Cardiac rehabilitation

CARDIOLOGY REHABILITATION 

For patients with coronary heart disease, myocardial infarction, conditions after coronary revascularization operations, heart valve operations, heart failure, non-coronary diseases, hypertension, after heart and lung transplantation.

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Rehabilitation program:

1. Consultation of a cardiologist with a clinical and instrumental analysis of the course of the disease and assessment of the patient's functional state. Assessment and correction of risk factors.
2. Consultation of the FRM doctor with the development of an individual rehabilitation program.
3. Консультація лікаря дієтолога з розробкою індивідуального раціону харчування
4. Інструментальна діагностика: для визначення толерантності до фізичного навантаження за допомогою велоергометрії, кардіопульмонального тестування тесту (6-хвилинного тесту).
5. Фізична реабілітація:  – дихальна гімнастика – дозована ходьба, ходьба по теренкур – кінезіотерапія система індивідуальних тренувань – механотерапія – вправи з опором на тренажерах HUR (система комп’ютеризованих тренажерів активної дії на окремі групи м’язів – кардіотренування з використанням велоергометрів під контролем ЧСС, ЕКГ, АТ  – скандинавська ходьба – система профілактичних тренувань – пілатес, йога – система індивідуальних тренувань, що відновлюють баланс та  позбавляють від болю – оцінка сприйняття фізичного навантаження за шкалою Борга та самостійне веденням пацієнтом щоденника самоконтролю до і після навантаження.
6. Hydrokinesiotherapy (unloading exercises in the pool using additional equipment: water bike, treadmill and sports equipment).
7. Лікувальний масаж.
8. Individual training on Levitas, Redcord suspension systems (in the presence of concomitant pathology and absence of contraindications) – eliminates muscle spasm, restores the biomechanics of movements, improves posture, increases flexibility, strength and endurance, restores joint mobility, stabilizes muscle coordination, strengthens the upper and lower limbs.
9. Physiotherapy procedures (in the presence of concomitant pathology and absence of contraindications): provide anti-inflammatory, antispasmodic, restorative and relaxing effects, improve local blood circulation and lymph outflow, stimulate tissue nutrition. laser therapy (in the absence of a pacemaker, implanted defibrillator / neurostimulator, metal or electronic implants) magnetotherapy (in the absence of a pacemaker, implanted defibrillator / neurostimulator, metal or electronic implants, persistent hypotension or 3rd degree hypertension) electrotherapy shock wave therapy.
10. Psychological rehabilitation (the volume and number of appointments depend on the patient's condition and are determined by the doctor): - psychological support - psychological diagnosis - autogenic training - psychological, nerve and muscle relaxation, through frequent repetition of special optimistic and mobilizing formulas - art therapy - type of psychotherapy and psychological correction, based on art and creativity - group psychological classes, trainings - individual counseling, psychocorrection, cognitive-behavioral therapy.
11. Education and support of a healthy lifestyle.
12. Education and family support.
13. Correction of drug therapy if necessary.
14. Making a rehabilitation forecast and further recommendations.

Additional services and contraindications

• Laboratory studies (as prescribed by the doctor): biochemical blood analysis (blood glucose, blood plasma ions (K, Mg), lipidogram, AST, ALT, creatinine, urea, bilirubin, glycated hemoglobin in diabetes) general blood analysis, including leukocyte formula and platelet count, coagulogram
• Instrumental diagnostics: daily monitoring of blood pressure, if necessary, Holter ECG monitoring, if necessary, duplex scanning of vessels of the lower extremities, head and neck, if necessary, MRI, CT scan, ultrasound, X-ray, echocardiography
• Balneological services (if there is a concomitant pathology and there are no contraindications): therapeutic baths, relaxation baths, unloading baths in the pool
• Consultation of other specialists
• Ayurveda is a unique holistic effect on the body and brain. We offer a range of therapies in 2 and 4 hands, built on the principles of the most ancient teachings of mankind about health
• Gait Laboratory - biomechanical diagnosis of disorders in the statics and dynamics of the musculoskeletal system with the subsequent appointment of measures to restore functions
• Treatment with stem cells is an innovative technique for the restoration of nervous tissue, musculoskeletal system and general rejuvenation of the body
• PRP - therapy - a method of treatment with blood plasma, intended for the restoration of ligaments, tendons, joints, muscles and bones
• Hyaluronic acid injection into the joints is a quick and effective method of skin and joint rejuvenation
• Lipogems is a medical procedure that uses the patient's own adipose tissue to treat and accelerate the regeneration of damaged tissues of the musculoskeletal system
• Accommodation in apartments
• Food

General contraindications

• Acute infectious diseases, purulent infectious diseases, active stage of tuberculosis
• Decompensated somatic diseases: endocrine diseases (diabetes, thyroid pathology, etc.); hepatic, pancreatic insufficiency of the III degree; exacerbation of gastrointestinal diseases, uncontrolled arrhythmias, heart failure IV f. class by NYHA; respiratory insufficiency of the III degree, critical stenosis of blood vessels, blood clots in the cavities of the heart chambers.
• Instability of vital signs (pulse, blood pressure, SpO2, CHDR, temperature).
• Hemorrhagic syndrome with frequent and/or intense bleeding regardless of etiology, severe anemia (hemoglobin level less than 80 g/l).
• Fever or low-grade fever of unknown origin.
• Mental illnesses and other disorders of higher nervous activity that require special supervision and make productive contact with patients impossible.
• Acute thrombosis of the deep veins of the lower extremities, the presence of free or floating blood clots, thromboembolism of the pulmonary artery.
• Absence of consent of the patient or his legal representatives to provide rehabilitation assistance.
• Inability of the patient to participate in a high-volume rehabilitation care program (3 hours or more of rehabilitation therapy during the day, 5 days a week)
• A multidisciplinary rehabilitation team predicts no progress in functioning during high-intensity rehabilitation care in a rehabilitation hospital