Type 2 diabetes mellitus and rehabilitation after myocardial infarction

Paulina Głowacka, Katarzyna Mizia-Stec, Zbigniew Gąsior

Paulina Głowacka, Katarzyna Mizia-Stec, Zbigniew Gąsior – Type 2 diabetes mellitus and rehabilitation after myocardial infarction. Fizjoterapia Polska 2010; 10(4); 289-297

Abstract
This paper assesses the impact of type 2 diabetes mellitus (T2DM) on the effects of early post-discharge (Phase II) cardiac rehabilitation in post-myocardial infarction patients. The study involved 47 post-MI patients, of whom 21 had T2DM (Group I) and 26 did not have diabetes (Group II). Clinical symptoms and exercise test results according to the modified Bruce protocol were analysed at baseline and after 3 weeks of rehabilitation. HR and BP responses to exercise were evaluated along with metabolic expense and exercise duration. Both groups had a similar frequency of significant co-morbidities: arterial hypertension (76% in Group I and 73% in Group II) and lipid disorders (67% vs. 76%). Obesity was only found in Group II (36%). Both groups included patients after STEMI (75% in Group I vs. 69% in Group II) with no post-MI complications. The rehabilitation resulted in a significant improvement of exercise tolerance, which rose by 15% in METs, 20% in Watts, with test duration increasing by 13% in Group I, compared to 17%, 28%, and 16%, respectively, in Group II. Early post-discharge cardiac rehabilitation had a beneficial effect on exercise tolerance. In post-MI patients, type 2 diabetes diminishes the beneficial effects of rehabilitation.
Key words:
Diabetes Mellitus, Myocardial Infarction, phase II of cardiac rehabilitation
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心机梗死后的患者理疗

Włodzisław Kuliński, Sylwia Pająk

W. Kuliński, S. Pająk – Physiotherapy in patients after myocardial infarction. Fizjoterapia Polska 2019; 19(4); 6-22

简介。心机梗死为现代文明的一项严重社会和健康问题,心脏康复在这些患者的治疗中占有重要位置。
目的。评估心机梗死后患者所进行康复治疗的有效性,及其对心血管和呼吸系统效能的影响。
材料。针对斯塔拉霍维采县立卫生保健中心的30名患者进行心脏康复治疗,为期三周。
根据作者的患者检验卡来分析治疗效果,该卡包括病历和体检两部分。病历部分包含个人访谈和病史,及以博格量表为模型的日常活动所花费精力的主观评估。体检方面进行每日血压和脉搏测量,于自行车测功机上训练前及训练后5分钟进行。在康复开始前和15天的康复期结束后进行因变量验证。
结果。康复治疗结束后,血液循环能持续适应增加的力,显示出收缩压和舒张压及心脏收缩的频率降低。
结论。
1. 实施心脏康复治疗对心机梗死后患者的效率改善有助益。
2. 首次训练后即观察到收缩压值降低,及心血管系统对精力付出增加的持续适应,从动脉和脉搏压力正常化可看出。
3. 所进行的康复疗程显示出对患者日常生活功能有正面影响。

关键词:
心机梗死、理疗

 

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Risk assessment of falls by selected parameters of Berg balance scale in patients with acute coronary syndrome and after coronary angiography

Grzegorz Biliński, M. Wójtowicz, Małgorzta Fuchs, Jacek Soboń, Henryk Racheniuk, Jan Szczegielniak

G. Biliński, M. Wójtowicz, M. Fuchs, J. Soboń, H. Racheniuk, J. Szczegielniak – Ocena ryzyka upadków wybranymi parametrami skali Berg u chorych po ostrych zespołach wieńcowych i po koronarografii. FP 2013; 13(4); 19-23

Abstract

The treatment and selected diagnostic tests performed inpatient cardiac patients often require immobilization. The procedures used in the treatment of these patients may have an impact on the control of postural and balance after immobilization and involve disturbances at the level of activities of daily living, preventing or hindering the maintenance of upright posture.
The aim of the study was to evaluate body balance control in patients with acute coronary syndromes and after coronary angiography
Examined 70 patients, including 35 after acute coronary syndrome treated with interventional cardiology ward of the Regional Medical Center. The study was conducted using a modified scale Berg showing deterioration in the balance in the group of patients who underwent angiography.

Key words:
Body balance, myocardial infarction, coronary angiography, BBS- Berg Balance scale, physiotherapy