Correlation of changes in the indicators of functional state and Doppler-echocardiography in patients with acute myocardial infarction against the background of rehabilitation

Objective. The purpose of the study was to assess the integral indicators of the functional state (FS) of the body, the parameters of central and intracardiac hemodynamics in patients with acute myocardial infarction in the process of hospital and post-hospital rehabilitation, and to study the relationships between the received data. Materials and methods. An open, randomized study included 111 people (76 men and 35 women) aged 40 to 65 years (57.2±0.6). The study of the body FS was carried out using the Dynamic-Omega-M hardware-software complex on the 3rd, 8th, and 14th days and by the 6th and 12th months. Doppler echocardiography was performed on the 3rd and 14th days of treatment, 6 and 12 months after discharge. Results. The obtained results allowed to establish a decrease in the values of integral indices of FS at the stages of hospital and post-hospital rehabilitation, the presence of myocardial hypertrophy, disorders of diastolic function of the heart and local contractility. Against the background of rehabilitation, positive dynamics of FS parameters and indices characterizing intracardiac hemodynamics was established. Significant correlations were established between the values of FS parameters and echocardiographic parameters and their dynamics during the study. Conclusion. The research justified the expediency of using the integrated parameters of FS for a comprehensive assessment of the status of patients with acute myocardial infarction and as prognostic criteria for the effectiveness of rehabilitation.

острый инфаркт миокарда, функциональное состояние, внутрисердечная гемодинамика, центральная гемодинамика, реабилитация, acute myocardial infarction, functional state, intracardiac hemodynamics, central hemodynamics, rehabilitation