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Vasilyeva L.I.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Egudina E.D.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Kalashnikova O.S.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Zhivilo I.A.

Academician M.D. Strazhesko National Research Center 'Institute of Cardiology', Kiev, Ukraine

Sapozhnichenko L.V.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Physical rehabilitation of patients with pulmonary hypertension

Authors:

Vasilyeva L.I., Egudina E.D., Kalashnikova O.S., Zhivilo I.A., Sapozhnichenko L.V.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2019;96(5): 51‑60

DOI: 10.17116/kurort20199605151

Read: 19621 times

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Table of contents

PHYSICAL REHABILITATION OF PATIENTS WITH PULMONARY HYPERTENSION
PHYSICAL REHABILITATION OF PATIENTS WITH PULMONARY HYPERTENSION

To cite this article:

Vasilyeva LI, Egudina ED, Kalashnikova OS, Zhivilo IA, Sapozhnichenko LV. Physical rehabilitation of patients with pulmonary hypertension. Problems of Balneology, Physiotherapy and Exercise Therapy. 2019;96(5):51‑60. (In Russ.)
https://doi.org/10.17116/kurort20199605151

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

Pulmonary arterial hypertension (PAH) is characterized by characterized by a continuous increase in precapillary pulmonary vascular resistance with a progressive decrease in cardiac output, which leads to progressive dyspnea, fatigue, and deterioration of exercise capacity. Traditionally, the patients have been advised to limit physical exercises. Recent studies suggest that there are improvements in exercise capacity, quality of life, muscle function, and pulmonary circulation when cardiovascular and pulmonary rehabilitation programs are implemented. According to the 2015 European Society of Cardiology guidelines for the management of patients with PAH, physical rehabilitation is indicated for clinically stable patients who receive drug therapy for this disease. There are various physical rehabilitation programs, but there is no generally accepted protocol for physical exercises in patients with PAH. The review highlights the pathophysiological mechanisms for reducing exercise capacity in patients with PAH; methods for assessing the right ventricular contractile reserve, the effect of physical stress on the cardiovascular system, lungs, and muscles; the existing physical rehabilitation programs, complications and ways to overcome them are considered. Clinical trials studies are also briefly analyzed; promising areas for further development and improvement of rehabilitation programs are considered.

Keywords:

pulmonary hypertension
cardiovascular rehabilitation
pulmonary rehabilitation
exercise therapy

Authors:

Vasilyeva L.I.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Egudina E.D.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Kalashnikova O.S.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Zhivilo I.A.

Academician M.D. Strazhesko National Research Center 'Institute of Cardiology', Kiev, Ukraine

Sapozhnichenko L.V.

Dnipropetrovsk Medical Academy, Ministry of Health of Ukraine, Dnipro, Ukraine

Close metadata

References:

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