., Долецкий А.А., Свет А.В., Чаплыгин А.В. Физические тренировки больных с хронической сердечной недостаточностью. Кардиоваскулярная терапия и профилактика. 2009;8(8):108-118.

For citation:


Snytnikova A.V., Andreev D.A., Doletsky A.A., Svet A.V., Chaplygin A.V. Physical training in patients with chronic heart failure. Cardiovascular Therapy and Prevention. 2009;8(8):108-118. (In Russ.)

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