The combined use of kinesio- and laser therapy in the regional hemodynamic disorders correction in dilated cardiomyopathy

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PURPOSE OF THE STUDY

Efficacy evaluation of the combined use of kinesio- and laser therapy for the correction of regional hemodynamics in patients with DCM against the background of maintenance drug therapy.

MATERIAL AND METHODS

100 patients with DCM were examined. All patients received differential maintenance drug therapy (beta-blockers, ACE inhibitors, with intolerance to the latter — angiotensin II receptor blockers, aldosterone receptor antagonists, diuretics, cardiac glycosides, antiarrhythmic drugs). Patients were divided into 2 groups at least 3 months after the selection of drug therapy. Intravenous laser blood irradiation (ILBI) and the selection of unloading therapeutic exercises were performed for patients of the main group during therapy. Patients in the control group received only drug therapy. The main research method was venous occlusion plethysmography. It was used to assess regional hemodynamics with the determination of recirculating blood flow (Qr) and regional vascular resistance (Rr) at rest, venous tone (Vt), reserve blood flow (QH) and regional vascular resistance (RH) against a functional stress test.

RESULTS

Data obtained in the dynamic observation process (after 1, 3, 6, 9 and 12 months) in the main group indicate a significant increase in Qr and QH, a decrease in Rr and RH, Vt. Significant positive dynamics in the control group was not observed. The regional hemodynamics indices after 9 and 12 months of observation significantly worsened.

CONCLUSION

Thus, according to venous-occlusal plethysmography, the use of unloading therapeutic exercises in combination with ILBI against the background of rationally selected differentiated drug therapy in patients with DCM significantly improves the regional hemodynamics. The developed symptomatic therapy methods can be applied in the practice of cardiologists, general practitioners, therapeutists, rehabilitation physicians to optimize the treatment of patients with DCM.

Keywords:

kinesitherapy

laser therapy

intravenous laser blood irradiation

regional hemodynamics

dilated cardiomyopathy

Authors:

Ismaylov I.S.

Azerbaijan Medical University

Mamedyarova I.A.

Azerbaijan Medical University

Baranov A.V.

Pitirim Sorokin Syktyvkar State University;
Northern State Medical University

SPIN RSCI: 8168-3700
Scopus AuthorID: 56045707600
ORCID: 0000-0002-7995-758X

Mustafaev R.D.

Skobelkin State Scientific Center of Laser Medicine

Lebedeva O.D.

National Medical Research Center for Rehabilitation and Balneology

Achilov A.A.

Skobelkin State Scientific Center of Laser Medicine

Received:

13.10.2019

Accepted:

07.06.2020

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