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To study influence of a complex of physical trainings on tolerance indicators to an exercise stress and a clinical condition of patients with the chronic heart failure (CHF).
70 patients with the coronary heart disease (CHD) of the complicated CHF I-III FC are examined. Average age of patients 62,3+ 1,5 years. Patients were divided into 2 groups: 1 group - 35 patients CHF I of FC (15), the II FC (16), the III FC (4); The 2nd group - 35 patients CHF I of FC (13), the II FC (17), the III FC (5). Within 6 months both groups received standard basic therapy. 1 group in addition was engaged in the standard option of a complex of physical exercises which included morning exercises, training of an aerobic orientation in the form of the dosed walking.
At patients I and II group with the II FC CHF it was noted decrease of a distance of the test of six-minute walking TSMW by 17,1% and 15,4% (p <0,01) and the III FC CHF for 48% and 47,7% (p <0,001) respectively in comparison with indicators of TSMW of patients with the I FC CHF. Also patients II and III FC CHF had the scale of an assessment of a clinical state (SACS) indicators authentically higher in comparison with indicators of patients with the I FC (p <0,001). Against 6 months of treatment with including of a complex of physical trainings at patients of 1 group, it was noted: at patients of 1 group with the I FC CHF against treatment a score on a scale of SACS were enlarged by 50,7% (p <0,001), and patients have II groups for 42,6% (p <0,001); patients of 1 group from the II FC CHF for 41,8% (p<0,001), and at patients have II groups for 29,2% (p <0,001); patients of 1 group from the III FC for 22,5% (p <0,001), and at patients have II groups for 8,5% (p <0,005), respectively, in comparison with initial indicators. At the same time the distance of TSMW was enlarged at patients from I, II and III FC of the first group by 13,1%, 14,5% and 16,6% (p <0,001), at patients of the second group for 16,3%, 9,4% and 13% (p <0,005), respectively.
Patients CHF have a regular use of a complex of physical trainings, in the form of morning exercises and the dosed walking, promotes improvement of overall health, enlarges tolerance to exercise stresses, working capacity increases and leads to improvement of a clinical condition of patients.