EVALUATE EFFECTIVENESS ADHERENCE TO REHABILITATION PROGRAM PATIENT`S MYOCARDIAL INFARCTION WITH PATHOLOGICAL Q WAVE.

Background: An acute myocardial infarction(MI) is
the main cause of premature death and substantially
accounts for morbidity especially in the developed
world. After acute MI cardiac rehabilitation(CR)
consider important as medical treatment. CR has
strong-based evidence in reducing morbidity and
mortality rate. However, the form of rehabilitation
must be comprehensive enough so as to achieve
its purpose. The effect of rehabilitation after acute
infarction cannot be over emphasized because of its
far reaching benefits in terms of improve physical,
social, emotional and the totality of life in general.
The purpose of study: to evaluate effectiveness
adherence to rehabilitation program patient`s with
myocardial infarction with pathological Q wave.
Material and methods: For study was selected
74 patients with MIPQW 48 men and 26 women
aged 56,6 years enrolled in therapeutic departments
Cardiology in the 1st clinic for TMA and 16-familiar
polyclinic of city of Tashkent. For investigation were
taken first time patients with ST elevation myocardial
infarction. Diagnosis were demonstrated with
laboratorial and instrumental methods. All the patients
were treated recommended medical therapy. Patients
have been observed inpatient and outpatient periods
during 6 month. All were divided 2 groups: I group
42 patients are mainly group that strictly followed
RP. II group 32 patients are control group that low
compliance to RP. Patient`s condition were observed
hospital and polyclinic condition. Effectiveness of
RP were estimated by means of tolerance physical
exercise(TPE) based on 6 minute walk test after
hospital period, 1-st month and 6-th month period.
Tolerance physical exercise was estimated by means
of 6 minute walk test that functional class (FC) FC I
550m FC II 426–550m FC III 301–425m FC IV150m
Results: I group average age is 58,8 II control
group average is 56,4 After first 6 minute walk
test examination in patient`s 2 groups results were
estimated in hospital period. FC didn`t differentiated
too 2 groups according to FC that main group FC is
equal 2,98 p>0,001, control group FC is equal 3,014
After 1 month 6 minute walk examination were done
in polyclinic, that I group FC is 2,82 II group FC is
2,96 in main group from 7 patients FC changed that
increase physical tolerance. Only 2 patients decreased
FC. After 6 month results shows that main group FC is
2,02 II control group 2,53 42 patients in main group 16
patients FC increased from FC III to II or FC IV to FC
III. 7 patients FC increased from FC IV to FC III or FC
III to FC I. 3 patients FC decreased FC I degree based
on FC. Other patients that, from main group physical
tolerance didn`t change. From 32 patients II control
group 9 patients FC increased from FC III to II or FC
IV to FC III. 4 patients FC from IV to II or FC III to FC
I. 4 patients FC decreased I degree based on FC.
Remain patients in control group physical tolerance
didn`t change.
Conclusion: Results shows that RP is effectiveness
inpatient and outpatient stage in patients`
myocardial infarction with pathological Q wave. Strictly
following to daily programmed physical exercise
increases functional capacity and physical tolerance
reduces recurrence frequency angina pectoris, helps
rehabilitating early stage achieved level of motor
activity in the last hospital period. Step by step
following RP reduces hospitalization. Overall, Cardiac
Rehabilitation remains a safe and effective program
for post-myocardial infarction patients