The analysis of clinical and functional status of patients wich acute coronary syndrome after percutaneous coronari interventions at the stationary of rehabilitation

Abstract

Background. Assessment of the compensatory capabilities of the body of patients after cardiac surgery at the stationary stage of rehabilitation is of significant scientific and practical interest from the point of view of individualization of rehabilitation therapy for such patients. Aim. The analysis of clinical and functional status of patients with acute coronary syndrome after percutaneous coronary interventions at the stationary stage of rehabilitation was carried out. Methods. The algorithm for a comprehensive assessment of health status included general clinical research methods, clinical and somatotypic status; assessment of the degree of stress of adaptive compensatory-adaptive reactions, the state of immunity and physical performance; biochemical research methods in blood serum; six-minute walk test; psychological research methods. Results. There are revealed signs of violations on the part of carbohydrate, lipid metabolism, antioxidant protection, increase of immune system reactivity, reduction of reserve capabilities of non-specific protective mechanisms, reduction of parameters of full-fledged socio-psychological functioning, which should be taken into account in the preparation of individual rehabilitation programs. Conclusion. The revealed relationship between integral leukocyte indices and a number of clinical and functional indicators allows us to recommend their use for analyzing the state of adaptive processes in the body and assessing the rehabilitation potential in patients with acute coronary syndrome after cardiac surgery.