The rationale for a new approach to the system evaluation of rehabilitation treatment of the patients with coronary heart disease
Among 46 patients with coronary heart disease there was studied the dynamics of functional reserves and traditional instrumental diagnostics data (ECG, Holter monitoring, stress test, echocardiography) during the rehabilitation treatment. We got that the use of traditional diagnostic methods for assessing the results of rehabilitation treatment has significant limitations. At the same time after the treatment among 89 % of patients there was determined an increase of functional reserves of the organism, which correlated with a decrease in the number of myocardial ischemia episodes, an increased tolerance to the physical exertion and an improvement of a diastolic function of the left ventricle. It was concluded that the dynamics of functional reserves can be a basic criterion for the effectiveness of the rehabilitation treatment of the patients with coronary heart disease.