Impact of external counterpulsation on microcirculation in patients with coronary heart disease complicated by chronic heart failure after surgical and endovascular myocardial revascularization

Kulchitskaya D.B.; Shovkun T.V.; Yarnykh E.V.; Konchugova T.V.; Kniazeva T.A.; Gushchina N.V.; Chernyakhovsky O.B.; Kolbakhova S.N.

doi:https://doi.org/10.17116/kurort2019960515

Kulchitskaya D.B.

Department of Gynecology, Russian Research Center of Medical Rehabilitation and Balneology, Ministry of Health of Russia

Shovkun T.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Yarnykh E.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Konchugova T.V.

FGBU Rossiĭskiĭ nauchnyĭ tsentr kurortologii Minzdrava Rossii, Moskva

Kniazeva T.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr meditsinskoĭ reabilitatsii i kurortologii" Minzdravsotsrazvitiia Rossii, Moskva

Gushchina N.V.

FGBU «Rossijskij nauchnyj tsentr meditsinskoj reabilitatsii i kurortologii» Minzdrava Rossii, ul. Novyj Arbat, 32, Moskva, Rossijskaja Federatsija, 121099

Chernyakhovsky O.B.

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia, Moscow, Russia

Kolbakhova S.N.

A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

Impact of external counterpulsation on microcirculation in patients with coronary heart disease complicated by chronic heart failure after surgical and endovascular myocardial revascularization

Authors:

Kulchitskaya D.B., Shovkun T.V., Yarnykh E.V., Konchugova T.V., Kniazeva T.A., Gushchina N.V., Chernyakhovsky O.B., Kolbakhova S.N.

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Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2019;96(5): 5‑10

DOI: 10.17116/kurort2019960515

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To cite this article:

Kulchitskaya DB, Shovkun TV, Yarnykh EV, et al. . Impact of external counterpulsation on microcirculation in patients with coronary heart disease complicated by chronic heart failure after surgical and endovascular myocardial revascularization. Problems of Balneology, Physiotherapy and Exercise Therapy. 2019;96(5):5‑10. (In Russ.)
https://doi.org/10.17116/kurort2019960515

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

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Abstract:

Objective. To study the impact of external counterpulsation (ECP) on endothelial function and microcirculation in patients after myocardial revascularization (stenting and coronary artery bypass grafting) for functional class (FC) II—III chronic heart failure (CHF). Subjects and methods. Sixty patients aged 50 to 75 years after myocardial revascularization for FC II—III CHF were examined. All the patients received one-hour ECP sessions 5 times per week. The treatment cycle consisted of 35 sessions. To evaluate the microcirculatory bed, capillary blood flow was studied by laser Doppler flowmetry. Results. The cycle of ECP in patients with FC II—III CHF after myocardial revascularization had a corrective effect on the microhemodynamic system. Microcirculatory changes were due to the normalized myogenic and neurogenic tone of arterioles and to increased oscillations in the endothelial range. The pronounced beneficial effect of ECP on the cardiovascular system in the examined patients was confirmed by a significant increase in exercise tolerance and by a statistically significant improvement in the results of 6-minute walk test. There was a decrease in FC heart failure. Conclusion. ECP is an effective, non-invasive treatment in patients with heart failure.

Keywords:

chronic heart failure

external counterpulsation

laser Doppler flowmetry

microcirculation

Authors:

Kulchitskaya D.B.

Department of Gynecology, Russian Research Center of Medical Rehabilitation and Balneology, Ministry of Health of Russia

Shovkun T.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Yarnykh E.V.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Konchugova T.V.

FGBU Rossiĭskiĭ nauchnyĭ tsentr kurortologii Minzdrava Rossii, Moskva

Kniazeva T.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr meditsinskoĭ reabilitatsii i kurortologii" Minzdravsotsrazvitiia Rossii, Moskva

Gushchina N.V.

FGBU «Rossijskij nauchnyj tsentr meditsinskoj reabilitatsii i kurortologii» Minzdrava Rossii, ul. Novyj Arbat, 32, Moskva, Rossijskaja Federatsija, 121099

Chernyakhovsky O.B.

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia, Moscow, Russia

Kolbakhova S.N.

A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

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