eISSN: 2354-0265
ISSN: 2353-6942
Health Problems of Civilization Physical activity: diseases and issues recognized by the WHO
Current issue Archive Online first About the journal Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
3/2019
vol. 13
 
Share:
Share:
abstract:
Original paper

Estimation of functional reserves of the body and risk of cardiovascular events in patients with myocardial infarction with comorbid pathology undergoing rehabilitation

Larysa Levytska
1
,
Mykola Shved
1
,
Mykhaylo Korda
1

  1. Ivan Horbachevsky Ternopil State Medical University, Ukraine
Health Prob Civil. 2019; 13(3): 178-186
Online publish date: 2019/07/11
View full text Get citation
 
PlumX metrics:
Background
Cardiovascular diseases are the leading cause of death worldwide. In Ukraine, cardiovascular mortality is 66.7%.

Material and methods
We examined 371 patients with myocardial infarction (MI) with comorbid pathology who had undergone 90 days of rehabilitation. We studied the possibility of quantitative estimation of comorbid pathology, the condition of functional reserves in patients with MI, their connection with clinical markers of reduced exercise tolerance and comorbidity index.

Results
We established close correlations between the six-minute walk tests conducted on the 10th, 30th and 90th days of rehabilitation (6MWT10, 6MWT30 and 6MWT90) with age of patients (r6MWT10 = -0.199; r6MWT30 = -0.287; r6MWT90 = -0.410 P < 0.05), SpO2 (r6MWT10 = -0.399; r6MWT30 = -0.265; r6MWT90 = -0.248; P < 0.05), left ventricular ejection fraction (r6MWT10 = 0.706; r6MWT30 = -0.670; r6MWT90 = -0.583; P < 0.0001), troponin levels (r6MWT10 = -0.210; r6MWT30 = -0.312; P < 0.05); creatinine (r6MWT10 = -0.148; P < 0,05;) and Charlson comorbidity index (r6MWT10 = -0.323; r6MWT30 = -0.398; r6MWT90 = -0.427; P < 0.0001).

Conclusions
Markers of reduced exercise tolerance in patients with IM were age, SpO2, ejection fraction, levels of troponin, creatinine, lymphocytes, Charlson comorbidity index.

keywords:

rehabilitation, acute myocardial infarction, Charlson comorbidity index, six-minute walk test


Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.